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{"negotiation_arrangement":"ffs","name":"Foot Plastic Heel Stabilizer","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3170","description":"Foot Plastic Heel Stabilizer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.87,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"TLSO, Triplanar Control, Hyperextension, Rigid Anterior And Lateral Fr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0472","description":"TLSO, Triplanar Control, Hyperextension, Rigid Anterior And Lateral Fr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Cough stimulating device, alternating positive and negative airway pressure","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0482","description":"Cough stimulating device, alternating positive and negative airway pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batt","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6026","description":"Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Multi-Durometer Symes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5661","description":"Multi-Durometer Symes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Replacement Diaphragm/Fplate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7502","description":"Replacement Diaphragm/Fplate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Underarm Crutch Pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4635","description":"Underarm Crutch Pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Shoe Heel Pad & Depress For","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3480","description":"Shoe Heel Pad & Depress For","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.99,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, 22nf sealed lead acid battery, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2361","description":"Power wheelchair accessory, 22nf sealed lead acid battery, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Replace Socket Below Knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5700","description":"Replace Socket Below Knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 lbs w/rails w/mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0304","description":"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 lbs w/rails w/mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"\"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, include","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5973","description":"\"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, include","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Addition lower extremity, below knee/above knee suspension locking mechanism (shuttle, lanyard or equal), includes socke","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5671","description":"Addition lower extremity, below knee/above knee suspension locking mechanism (shuttle, lanyard or equal), includes socke","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, medial thigh support, prefabricated, including fixed mounting hardware, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0957","description":"Wheelchair accessory, medial thigh support, prefabricated, including fixed mounting hardware, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Paraffin Bath Unit Portable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0235","description":"Paraffin Bath Unit Portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Variable Concentration Mask","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4620","description":"Variable Concentration Mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Hand Restoration No Fingers","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6910","description":"Hand Restoration No Fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Power Wheelchair, gp 3 heavy duty, single power option, captains chair, pt weight cpcty 301 to 450 pounds.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0859","description":"Power Wheelchair, gp 3 heavy duty, single power option, captains chair, pt weight cpcty 301 to 450 pounds.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0670","description":"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Replacement Bulb/Lamp For Ultraviolet Light Therapy System, Each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4633","description":"Replacement Bulb/Lamp For Ultraviolet Light Therapy System, Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Whlchr Att- Conv 1 Arm Drive","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0958","description":"Whlchr Att- Conv 1 Arm Drive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Init Ak Ischal Plstr Direct","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5505","description":"Init Ak Ischal Plstr Direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Cervical Collar Molded To Pt","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0170","description":"Cervical Collar Molded To Pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Above Knee Air Cushion Socke","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5648","description":"Above Knee Air Cushion Socke","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Tens Suppl 2 Lead Per Month","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4595","description":"Tens Suppl 2 Lead Per Month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Urinary Pouch W Ex Wear Barr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4391","description":"Urinary Pouch W Ex Wear Barr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, lever-activated, wheel drive, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0988","description":"Manual wheelchair accessory, lever-activated, wheel drive, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy Bra","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8000","description":"Mastectomy Bra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy vent, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4366","description":"Ostomy vent, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Foot, insert, removable, molded to patient model, Spenco, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3001","description":"Foot, insert, removable, molded to patient model, Spenco, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Light compression bandage, elastic, knitted/woven, width less than 3 in. per yard","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6448","description":"Light compression bandage, elastic, knitted/woven, width less than 3 in. per yard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Afo Doub Solid Stirrup Calf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1990","description":"Afo Doub Solid Stirrup Calf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Kyphosis Pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1020","description":"Kyphosis Pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Bed Pan Fracture","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0276","description":"Bed Pan Fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Foam Drg <=16 Sq In W/Border","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6212","description":"Foam Drg <=16 Sq In W/Border","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladde","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8684","description":"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladde","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4028","description":"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"CTLSO INFANT IMMOBILIZER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1001","description":"CTLSO INFANT IMMOBILIZER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Oxygen Contents, Liquid","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0442","description":"Oxygen Contents, Liquid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Transport chair pt wt>=250lb","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1039","description":"Transport chair pt wt>=250lb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees Fah","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5512","description":"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees Fah","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Pros Sock Single Ply Ak","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8480","description":"Pros Sock Single Ply Ak","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.27,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Endo Below Knee Alignable Sy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5910","description":"Endo Below Knee Alignable Sy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder orthotic (SO), abduction positioning (airplane design), thoracic component and support bar, with or without