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{"negotiation_arrangement":"ffs","name":"Addition to lens, tint, any color, solid, gradient or equal, excludes photocroatic","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"V2745","description":"Addition to lens, tint, any color, solid, gradient or equal, excludes photocroatic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[380040508]}]},
{"negotiation_arrangement":"ffs","name":"Uv Lens/Es","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"V2755","description":"Uv Lens/Es","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[380040508]}]},
{"negotiation_arrangement":"ffs","name":"Scratch Resistant Coating","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"V2760","description":"Scratch Resistant Coating","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[380040508]}]},
{"negotiation_arrangement":"ffs","name":"Polarization, any lens material, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"V2762","description":"Polarization, any lens material, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":93.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[380040508]}]},
{"negotiation_arrangement":"ffs","name":"Occluder Lens/Es","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"V2770","description":"Occluder Lens/Es","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[380040508]}]},
{"negotiation_arrangement":"ffs","name":"Oversize Lens/Es","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"V2780","description":"Oversize Lens/Es","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[380040508]}]},
{"negotiation_arrangement":"ffs","name":"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"V2782","description":"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":100.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[380040508]}]},
{"negotiation_arrangement":"ffs","name":"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"V2783","description":"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":113.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[380040508]}]},
{"negotiation_arrangement":"ffs","name":"Lens, polycarbonate or equal, any index, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"V2784","description":"Lens, polycarbonate or equal, any index, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":73.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[380040508]}]},
{"negotiation_arrangement":"ffs","name":"Specialty occupational multifocal lens, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"V2786","description":"Specialty occupational multifocal lens, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[380040508]}]},
{"negotiation_arrangement":"ffs","name":"Postop Dsg & 1 Cast Chg Ak/D","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"L5420","description":"Postop Dsg & 1 Cast Chg Ak/D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2419.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[380040508]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4026","description":"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":195.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[380040508]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long leg splint, pediatric (0-10 years), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q4043","description":"Cast supplies, long leg splint, pediatric (0-10 years), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[380040508]}]}]}

