Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rt Triumi Perip Athrc Brchiocph
$16,695
$4,007
$10,349
48
clean
Rt Triumi Perip Athrc Iliac Art
$16,695
$4,007
$16,474
48
clean
Us Guide Soft Tis Fine Needle Aspiration
$530
$127
$591
12
clean
Fine Needle Aspiration Biopsy W Ct Guid
$1,688
$405
$679
12
clean
Fine Needle Aspiration W/o Imaging Guid
$342
$82
$356
12
clean
Incision & Drainage Simple/single
$377
$90
$186
60
clean
Incision & Drainage Complicated/multiple
$671
$161
$370
48
clean
Incis And Drain Of Pilonidal Cyst Simple
$1,238
$297
$662
24
clean
Incis And Drain Of Pilonidal Cyst Compli
$1,238
$297
$662
24
clean
Incis And Removal Foreing Bdy Simple
$671
$161
$370
36
clean
Incis And Removal Foreing Bdy Complicate
$2,938
$705
$1,503
36
clean
Incis And Drain Of Hematoma
$2,938
$705
$1,503
48
clean
Us Absc Drain Peritoneal
$1,458
$350
$370
72
clean
Incision And Drain Complex Post Op Wound
$5,079
$1,219
$2,634
48
clean
Debridement, Sub Q 1st 20 Sq Cm Or Less
$671
$161
$370
48
clean
Debridement, Muscle/fascia1st 20 Sq Cm
$1,032
$248
$582
48
clean
Debridement, Bone 1st 20 Sq Cm Or Less
$2,938
$705
$1,503
48
clean
Debridement, Sub Q Each Addt'l 20 Sq Cm
$336
$81
$95
12
clean
Debridement,muscle/fascia Ea Addt'l 20cm
$516
$124
$166
12
clean
Debridement, Bone Ea Addt'l 20 Sq Cm
$1,469
$353
$391
12
clean
Paring Or Cutting Of Benign Lesion 1
$377
$90
$186
36
clean
Paring Or Cutting Of Benign Lesion 2-4
$377
$90
$186
24
clean
Paring Or Cutting Of Benign Lesion >4
$377
$90
$186
24
clean
Tangential Biopsy Of Skin Single Lesion
$377
$90
$186
36
clean
Tangential Biopsy Of Skin Addt'l Lesion
$189
$45
$64
12
clean
Punch Biopsy Of Skin Single Lesion
$377
$90
$370
36
clean
Punch Biopsy Of Skin Addt'l Lesion
$189
$45
$73
12
clean
Incisional Biopsy Of Skin Single Lesion
$671
$161
$582
36
clean
Incisional Biopsy Of Skin Addt'l Lesion
$336
$81
$103
12
clean
Trimming Of Nondystrophic Nails
$120
$29
$57
36
clean
Debridement Of Nails 1 To 5 Nails
$120
$29
$57
24
clean
Debridement Of Nails 6 Or More Nails
$120
$29
$58
24
clean
Avulsion Of Nail Plate 1 Nail Plate
$377
$90
$186
36
clean
Avulsion Of Nail Plate Each Addtl Nail
$189
$45
$57
12
clean
Evacuation Subungual Hematoma
$114
$27
$116
12
clean
Excision Of Nail Permanent Removal
$671
$161
$370
48
clean
Repair Nail Bed
$533
$128
$558
12
clean
Wedge Excision Skin Nail
$283
$68
$327
12
clean
Simple Rpr F/e/e/n/l/m
$177
$42
$182
24
clean
Repair Of Superficial Wound
$477
$114
$191
24
clean
Simple Rpr Scalp-neck-ax
$244
$59
$189
12
clean
Simple Rpr Scalp-neck-ax-ge
$308
$74
$339
12
clean
Simple Rpr F/e/e/n/l/m
$242
$58
$189
12
clean
Simple Repair F/e/e/n/l/m
$298
$72
$189
12
clean
Repair Of Superfial Wound Of Face
$340
$82
$189
12
clean
Repair Intermediate S/a/t
$342
$82
$356
12
clean
Repair Intermediate S/a/t
$317
$76
$344
12
clean
Repair Intermediate S/a/t
$381
$91
$376
12
clean
Repair Intermedicate Scalp,axillae,trunk
$235
$56
$303
12
clean
Repair Intermediate S/a/t
$1,582
$380
$1,636
12
clean
Repair Intermediate N/h/f
$342
$82
$356
12
clean
Repair Intermediate N/h/f
$342
$82
$356
12
clean
Repair Intermediate F/e/e
$350
$84
$360
12
clean
Repair Intermediate F/e/e
$583
$140
$376
12
clean
Closed Treatment Radial&ulnar Shaft Frac
$600
$144
$582
24
clean
Repair Complex Scalp,arm E Add
$96
$23
$96
6
clean
Diazepam (Valium) 10mg Tablet
$9
$2
$850
24
clean
P Surgical Prep For Graft
$607
$146
$1,149
12
clean