non","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3674","description":"Shoulder orthotic (SO), abduction positioning (airplane design), thoracic component and support bar, with or without non","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Replace Molded Calf Lacer","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4050","description":"Replace Molded Calf Lacer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Stnd Wt Frame Power Whlchr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0010","description":"Stnd Wt Frame Power Whlchr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Nasal Interface (Mask Or Cannula Type) Used With Positive Airway Press","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7034","description":"Nasal Interface (Mask Or Cannula Type) Used With Positive Airway Press","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"REPL SOFT INTERFACE, HELMET","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A8004","description":"REPL SOFT INTERFACE, HELMET","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Lens Aniseikonic Trifocal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2318","description":"Lens Aniseikonic Trifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Monitor elec or comb vad rep","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0484","description":"Monitor elec or comb vad rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Drop Lock Knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2182","description":"Drop Lock Knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Power operated vehichle, gp 2 heavy duty, pt weight cpcty, 301 to 450 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0807","description":"Power operated vehichle, gp 2 heavy duty, pt weight cpcty, 301 to 450 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Tibial Tubercle Hgt W/ Toe F","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5020","description":"Tibial Tubercle Hgt W/ Toe F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic Shoe W/Off Set Heel","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5506","description":"Diabetic Shoe W/Off Set Heel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 pc), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4434","description":"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 pc), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Hmes Filter Holder Or Cap","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7503","description":"Hmes Filter Holder Or Cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Dry Pressure Pad For Mattres","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0199","description":"Dry Pressure Pad For Mattres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Anterior Thoracic Extension","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1220","description":"Anterior Thoracic Extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Power wc motor replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2368","description":"Power wc motor replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"High Frequency Chest Wall Oscillation System Vest, Replacement For Use","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7025","description":"High Frequency Chest Wall Oscillation System Vest, Replacement For Use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2632","description":"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equa","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7401","description":"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair Spec Size W Foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1223","description":"Wheelchair Spec Size W Foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and ac","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1801","description":"Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and ac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Bilateral hip, knee, ankle, foot (HKAFO) device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type,","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K1007","description":"Bilateral hip, knee, ankle, foot (HKAFO) device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Cranial cervical orthosis, congenital torticollis type, with or without soft material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0112","description":"Cranial cervical orthosis, congenital torticollis type, with or without soft material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Power Operated Vehicle","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1230","description":"Power Operated Vehicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Stationary Liquid 02","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0439","description":"Stationary Liquid 02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Contact Lens Gas Impermeable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2530","description":"Contact Lens Gas Impermeable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic Shoe W/Roller/Rockr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5503","description":"Diabetic Shoe W/Roller/Rockr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Replacement garment for use with automated external defibrillator, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0608","description":"Replacement garment for use with automated external defibrillator, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"SOLID CASTER TIRE, INTEGRATE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2392","description":"SOLID CASTER TIRE, INTEGRATE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic Control Band & Belt U","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2630","description":"Pelvic Control Band & Belt U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Endo Ak Ultra-Light Material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5950","description":"Endo Ak Ultra-Light Material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Lens Trifocal Add Over 3.25d","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2320","description":"Lens Trifocal Add Over 3.25d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Iris Support Intraoclr Lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2631","description":"Iris Support Intraoclr Lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes al","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1831","description":"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes al","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Replace Socket Hip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5702","description":"Replace Socket Hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Afo Tibial Fracture Soft","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2112","description":"Afo Tibial Fracture Soft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"TUBE, PNEUM WHEEL DRIVE TIRE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2382","description":"TUBE, PNEUM WHEEL DRIVE TIRE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from L-1 to below L-5 ver","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0627","description":"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from L-1 to below L-5 ver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"TLSO, Triplanar Control, One Piece Rigid Plastic Shell W Interface Lin","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0482","description":"TLSO, Triplanar Control, One Piece Rigid Plastic Shell W Interface Lin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"4-Bar Link Above Knee W/Swng","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5614","description":"4-Bar Link Above Knee W/Swng","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4431","description":"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0477","description":"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including f","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2321","description":"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Endo Knee-Shin Frct Swg & St","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5818","description":"Endo Knee-Shin Frct Swg & St","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Electronic Elbow Hosmer Swit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7170","description":"Electronic Elbow Hosmer Swit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic Band & Belt Thigh Fla","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2192","description":"Pelvic Band & Belt Thigh Fla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"WHFO, dynamic flexor hinge, reciprocal wrist extension/flexion, finger flexion/extension, wrist or finger driven, custom","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3900","description":"WHFO, dynamic