{"reporting_entity_name": "Samaritan Health Plans","reporting_entity_type": "Samaritan Health Plans","last_updated_on": "2026-04-16","version": "1.0.0","provider_references": [ {"provider_group_id":2108751917,"provider_groups":[{"npi":[1154372340],"tin":{"type":"ein","value":"930110095"}}]} ],"in_network": [ {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"Intrauterine copper contraceptive (paragard) (Non-covered by Medicare statute. Statute reference: 1862A1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Miles","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9603","description":"One-Way Allow Prorated Miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Insertion of IUD for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58300","description":"Insertion of IUD for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"One-Way Allow Prorated Trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9604","description":"One-Way Allow Prorated Trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Prescription drug, oral, non chemotherapeutic, nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8499","description":"Prescription drug, oral, non chemotherapeutic, nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each (Non-covered by Medicare statute. Statute reference: 1862.1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg (Non-covered by Medicare statute. Statute reference: 1862(a)(1))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Levonorgestrel (contraceptive) implant system, including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7306","description":"Levonorgestrel (contraceptive) implant system, including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Removal of intra-uterine device (IUD) for pregnancy prevention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58301","description":"Removal of intra-uterine device (IUD) for pregnancy prevention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Unclassified drugs or biologicals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9399","description":"Unclassified drugs or biologicals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}, {"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[2108751917]}]}]}