P Surgical Prep For Graftadd On
$124
$30
$124
6
clean
P Surgical Prep For Graft
$720
$173
$591
12
clean
P Surgical Prep For Graftadd On
$248
$60
$248
6
clean
Megestrol (Megace) Susp 30ml : 40mg/ml
$45
$11
$314
12
clean
P Skin Splt Grft Trnk/arm/leg
$1,923
$462
$1,716
12
clean
P Skin Splt Grft T/a/l Add-on
$302
$72
$302
6
clean
Epidermal Autograft Trunk 1st 100 Sq Cm
$3,308
$794
$1,716
36
clean
Epidermal Autograft Trunk Addt'l 100sqcm
$2,014
$483
$493
12
clean
Epidermal Autograft Face 1st 100 Sq Cm
$3,308
$794
$1,716
24
clean
Epidermal Autograft Face Addt'l 100sqcm
$2,014
$483
$558
12
clean
P Skin Splt Grft Fac/nck/h/f/g
$1,875
$450
$2,600
12
clean
P Skn Splt A-grft F/n/hf/g Add
$362
$87
$362
6
clean
Skin Graft To Trunk 1st 25 Sq Cm
$2,128
$511
$1,690
24
clean
Skin Graft To Trunk Addt'l 25 Sq Cm
$1,064
$255
$210
12
clean
Skin Substitute
$8,268
$1,984
$3,325
24
clean
Skin Graft To Trunk Addt'l 100sq Cm
$3,357
$806
$650
12
clean
Skin Graft To Face 1st 25 Sq Cm
$2,128
$511
$1,690
24
clean
Skin Graft To Face Addt'l 25 Sq Cm
$1,064
$255
$221
12
clean
Skin Graft To Face 100sq Cm
$2,128
$511
$1,690
24
clean
Skin Substitute Graft To Face Addt'l
$1,064
$255
$264
12
clean
Cefazolin (Ancef) 500 Mg Vial
$39
$9
$1,682
12
clean
Xxxampicillin A-v Vial : 500 Mg
$323
$78
$1,007
12
clean
Dressing An/or Debmt Part Thn Burn Small
$377
$90
$186
60
clean
Dressing An/or Debmt Part Thn Burn Med
$377
$90
$189
48
clean
Dressing An/or Debmt Part Thn Burn Lg
$671
$161
$370
48
clean
P Wound Cauteryelectrical
$144
$35
$165
24
clean
P Wound Cautery- 2-14 Lesions
$7
$2
$7
12
clean
Chem Cauterization Of Granulation Tissue
$377
$90
$186
48
clean
Cyclosporine Sol 100mg/ml 50ml
$954
$229
$385
12
clean
Us Cyst Aspir Breast
$726
$174
$662
24
clean
Us Cyst Aspir Breast Addl
$726
$174
$726
6
clean
Mm Lt Sterotactic Biop
$3,304
$793
$1,534
24
clean
Mm Lt Sterotactic Biop Additional Lesion
$3,304
$793
$3,304
12
clean
Us Rt Breast Biop Perc Ndl
$1,643
$394
$1,526
24
clean
Us Rt Breast Biop Perc Additional Lesio
$1,204
$289
$1,204
12
clean
Removal of one or more breast growth, open procedure
$9,746
$2,339
$3,674
12
clean
Mm Lt Needlewire Pl Breast
$1,617
$388
$1,503
36
clean
Mm Rt Needlwire Pl Addl
$618
$148
$618
12
clean
Mm Lt Needlewire Pl Breast
$1,617
$388
$679
24
clean
Us Rt Preop Place Ndl Loc Wire Breast
$1,617
$388
$679
24
clean
Us Rt Preop Place Ndl Loc Breast Addtn
$618
$148
$618
12
clean
Muscle Biopsy Surgery Xx
$4,659
$1,118
$4,659
6
clean
Ct Biopsy Muscle
$2,682
$644
$1,526
12
clean
Ct Biopsy Bone Deep
$1,538
$369
$1,521
12
clean
Sinus Tract Inj Study
$308
$74
$308
6
clean
Removal Foreign Body Musc
$1,374
$330
$1,439
12
clean
Trigger Spot Injec-1-2 Mus Grp
$415
$100
$279
12
clean
Trigger Spot Injec-3+ Mus Grps
$415
$100
$279
12
clean
Aspir Inj Major Joint Bur
$716
$172
$275
24
clean
Trulicity 0.75mg/0.5ml Pen
$939
$225
$939
6
clean
Clonazepam (Klonopin) Tablet : 1mg
$9
$2
$9
6
clean
Lacri-lube Opth Oint 3.5gm
$39
$9
$1,337
24
clean
Dg Inj Shoulder Arthrogram Mri
$204
$49
$204
12
clean
Clsd Tx Clavicular Fractu
$491
$118
$226
12
clean
Clsd Tx Shoulder Dislc W/
$830
$199
$260
12
clean
Sarclisa 500mg/25ml Sdv
$6,248
$1,500
$1,503
48
clean
Dg Inj Elbow Arthrogram
$204
$49
$204
6
clean
Potassium Citrate Tablet:10meq
$9
$2
$114
12
clean
Rasburicase : 7.5mg
$22,938
$5,505
$12,198
60
clean
Insulin Glargine (Toujeo) 300 U/ml Pen
$224
$54
$6,211
12
clean
Reduction Dislocation Elbow
$312
$75
$222
12
clean