flexor hinge, reciprocal wrist extension/flexion, finger flexion/extension, wrist or finger driven, custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Ko Elastic With Joints","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1810","description":"Ko Elastic With Joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Replacement battery for automated external defibrillator, garment type only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0607","description":"Replacement battery for automated external defibrillator, garment type only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Cranial electrotherapy stimulation (CES) system, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0732","description":"Cranial electrotherapy stimulation (CES) system, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking, waist length, 18-30 mm Hg, custom, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6562","description":"Gradient compression stocking, waist length, 18-30 mm Hg, custom, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy Skin Barrier, With Flange (Solid, Flexible Or Accordion), Exten","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4410","description":"Ostomy Skin Barrier, With Flange (Solid, Flexible Or Accordion), Exten","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Lightweight Wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0003","description":"Lightweight Wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4026","description":"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, inclu","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0486","description":"Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, inclu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, sip and puff interface, nonproportional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2325","description":"Power wheelchair accessory, sip and puff interface, nonproportional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Ostomy Pouch, Drainable, High Output, For Use On A Barrier With Flange","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4413","description":"Ostomy Pouch, Drainable, High Output, For Use On A Barrier With Flange","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"O2/Water Vapor Enrich W/Heat","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1405","description":"O2/Water Vapor Enrich W/Heat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Whfo,No Joint, Prefabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3807","description":"Whfo,No Joint, Prefabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Front caster assembly, complete, with semipneumatic tire, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0072","description":"Front caster assembly, complete, with semipneumatic tire, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Foam/Fabric Leg Strap","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5114","description":"Foam/Fabric Leg Strap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Gel cap app device for trach","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8515","description":"Gel cap app device for trach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0490","description":"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, electronic connection between wheelchair controller","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2310","description":"Power wheelchair accessory, electronic connection between wheelchair controller","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Diab Shoe W/Metatarsal Bar","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5505","description":"Diab Shoe W/Metatarsal Bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1906","description":"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Shwr cov elec/combo vad, rep","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0501","description":"Shwr cov elec/combo vad, rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylindr 7.25d/.25-2.25","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2111","description":"Spherocylindr 7.25d/.25-2.25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.07,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Knee-Shin Pneum/Hydra Pneum","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5780","description":"Knee-Shin Pneum/Hydra Pneum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic knee, extension/flexion device with active resistance control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1812","description":"Dynamic knee, extension/flexion device with active resistance control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Moisture Exchanger","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4483","description":"Moisture Exchanger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, power seatng system, recline only, with power shear","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1005","description":"Wheelchair accessory, power seatng system, recline only, with power shear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"HFO, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3921","description":"HFO, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Water Pressure Pad For Mattr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0198","description":"Water Pressure Pad For Mattr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Vaporizer Room Type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0605","description":"Vaporizer Room Type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Fresnell Prism Press-On Lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2718","description":"Fresnell Prism Press-On Lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.95,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Liq Adhes For Facial Prosth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4364","description":"Liq Adhes For Facial Prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Power Wheelchair, gp 3 very heavy duty, single power option, sling/solid seat & back, pt weight cpcty 451 to 600 pounds.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0860","description":"Power Wheelchair, gp 3 very heavy duty, single power option, sling/solid seat & back, pt weight cpcty 451 to 600 pounds.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"TERM DEV MECH HOOK VOL CLOSE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6707","description":"TERM DEV MECH HOOK VOL CLOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Tens Two Lead","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0720","description":"Tens Two Lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Shoe Heel New Leather Standa","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3455","description":"Shoe Heel New Leather Standa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.31,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Shrinker Upper Limb","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8465","description":"Shrinker Upper Limb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.62,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4418","description":"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Heavyduty/Wide Commode Chair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0168","description":"Heavyduty/Wide Commode Chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Upper Ext Fx Orthosis Wrist","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3984","description":"Upper Ext Fx Orthosis Wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Bed Cradle","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0280","description":"Bed Cradle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8625","description":"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of an orthosis from one shoe to another, Dennis Browne splint (Riveton), both shoes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3640","description":"Transfer of an orthosis from one shoe to another, Dennis Browne splint (Riveton), both shoes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.41,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Postop Applicat Rigid Dsg On","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6388","description":"Postop Applicat Rigid Dsg On","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0911","description":"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic & Hip Control Thigh C","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1680","description":"Pelvic & Hip Control Thigh C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld Drg <=16 W/O Bdr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6234","description":"Hydrocolld Drg <=16 W/O Bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 