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"negotiated_type": "negotiated", "negotiated_rate": 4.54, "expiration_date": "9999-12-31" } ], "provider_references": [ 1825 ] }, { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 1826 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "NFCT AGENT DETECTION GI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87505", "description": "Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe tech", "negotiated_rates": [ { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 1827 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "ASSAY OF TRIGLYCERIDES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84478", "description": "Triglycerides", "negotiated_rates": [ { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 1828 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "IADNA-DNA/RNA PROBE TQ 6-11", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87506", "description": "Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe tech", "negotiated_rates": [ { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 1829 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "FETAL MONITOR W/REPORT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59050", "description": "Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 1830 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "ELECTROLYTE PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80051", "description": "Electrolyte 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"billing_code_type_version": "2026", "billing_code": "80050", "description": "General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and ", "negotiated_rates": [ { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 61.97, "expiration_date": "9999-12-31" } ], "provider_references": [ 1834 ] }, { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 23.07, "expiration_date": "9999-12-31" } ], "provider_references": [ 1835 ] }, { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 1836 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "X-RAY EXAM PITUITARY SADDLE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70240", "description": "Radiologic examination, sella turcica", "negotiated_rates": [ { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 1837 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "METABOLIC PANEL TOTAL CA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80048", "description": "Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)", 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"negotiated_prices": [ { "service_code": [ "22" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 98.03, "expiration_date": "9999-12-31" } ], "provider_references": [ 1860 ] }, { "negotiated_prices": [ { "service_code": [ "22" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 32.74, "expiration_date": "9999-12-31" } ], "provider_references": [ 1861 ] }, { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 1862 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "MYOCRD STRAIN IMG SPCKL TRCK", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93356", "description": "Myocardial strain imaging using speckle tracking-derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging)", "negotiated_rates": [ { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 65.52, "expiration_date": "9999-12-31" } ], "provider_references": [ 1863 ] }, { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 22.22, "expiration_date": "9999-12-31" } ], "provider_references": [ 1864 ] }, { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 1865 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "CPTRIZED CORNEAL TOPOGRAPHY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92025", "description": "Computerized corneal topography, unilateral or bilateral, with interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 16.36, "expiration_date": "9999-12-31" } ], "provider_references": [ 1866 ] }, { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 4.73, "expiration_date": "9999-12-31" } ], "provider_references": [ 1867 ] }, { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 65.43, "expiration_date": "9999-12-31" } ], "provider_references": [ 1868 ] }, { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 18.91, "expiration_date": "9999-12-31" } ], "provider_references": [ 1869 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "STRESS TTE COMPLETE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93351", "description": "Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation ", "negotiated_rates": [ { "negotiated_prices": [ { "service_code": [ "22" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 413.78, "expiration_date": "9999-12-31" } ], "provider_references": [ 1870 ] }, { "negotiated_prices": [ { "service_code": [ "22" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 171.01, "expiration_date": "9999-12-31" } ], "provider_references": [ 1871 ] }, { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 1872 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "GONIOSCOPY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92020", "description": "Gonioscopy (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 48.58, "expiration_date": "9999-12-31" } ], "provider_references": [ 1873 ] }, { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 19.22, "expiration_date": "9999-12-31" } ], "provider_references": [ 1874 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80061", "description": "Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)", "negotiated_rates": [ { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 24.1, "expiration_date": "9999-12-31" } ], "provider_references": [ 1875 ] }, { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 9.38, "expiration_date": "9999-12-31" } ], "provider_references": [ 1876 ] }, { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 1877 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "X-RAY EXAM UNILAT RIBS/CHEST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "71101", "description": "Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "service_code": [ "23" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 42.1, "expiration_date": "9999-12-31" } ], "provider_references": [ 1878 ] }, { "negotiated_prices": [ { "service_code": [ "23" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 19.74, "expiration_date": "9999-12-31" } ], "provider_references": [ 1879 ] }, { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 44.21, "expiration_date": "9999-12-31" } ], "provider_references": [ 1880 ] }, { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 16.8, "expiration_date": "9999-12-31" } ], "provider_references": [ 1881 ] }, { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 1882 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "X-RAY EXAM RIBS UNI 2 VIEWS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "71100", "description": "Radiologic examination, ribs, unilateral; 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "service_code": [ "23" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 36.75, "expiration_date": "9999-12-31" } ], "provider_references": [ 1883 ] }, { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 66.15, "expiration_date": "9999-12-31" } ], "provider_references": [ 1884 ] }, { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 16.86, "expiration_date": "9999-12-31" } ], "provider_references": [ 1885 ] }, { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 1886 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "PROSTATE CANCER SCREENING; PSA TEST", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0103", "description": "Prostate