Closed Tx Radioa Head/nec
$853
$205
$264
12
clean
Spironolac/hctz(aldactazide) 25/25mg Tab
$9
$2
$1,505
12
clean
Dg Inj Wrist Arthrogram
$204
$49
$204
6
clean
Disopyramide (Norpace) Cap : 100mg
$9
$2
$1,505
12
clean
Dextrose 5% In Water : 100 Ml
$120
$29
$1,560
24
clean
Sod Chlor 0.9% Inj 100ml
$120
$29
$805
48
clean
D5ns Kcl 20meq Soln 1000ml
$150
$36
$1,575
108
clean
Dextrose 5% Lactated Ringers 500ml
$120
$29
$1,560
84
clean
Ns Kcl 20meq Soln 1000ml
$138
$33
$1,569
72
clean
Heparin 1000 Units/500ml Cathlab
$72
$17
$1,536
12
clean
Cltx Metacarpal Fx W/o Ma
$285
$68
$222
12
clean
Cltx Phlngl Fx Prox/middl
$246
$59
$222
12
clean
Cltx Dstl Phlngl Fx Fngr/
$175
$42
$197
12
clean
Cltx Iphal Jt Dislc W/man
$250
$60
$222
12
clean
Hip Arthro Inj W/o Anesth
$734
$176
$734
6
clean
Sacroiliac Inject (Single Level
$566
$136
$566
6
clean
Cltx Hip Dislocation Trau
$595
$143
$227
12
clean
Tibial Bearing Insert
$2,767
$664
$2,767
6
clean
Insulin Lispro : 50 Units
$6
$1
$748
12
clean
Insulin Humalog Mix 75/25 100units/ml
$5
$1
$5
6
clean
Closed Tx Patellar Disloc
$527
$126
$227
12
clean
Pemetrexed (Alimta) 100mg Vial
$1,525
$366
$2,263
24
clean
Dg Inj Ankle Arthrogram
$204
$49
$204
6
clean
Closed Treatment Of Distal Fibular Fracu
$426
$102
$222
12
clean
Nitroglycerin 2% Ointment : 30 Gm
$76
$18
$3,354
24
clean
Xxx Benzocaine 20% Gel (H : 30gm
$49
$12
$1,525
24
clean
Xxinsul Nph (Human)100units/ml 10ml Vial
$110
$26
$1,555
24
clean
Closed Tx Metatarsal Frac
$433
$104
$222
12
clean
Cltx Metar Fx W/manj
$612
$147
$227
12
clean
Cltx Fx Grt Toe Phlx/phlg
$221
$53
$220
12
clean
Cltx Fx Phlx/phlg Oth/thn
$240
$58
$222
12
clean
Insulin Nph/r (Humulin 70/30)100units/ml
$105
$25
$6,152
12
clean
Amputation Of Toe Interphalangeal Joint
$4,024
$966
$3,000
24
clean
Ot Long Arm Splint
$303
$73
$148
24
clean
Pt Static Forearm Based Splint
$177
$42
$118
60
clean
Pt Dynamic Forearm Based Splin
$294
$71
$122
36
clean
Ot Static Finger Splint
$94
$23
$106
24
clean
Ot Dynamic Finger Splint
$151
$36
$57
24
clean
Pt Strapping Shoulder
$100
$24
$109
12
clean
Pt Strapping Elbow Or Wrist
$86
$21
$58
12
clean
Pt Strapping Hand Or Finger
$82
$20
$58
12
clean
Appl Of Rigid Total Let Cast
$504
$121
$253
48
clean
Long Leg Splint
$122
$29
$134
12
clean
Application Short Leg Spl
$117
$28
$132
12
clean
Pt Strapping Hip
$107
$26
$113
12
clean
Pt Strapping Knee
$87
$21
$103
12
clean
Pt Strapping Ankle
$134
$32
$140
12
clean
Appl Of Bilateral Unna Boot
$432
$104
$146
84
clean
Appl Mult Bilat Venous Wound Compression
$432
$104
$150
36
clean
Shaving of shoulder bone using endoscope
$26,961
$6,471
$26,961
6
clean
Removal of one knee cartilage using an endoscope
$16,251
$3,900
$4,419
12
clean
Removal Foreign Body Intr
$127
$30
$120
12
clean
Quetiapine (Seroquel) Tab : 200mg
$25
$6
$719
12
clean
Factor Xa (Andexxa) 200mg Vial
$6,250
$1,500
$5,509
12
clean
Intubation
$1,388
$333
$236
24
clean
Naso-trach Suctioning
$257
$62
$201
12
clean
Perindopril (Aceon) Tab : 4mg
$10
$2
$10
6
clean
Us Pleura Perc Biopsy
$1,683
$404
$1,526
12
clean
Ct Lung Mediast Perc Biopsy
$1,683
$404
$1,526
12
clean
Insertion Indwelling Pleural Cath W Cuff
$3,246
$779
$3,226
12
clean
Us Absc Drain Lung(chest Tube)
$1,568
$376
$1,507
24
clean
Thoracentesis Wout Imaging Guidance
$1,568
$376
$606
24
clean
Us Thoracentesis W/imaging Guidance
$1,568
$376
$606
36
clean
Pleural Drainage Perc W/out Imaging
$1,568
$376
$1,666
12
clean