pc), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4429","description":"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 pc), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy Skin Barrier, W Flange (Solid, Flexible / Accordion), Ext Wear,","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4409","description":"Ostomy Skin Barrier, W Flange (Solid, Flexible / Accordion), Ext Wear,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Test Socket Above Knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5624","description":"Test Socket Above Knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4424","description":"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair Anti-Tipping Devi","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0971","description":"Wheelchair Anti-Tipping Devi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygea","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0648","description":"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Ko Swedish Type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1850","description":"Ko Swedish Type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes strap","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0621","description":"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes strap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.5,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Lens Sphcy Trifocal 4.0/2.25","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2304","description":"Lens Sphcy Trifocal 4.0/2.25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Self-adherent bandage, elastic, non-knitted/non-woven, width less than 3 in. per yard","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6453","description":"Self-adherent bandage, elastic, non-knitted/non-woven, width less than 3 in. per yard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"One way chest drain valve","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7040","description":"One way chest drain valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld Drg Filler Paste","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6240","description":"Hydrocolld Drg Filler Paste","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel Drg > 48 Sq In W/B","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6247","description":"Hydrogel Drg > 48 Sq In W/B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment, genital region, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6570","description":"Gradient compression garment, genital region, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7521","description":"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Tlso Corset Front","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0970","description":"Tlso Corset Front","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Power Wheelchair, gp 2 std, multiple power option, sling/solid seat & back, pt weight cpcty up to & incldng 300 pounds.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0841","description":"Power Wheelchair, gp 2 std, multiple power option, sling/solid seat & back, pt weight cpcty up to & incldng 300 pounds.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6715","description":"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Tubing with integrated heating element for use with positive airway pressure device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4604","description":"Tubing with integrated heating element for use with positive airway pressure device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"\"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement\"","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8629","description":"\"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Ext Amb Infusn Pump Insulin","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0784","description":"Ext Amb Infusn Pump Insulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Ho Abduction Hip Adjustable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1650","description":"Ho Abduction Hip Adjustable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Lens Lenticular Bifocal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2115","description":"Lens Lenticular Bifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Ko Supracondylar Socket Mold","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1860","description":"Ko Supracondylar Socket Mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Knee Lift Loop Drop Lock Rin","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2492","description":"Knee Lift Loop Drop Lock Rin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Leg Strap Each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0038","description":"Leg Strap Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Pad Water Circulating Heat U","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0249","description":"Pad Water Circulating Heat U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Polishing Artifical Eye","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2624","description":"Polishing Artifical Eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Static progressive stretch/patient actualized serial stretch forearm pronation/supination device, with or without range of motion adjustment, includes all components and acces","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1818","description":"Static progressive stretch/patient actualized serial stretch forearm pronation/supination device, with or without range of motion adjustment, includes all components and acces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Seg Pneumatic Appli Half Leg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0669","description":"Seg Pneumatic Appli Half Leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Wrist Disarticul Switch Ctrl","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6920","description":"Wrist Disarticul Switch Ctrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Breast Prosthesis Silicone/E","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8030","description":"Breast Prosthesis Silicone/E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Afo Plastic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1930","description":"Afo Plastic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Lens Sphcyl Bifocal Over 12.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2214","description":"Lens Sphcyl Bifocal Over 12.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Sitz Type Bath Or Equipment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0160","description":"Sitz Type Bath Or Equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Lens Sphere Bifocal 4.12-7.0","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2201","description":"Lens Sphere Bifocal 4.12-7.0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.41,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Knee Control Condylar Pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2810","description":"Knee Control Condylar Pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.75,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Urinary Cath Anchor Device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4333","description":"Urinary Cath Anchor Device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4235","description":"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Caster wheel excludes tire","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2225","description":"Caster wheel excludes tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Drug Infusion Pump Supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4222","description":"Drug Infusion Pump Supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Hydrocolld Drg >16<=48 W/O B","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6235","description":"Hydrocolld Drg >16<=48 W/O B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8678","description":"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Lateral Trochanteric Pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1290","description":"Lateral Trochanteric Pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Irrigation supply; sleeve, disposable, per month","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4437","description":"Irrigation supply; sleeve, disposable, per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"TLSO, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0469","description":"TLSO, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Negative pressure wound therapy electrical pump, stationary or portable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2402","description":"Negative pressure wound therapy electrical pump, stationary or portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stim","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0467","description":"Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Pelv Band/Spread Bar Thigh C","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1640","description":"Pelv Band/Spread Bar Thigh C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar Or Lumbar Rib Pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1040","description":"Lumbar Or Lumbar Rib Pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee (BK)/above knee (AK), custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with o","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5673","description":"Addition to lower extremity, below knee (BK)/above knee (AK), custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Catheter Anchor","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5200","description":"Percutaneous Catheter Anchor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Ortho Shoe Add Half Sole","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3530","description":"Ortho Shoe Add Half Sole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.28,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Segmental pneumatic appliance for use with pneumatic compressor, chest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0657","description":"Segmental pneumatic appliance for use with pneumatic compressor, chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Power operated vehichle, gp 2 very heavy duty, pt weight cpcty, 451 to 600 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0808","description":"Power operated vehichle, gp 2 very heavy duty, pt weight cpcty, 451 to 600 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Cervical traction device, cervical collar with inflatable air bladder","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0856","description":"Cervical traction device, cervical collar with inflatable air bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, power seating system, combination tilt and recline, with  manual shear reduction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1007","description":"Wheelchair accessory, power seating system, combination tilt and recline, with  manual shear reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Packing strips, non-impregnated, up to 2 inches in width, per linear yard","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6407","description":"Packing strips, non-impregnated, up to 2 inches in width, per linear yard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Pacemaker Monitr Audible/Vis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0610","description":"Pacemaker Monitr Audible/Vis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Lens Sphere Trifocal 7.12-20","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2302","description":"Lens Sphere Trifocal 7.12-20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Bat clps elec/comb vad, rep","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0497","description":"Bat clps elec/comb vad, rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Gauze >16 <=48 Sq In W/Bordr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6220","description":"Gauze >16 <=48 Sq In W/Bordr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Phototherapy Light W/ Photom","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0202","description":"Phototherapy Light W/ Photom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Shdr Fair Lead Cable Direct","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6590","description":"Shdr Fair Lead Cable Direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Shoe Heel Thomas Extend To B","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3470","description":"Shoe Heel Thomas Extend To B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.99,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Ankle, Symes, molded to patient model, socket without solid ankle cushion heel (SACH) foot, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5703","description":"Ankle, Symes, molded to patient model, socket without solid ankle cushion heel (SACH) foot, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Dynamic adjustable toe extension and flexion device, includes soft interface material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1830","description":"Dynamic adjustable toe extension and flexion device, includes soft interface material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be us","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4397","description":"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Functional neuromuscular stimulator, transcutaneous stimulation of muscles of ambulation with computer control, used for","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0764","description":"Functional neuromuscular stimulator, transcutaneous stimulation of muscles of ambulation with computer control, used for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1005","description":"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"O Shoe Add Instep Velcro Clo","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3580","description":"O Shoe Add Instep Velcro Clo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6713","description":"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Afo Tib Fx Cast Molded To Pt","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2108","description":"Afo Tib Fx Cast Molded To Pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Position back cush wd <22in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2613","description":"Position back cush wd <22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"HAND/CHIN CTRL SPEC JOYSTICK","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2373","description":"HAND/CHIN CTRL SPEC JOYSTICK","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Offset Knee Joint Heavy Duty","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2395","description":"Offset Knee Joint Heavy Duty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Bedside Drain Btl W/Wo Tube","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5102","description":"Bedside Drain Btl W/Wo Tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Hip Canad Sing Axi Cons Fric","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5250","description":"Hip Canad Sing Axi Cons Fric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Walker Leg Extenders Set Of4","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0158","description":"Walker Leg Extenders Set Of4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"O2/Water Vapor Enrich W/O He","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1406","description":"O2/Water Vapor Enrich W/O He","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"FDA-approved nerve stimulator, for treatment of nausea and vomiting","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0765","description":"FDA-approved nerve stimulator, for treatment of nausea and vomiting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Amputee Adapter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0959","description":"Amputee Adapter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Prosthetic Sock Multi Ply Bk","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8420","description":"Prosthetic Sock Multi Ply Bk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2628","description":"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Halo Cervical Into Body Jack","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0820","description":"Halo Cervical Into Body Jack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Blood Glucose Monitor Home","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0607","description":"Blood Glucose Monitor Home","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Ostomy Irrig Cone/Cath W Brs","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4399","description":"Ostomy Irrig Cone/Cath W Brs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Truss Add To Std Pad Scrotal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8330","description":"Truss Add To Std Pad Scrotal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels placed over the sacrum and abdomen,","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0624","description":"Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels placed over the sacrum and abdomen,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7520","description":"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8509","description":"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Traction stand, free standing, extremity traction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0880","description":"Traction stand, free standing, extremity traction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Tract Equip Cervical Tract","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0860","description":"Tract Equip Cervical Tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8618","description":"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Catheter W/Bag 3-Way","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4313","description":"Catheter W/Bag 3-Way","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Rollabout Chair With Casters","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1031","description":"Rollabout Chair With Casters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Power Wheelchair, gp 3 extra heavy duty, sling/solid seat & back, pt weight cpcty 601 pounds or more.