cancer screening; prostate specific antigen test (PSA)", "negotiated_rates": [ { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 34.76, "expiration_date": "9999-12-31" } ], "provider_references": [ 1887 ] }, { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 12.83, "expiration_date": "9999-12-31" } ], "provider_references": [ 1888 ] }, { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 1889 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "COLOREC CANCR SCR; COLONSCPY INDIVIDUL@HIGH RISK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0105", "description": "Colorectal cancer screening; colonoscopy on individual at high risk", "negotiated_rates": [ { "negotiated_prices": [ { "service_code": [ "22" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 605.39, "expiration_date": "9999-12-31" } ], "provider_references": [ 1890 ] }, { "negotiated_prices": [ { "service_code": [ "22" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 176.4, "expiration_date": "9999-12-31" } ], "provider_references": [ 1891 ] }, { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 1892 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "BILE ACIDS TOTAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82239", "description": "Bile acids; total", "negotiated_rates": [ { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 1893 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "COMPLEX REHAB PWR WC ACC PWR SEAT EL SYS ANY TYP", "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": [ { "service_code": [ "12" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "percentage", "negotiated_rate": 100, "expiration_date": "9999-12-31" } ], "provider_references": [ 1894 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "OBSTETRIC PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80055", "description": "Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (", "negotiated_rates": [ { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 1895 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "COMPREHEN METABOLIC PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80053", "description": "Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot", "negotiated_rates": [ { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 19.01, "expiration_date": "9999-12-31" } ], "provider_references": [ 1896 ] }, { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 7.4, "expiration_date": "9999-12-31" } ], "provider_references": [ 1897 ] }, { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 1898 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "ASSAY OF BETA-2 PROTEIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82232", "description": "Beta-2 microglobulin", "negotiated_rates": [ { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 1899 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "CHEMO IV INFUS EACH ADDL SEQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96417", "description": "Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 1900 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "OB US >= 14 WKS SNGL FETUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76805", "description": "Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation", "negotiated_rates": [ { "negotiated_prices": [ { "service_code": [ "22" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 124, "expiration_date": "9999-12-31" } ], "provider_references": [ 1901 ] }, { "negotiated_prices": [ { "service_code": [ "22" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 66.62, "expiration_date": "9999-12-31" } ], "provider_references": [ 1902 ] }, { "negotiated_prices": [ { "service_code": [ "22" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 195, "expiration_date": "9999-12-31" } ], "provider_references": [ 1903 ] }, { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 241.72, "expiration_date": "9999-12-31" } ], "provider_references": [ 1904 ] }, { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 1905 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "ALGINATE/OTH FIBER GELL DRESS WND PAD > 48 SQ EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6198", "description": "Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq in, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "service_code": [ "12" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 202.5, "expiration_date": "9999-12-31" } ], "provider_references": [ 1906 ] }, { "negotiated_prices": [ { "service_code": [ "12" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 75.38, "expiration_date": "9999-12-31" } ], "provider_references": [ 1907 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "ALGINATE/OTH FIBER GELL DRESS PAD >16VW", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72074", "description": "Radiologic examination, spine; thoracic, minimum of 4 views", "negotiated_rates": [ { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 80.64, "expiration_date": "9999-12-31" } ], "provider_references": [ 2077 ] }, { "negotiated_prices": [ { "service_code": [ "11" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 23.44, "expiration_date": "9999-12-31" } ], "provider_references": [ 2078 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "FIBRIN DEGRADATION QUANT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85379", "description": "Fibrin degradation products, D-dimer; quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "service_code": [ "81" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 18.32, "expiration_date": "9999-12-31" } ], "provider_references": [ 2079 ] }, { "negotiated_prices": [ { "service_code": [ "81" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 7.12, "expiration_date": "9999-12-31" } ], "provider_references": [ 2080 ] }, { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 2081 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "DNA ANTIBODY NATIVE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86225", "description": "Deoxyribonucleic acid (DNA) antibody; native or double stranded", "negotiated_rates": [ { "negotiated_prices": [ { "service_code": [ "81" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 24.73, "expiration_date": "9999-12-31" } ], "provider_references": [ 2082 ] }, { "negotiated_prices": [ { "service_code": [ "81" ], "billing_class": "professional", "setting": "Outpatient", "negotiated_type": "negotiated", "negotiated_rate": 9.61, "expiration_date": "9999-12-31" } ], "provider_references": [ 2083 ] }, { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 2084 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "GENETIC COUNSELING SVC EA 30", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96041", "description": "Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter", "negotiated_rates": [ { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 2085 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION DURVALUMAB 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9173", "description": "Injection, durvalumab, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 2086 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION DOCETAXEL 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9171", "description": "Injection, docetaxel, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "billing_class": "institutional", "negotiated_type": "percentage", "negotiated_rate": 17, "expiration_date": "9999-12-31" } ], "provider_references": [ 2087 ] } ], "covered_services": [ ], "bundled_codes": [ ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION ERIBULIN MESYLATE 0.1 MG", "billing_code_type": "HCPCS", 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