Pleural Drainage Percutaneous W/imagin
$1,568
$376
$1,507
12
clean
Pacemaker Initial Insertion A Lead Singl
$17,911
$4,299
$10,046
12
clean
Pacemaker Initial Insertion V Lead Singl
$17,911
$4,299
$10,046
12
clean
Pacemaker Insertion A&v Leads
$22,169
$5,321
$10,196
12
clean
Temp Pacemaker Sngl Chamber
$7,480
$1,795
$7,677
12
clean
Repositioning Of Previously Implanted
$6,959
$1,670
$3,073
12
clean
Pacemaker Generator Change Single Lead
$14,391
$3,454
$7,992
12
clean
Pacemaker Generator Change Dual Leads
$16,789
$4,029
$10,046
12
clean
Icd Insertion Or Replacement
$54,409
$13,058
$30,949
12
clean
Implantation Cardiac Event Recorder
$12,826
$3,078
$7,992
12
clean
Removal Implantable Cardiac Event Record
$7,480
$1,795
$1,652
12
clean
Iabp Insertion
$2,076
$498
$2,076
6
clean
Lt Popliteal Vein Access
$347
$83
$347
30
clean
Subsequent Tpa
$2,970
$713
$704
12
clean
Contralateral Lt Cfv Additional Access
$1,947
$467
$1,947
12
clean
Catheter Placement-partial
$1,451
$348
$1,451
6
clean
Venous Cath Placement Ivc Or Svc
$12,480
$2,995
$1,451
36
clean
Showing the first 200 of 2,653 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 11740/o
warn
mrf_negotiated_above_gross
highest negotiated rate $124 exceeds the gross charge $114
CPT 53665/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,982 exceeds the gross charge $28
CPT 11760/o
warn
mrf_negotiated_above_gross
highest negotiated rate $611 exceeds the gross charge $533
CPT 11765/o
warn
mrf_negotiated_above_gross
highest negotiated rate $388 exceeds the gross charge $283
CPT 54312/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,393 exceeds the gross charge $580
CPT 12005/o
warn
mrf_negotiated_above_gross
highest negotiated rate $388 exceeds the gross charge $308
CPT 55500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,393 exceeds the gross charge $9
CPT 12031/o
warn
mrf_negotiated_above_gross
highest negotiated rate $388 exceeds the gross charge $342
CPT 56420/o
warn
mrf_negotiated_above_gross
highest negotiated rate $194 exceeds the gross charge $192
CPT 12032/o
warn
mrf_negotiated_above_gross
highest negotiated rate $388 exceeds the gross charge $317
CPT 57400/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,042 exceeds the gross charge $40
CPT 12034/o
warn
mrf_negotiated_above_gross
highest negotiated rate $388 exceeds the gross charge $381
CPT 12035/o
warn
mrf_negotiated_above_gross
highest negotiated rate $388 exceeds the gross charge $235
CPT 57420/o
warn
mrf_negotiated_above_gross
highest negotiated rate $312 exceeds the gross charge $69
CPT 12037/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,775 exceeds the gross charge $1,582
CPT 12041/o
warn
mrf_negotiated_above_gross
highest negotiated rate $388 exceeds the gross charge $342
CPT 59000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $782 exceeds the gross charge $645
CPT 12042/o
warn
mrf_negotiated_above_gross
highest negotiated rate $388 exceeds the gross charge $342
CPT 12052/o
warn
mrf_negotiated_above_gross
highest negotiated rate $388 exceeds the gross charge $350
CPT 59025/o
warn
mrf_negotiated_above_gross
highest negotiated rate $194 exceeds the gross charge $158
CPT 14000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,775 exceeds the gross charge $9
CPT 15002/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,775 exceeds the gross charge $607
CPT 88120/o
warn
mrf_negotiated_above_gross