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0854","description":"Power Wheelchair, gp 3 extra heavy duty, sling/solid seat & back, pt weight cpcty 601 pounds or more.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and sup","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0483","description":"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and sup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Conductive Garment For Tens/","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0731","description":"Conductive Garment For Tens/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"SOFT PROTECT HELMET PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A8000","description":"SOFT PROTECT HELMET PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Hallus-Valgus Nght Dynamic S","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3100","description":"Hallus-Valgus Nght Dynamic S","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.41,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Power operated vehichle, gp 1 std, pt weight capcty up to & incldng 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0800","description":"Power operated vehichle, gp 1 std, pt weight capcty up to & incldng 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Ostomy Skin Barrier, Pectin-Based, Paste, Per Ounce","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4406","description":"Ostomy Skin Barrier, Pectin-Based, Paste, Per Ounce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Contact Lens Pmma Bifocal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2502","description":"Contact Lens Pmma Bifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Foam filled propulsion tire","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2216","description":"Foam filled propulsion tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Elbow socket ins use w/o lck","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6695","description":"Elbow socket ins use w/o lck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Test Socket Symes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5618","description":"Test Socket Symes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Whellchair Elevating Leg Res","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0990","description":"Whellchair Elevating Leg Res","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Shoulder Abduction Joint Pai","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6640","description":"Shoulder Abduction Joint Pai","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Transport Chair, Pediatric Size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1037","description":"Transport Chair, Pediatric Size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Kafo Dbl Solid Stirrup W/O J","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2030","description":"Kafo Dbl Solid Stirrup W/O J","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Endo Ak/Hip Knee Extens Assi","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5850","description":"Endo Ak/Hip Knee Extens Assi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Gradient compression stocking, thigh length, 40 mm Hg or greater, custom, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6558","description":"Gradient compression stocking, thigh length, 40 mm Hg or greater, custom, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Lateral Thoracic Extension","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1210","description":"Lateral Thoracic Extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Walker Variable Wheel Resist","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0147","description":"Walker Variable Wheel Resist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair, Pediatric Size, Tilt-In-Space, Folding, Adj, Wo Seating","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1234","description":"Wheelchair, Pediatric Size, Tilt-In-Space, Folding, Adj, Wo Seating","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8683","description":"Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Contact Lens Hydrophilic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2520","description":"Contact Lens Hydrophilic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Collagen Drsg>6<=48 Sq In","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6022","description":"Collagen Drsg>6<=48 Sq In","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4602","description":"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Power Wheelchair, gp 2 std, captains chair, pt weight cpcty up to & incldng 300 pounds.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0823","description":"Power Wheelchair, gp 2 std, captains chair, pt weight cpcty up to & incldng 300 pounds.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Collagen Based Wound Filler, Gel/Paste, Per Gram Of Collagen","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6011","description":"Collagen Based Wound Filler, Gel/Paste, Per Gram Of Collagen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Hosp Bed Var Ht W/O Rail W/O","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0292","description":"Hosp Bed Var Ht W/O Rail W/O","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Portable 02 Contents, Gas","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0443","description":"Portable 02 Contents, Gas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Ostomy Pouch Liq Deodorant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4394","description":"Ostomy Pouch Liq Deodorant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Oxy Suppl Heater For Nebuliz","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1372","description":"Oxy Suppl Heater For Nebuliz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"\"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only\"","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0506","description":"\"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Light compression bandage, elastic, knitted/woven, width 3-5 in. per yard","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6449","description":"Light compression bandage, elastic, knitted/woven, width 3-5 in. per yard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0552","description":"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Stocking Supp Grips Set Of F","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0982","description":"Stocking Supp Grips Set Of F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.87,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Crutch Underarm Each Wood","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0113","description":"Crutch Underarm Each Wood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Heat & Moisture Exchange Sys","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7509","description":"Heat & Moisture Exchange Sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Testicle","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8690","description":"Testicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"TLSO, Triplanar Control, Modular Segmented Spinal Syst, Four Rigid Pla","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0464","description":"TLSO, Triplanar Control, Modular Segmented Spinal Syst, Four Rigid Pla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Gradient compression stocking, below knee, 40 mm Hg or greater, custom, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6555","description":"Gradient compression stocking, below knee, 40 mm Hg or greater, custom, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Test Sock Wrist Disart/Bel E","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6680","description":"Test Sock Wrist Disart/Bel E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Blood glucose monitor with integrated lancing/blood sample","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2101","description":"Blood glucose monitor with integrated lancing/blood sample","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Thi/Glut/Ischia Wgt Bearing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2500","description":"Thi/Glut/Ischia Wgt Bearing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Power Wheelchair, gp 3 very heavy duty, multiple power optn, sling/solid seat & back, pt weight cpcty 451 to 600 pounds.