highest negotiated rate $166 exceeds the gross charge $70
CPT 15050/o
warn
mrf_negotiated_above_gross
highest negotiated rate $611 exceeds the gross charge $45
CPT 15120/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,491 exceeds the gross charge $1,875
CPT 64400/o
warn
mrf_negotiated_above_gross
highest negotiated rate $288 exceeds the gross charge $250
CPT 64420/o
warn
mrf_negotiated_above_gross
highest negotiated rate $673 exceeds the gross charge $566
CPT 64421/o
warn
mrf_negotiated_above_gross
highest negotiated rate $887 exceeds the gross charge $691
CPT 64425/o
warn
mrf_negotiated_above_gross
highest negotiated rate $673 exceeds the gross charge $566
CPT 64450/o
warn
mrf_negotiated_above_gross
highest negotiated rate $673 exceeds the gross charge $591
CPT 64510/o
warn
mrf_negotiated_above_gross
highest negotiated rate $887 exceeds the gross charge $781
CPT 64520/o
warn
mrf_negotiated_above_gross
highest negotiated rate $887 exceeds the gross charge $656
CPT 15733/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,491 exceeds the gross charge $39
CPT 65220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $388 exceeds the gross charge $346
CPT 15740/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,775 exceeds the gross charge $323
CPT 69020/o
warn
mrf_negotiated_above_gross
highest negotiated rate $685 exceeds the gross charge $82
CPT 69200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $124 exceeds the gross charge $107
CPT 17000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $195 exceeds the gross charge $144
CPT 70134/o
warn
mrf_negotiated_above_gross
highest negotiated rate $537 exceeds the gross charge $461
CPT 20225/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,578 exceeds the gross charge $1,538
CPT 20520/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,578 exceeds the gross charge $1,374
CPT 90870/o
warn
mrf_negotiated_above_gross
highest negotiated rate $522 exceeds the gross charge $184
CPT 24500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $229 exceeds the gross charge $9
CPT 92977/o
warn
mrf_negotiated_above_gross
highest negotiated rate $330 exceeds the gross charge $291
CPT 24586/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,808 exceeds the gross charge $224
CPT 25101/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,150 exceeds the gross charge $9
CPT 25275/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,150 exceeds the gross charge $9
CPT 26415/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,150 exceeds the gross charge $120
CPT 26418/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,564 exceeds the gross charge $120
CPT 74425/o
warn
mrf_negotiated_above_gross
highest negotiated rate $374 exceeds the gross charge $338
CPT 93505/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $2,730
CPT 74485/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,982 exceeds the gross charge $1,700
CPT 26498/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,150 exceeds the gross charge $72
CPT 26750/o
warn
mrf_negotiated_above_gross
highest negotiated rate $229 exceeds the gross charge $175
CPT 75600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $2,730
CPT 27510/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,564 exceeds the gross charge $6
CPT 94667/o
warn
mrf_negotiated_above_gross
highest negotiated rate $124 exceeds the gross charge $105