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0863","description":"Power Wheelchair, gp 3 very heavy duty, multiple power optn, sling/solid seat & back, pt weight cpcty 451 to 600 pounds.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"LSO flexion control custom","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0634","description":"LSO flexion control custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Speech generating device, synthesized speech, permitting multiple methods","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2510","description":"Speech generating device, synthesized speech, permitting multiple methods","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Hallux Implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8642","description":"Hallux Implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Foam caster tire any size ea","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2219","description":"Foam caster tire any size ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Sheath Upper Limb","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8415","description":"Sheath Upper Limb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.24,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0733","description":"Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Portable 02 Contents, Liquid","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0444","description":"Portable 02 Contents, Liquid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Elbow, wrist, hand, finger device, powered, with single or double upright(s), any type joint(s), includes microprocessor, sensors, all components and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8702","description":"Elbow, wrist, hand, finger device, powered, with single or double upright(s), any type joint(s), includes microprocessor, sensors, all components and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair Wide W/ Foot Rest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1093","description":"Wheelchair Wide W/ Foot Rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Gen use back cush wdth <22in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2611","description":"Gen use back cush wdth <22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Custom Breast Prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8035","description":"Custom Breast Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2224","description":"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Belt/vest elec/combo vad rep","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0499","description":"Belt/vest elec/combo vad rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Implantable neurostimulator, pulse generator, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8679","description":"Implantable neurostimulator, pulse generator, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4438","description":"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.96,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Power Wheelchair, gp 1 std, portable captains chair, pt weight cpcty up to & incldng 300 pounds.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0814","description":"Power Wheelchair, gp 1 std, portable captains chair, pt weight cpcty up to & incldng 300 pounds.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Monitor/display module for use with electric ventricular assist device, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0483","description":"Monitor/display module for use with electric ventricular assist device, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, gauntlet cast (including lower forearm and hand) pediatric (0-10 years), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4015","description":"Cast supplies, gauntlet cast (including lower forearm and hand) pediatric (0-10 years), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Ossicular Implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8613","description":"Ossicular Implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Cannula Nasal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4615","description":"Cannula Nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"O Shoe Add Felt W Leath Insl","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3520","description":"O Shoe Add Felt W Leath Insl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.28,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5057","description":"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Kafo Dbl Solid Stirrup Band/","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2020","description":"Kafo Dbl Solid Stirrup Band/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Replacement battery, alkaline, J cell, for use with medically necessary home blood glucose monitor owned by patient, eac","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4234","description":"Replacement battery, alkaline, J cell, for use with medically necessary home blood glucose monitor owned by patient, eac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Compression Burn Garment, Bodysuit (Head To Foot), Custom Fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6501","description":"Compression Burn Garment, Bodysuit (Head To Foot), Custom Fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Walker Rigid Adjust/Fixed Ht","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0130","description":"Walker Rigid Adjust/Fixed Ht","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Ext Breastprosthesis Garment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8015","description":"Ext Breastprosthesis Garment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.19,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Stool Collection Pouch","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4330","description":"Stool Collection Pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Cerv Semi-Rig Adj Molded Chn","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0150","description":"Cerv Semi-Rig Adj Molded Chn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Speech generating software program, for personal computer or personal digital assistant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2511","description":"Speech generating software program, for personal computer or personal digital assistant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Elbow Molded W/ Expand Inter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6205","description":"Elbow Molded W/ Expand Inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Wrist Cock-Up Non-Molded","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908","description":"Wrist Cock-Up Non-Molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.37,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Shoe Sole Wedge Outside Sole","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3360","description":"Shoe Sole Wedge Outside Sole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Tot Contact Ak/Knee Disart S","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5650","description":"Tot Contact Ak/Knee Disart S","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0479","description":"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Lens Sphcyl Bifo 7.25-12/2.2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2212","description":"Lens Sphcyl Bifo 7.25-12/2.2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Ko W/ Adj Flex/Ext Rotat Cus","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1845","description":"Ko W/ Adj Flex/Ext Rotat Cus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Ankle foot orthosis (AFO), rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1932","description":"Ankle foot orthosis (AFO), rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Cath W/Drainage 2-Way Latex","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4314","description":"Cath W/Drainage 2-Way Latex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Cam release assembly, footrest or legrest, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0051","description":"Cam release assembly, footrest or legrest, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Hip orthosis, abduction control of hip joints, flexible, Frejka type with cover, prefabricated, includes fitting and adj","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1600","description":"Hip orthosis, abduction control of hip joints, flexible, Frejka type with cover, prefabricated, includes fitting and adj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, hook or hand, heavy-duty, mechanical, voluntary opening, any material, any size, lined or unlined","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6721","description":"Terminal device, hook or hand, heavy-duty, mechanical, voluntary opening, any material, any size, lined or unlined","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessa","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8605","description":"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"TLSO, Triplanar Control, One Piece Rigid Plastic Shell Wo Interface Li","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0480","description":"TLSO, Triplanar Control, One Piece Rigid Plastic Shell Wo Interface Li","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Eye Pad, Sterile, Each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6410","description":"Eye Pad, Sterile, Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"TLSO Flexible, Provides Trunk Support, Extends From Sacrococcygeal Jun","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0454","description":"TLSO Flexible, Provides Trunk Support, Extends From Sacrococcygeal Jun","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"\"Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0433","description":"\"Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
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{"negotiation_arrangement":"ffs","name":"Pros Sheath/Sock W Gel Cushn","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8417","description":"Pros Sheath/Sock W Gel Cushn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.1,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Shoe Heel Sach Cushion Type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3450","description":"Shoe Heel Sach Cushion Type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long arm splint, adult (11 years +), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4017","description":"Cast supplies, long arm splint, adult (11 years +), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Twelve Volt Battery Utah/Equ","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7364","description":"Twelve Volt Battery Utah/Equ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"KAFO, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without f","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2034","description":"KAFO, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Above knee, molded socket, open end, SACH foot, endoskeletal system, single axis knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5321","description":"Above knee, molded socket, open end, SACH foot, endoskeletal system, single axis knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Hip Flex Inner Socket Ext Fr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5643","description":"Hip Flex Inner Socket Ext Fr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Nonpneumatic sequential compression garment, trunk","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0677","description":"Nonpneumatic sequential compression garment, trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Lenticular lens, per lens, single","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2121","description":"Lenticular lens, per lens, single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Power Wheelchair, gp 3 heavy duty, sling/solid seat & back, pt weight cpcty 301 to 450 pounds.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0850","description":"Power Wheelchair, gp 3 heavy duty, sling/solid seat & back, pt weight cpcty 301 to 450 pounds.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Lens Sphcy Trifocal 4.0/4.25","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2305","description":"Lens Sphcy Trifocal 4.0/4.25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Anter Chamber Intraocul Lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2630","description":"Anter Chamber Intraocul Lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Pros Sock Single Ply Bk","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8470","description":"Pros Sock Single Ply Bk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends fr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0650","description":"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends fr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostoma stent/stud/button, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7524","description":"Tracheostoma stent/stud/button, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6692","description":"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Casting supplies, body cast adult, with or without head, plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4001","description":"Casting supplies, body cast adult, with or without head, plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Paraffin","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4265","description":"Paraffin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Disposable male external cat","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4349","description":"Disposable male external cat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Bedside Drainage Bag","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4357","description":"Bedside Drainage Bag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Knee Joint Drop Lock Ea Jnt","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2405","description":"Knee Joint Drop Lock Ea Jnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2213","description":"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0960","description":"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Knee-Shin Exo Variable Frict","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5714","description":"Knee-Shin Exo Variable Frict","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"WC planar back cush wd <22in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2620","description":"WC planar back cush wd <22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Ctlso A-P-L Control Molded","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0700","description":"Ctlso A-P-L Control Molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Hosp Bed Fx Ht W/O Rail W/O","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0291","description":"Hosp Bed Fx Ht W/O Rail W/O","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Endo Knee-Shin Pneum/Swg Pha","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5830","description":"Endo Knee-Shin Pneum/Swg Pha","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Power Wheelchair, gp 2 heavy duty, multiple power option,sling/solid seat & back, pt weight cpcty 301 to 450 pounds.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0843","description":"Power Wheelchair, gp 2 heavy duty, multiple power option,sling/solid seat & back, pt weight cpcty 301 to 450 pounds.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4542","description":"Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"\"Cochlear implant, external controller component, replacement\"","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8628","description":"\"Cochlear implant, external controller component, replacement\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Endo Knee-Shin Fluid Swg/Sta","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5828","description":"Endo Knee-Shin Fluid Swg/Sta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2298","description":"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Pneum Compressor Segmental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0651","description":"Pneum Compressor Segmental","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Cerv Col Foam 2 Piece W Thor","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0174","description":"Cerv Col Foam 2 Piece W Thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair Narrowing Device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0969","description":"Wheelchair Narrowing Device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair Spec Size W/ Leg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1222","description":"Wheelchair Spec Size W/ Leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4420","description":"Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Pre-Tibial Shell Molded To P","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2340","description":"Pre-Tibial Shell Molded To P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]},
{"negotiation_arrangement":"ffs","name":"Pouch Clsd W Barr Attached","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5051","description":"Pouch Clsd W Barr Attached","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[357645246]}]}]}