CPT 27640/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,150 exceeds the gross charge $1,525
CPT 94668/o
warn
mrf_negotiated_above_gross
highest negotiated rate $124 exceeds the gross charge $105
CPT 28308/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,150 exceeds the gross charge $49
CPT 75726/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,348 exceeds the gross charge $4,710
CPT 28490/o
warn
mrf_negotiated_above_gross
highest negotiated rate $229 exceeds the gross charge $221
CPT 75731/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $2,333
CPT 95905/o
warn
mrf_negotiated_above_gross
highest negotiated rate $388 exceeds the gross charge $346
CPT 28715/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,808 exceeds the gross charge $105
CPT 75733/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $2,996
CPT 75743/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $2,730
CPT 75746/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $2,730
CPT 75756/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $2,730
CPT 75801/o
warn
mrf_negotiated_above_gross
highest negotiated rate $611 exceeds the gross charge $531
CPT 75803/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,559 exceeds the gross charge $1,364
CPT 75805/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $2,730
CPT 29240/o
warn
mrf_negotiated_above_gross
highest negotiated rate $124 exceeds the gross charge $100
CPT 75807/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $2,730
CPT 29505/o
warn
mrf_negotiated_above_gross
highest negotiated rate $153 exceeds the gross charge $122
CPT 29515/o
warn
mrf_negotiated_above_gross
highest negotiated rate $153 exceeds the gross charge $117
CPT 29520/o
warn
mrf_negotiated_above_gross
highest negotiated rate $124 exceeds the gross charge $107
CPT 75827/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,559 exceeds the gross charge $1,364
CPT 29530/o
warn
mrf_negotiated_above_gross
highest negotiated rate $124 exceeds the gross charge $87
CPT 29540/o
warn
mrf_negotiated_above_gross
highest negotiated rate $153 exceeds the gross charge $134
CPT 75833/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $2,730
CPT 75840/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $2,730
CPT 75842/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,348 exceeds the gross charge $4,710
CPT 31002/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,484 exceeds the gross charge $25
CPT 75860/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $2,730
CPT 75889/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $2,730
CPT 75891/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $2,730
CPT 75893/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,348 exceeds the gross charge $4,710
CPT 75898/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $2,730
CPT 97533/o
warn
mrf_negotiated_above_gross
highest negotiated rate $58 exceeds the gross charge $56
CPT 32550/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,367 exceeds the gross charge $3,246
CPT 32556/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,852 exceeds the gross charge $1,568
CPT 33210/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,268 exceeds the gross charge $7,480
CPT 76080/o
warn
mrf_negotiated_above_gross
highest negotiated rate $537 exceeds the gross charge $461
CPT 76936/o
warn
mrf_negotiated_above_gross
highest negotiated rate $305 exceeds the gross charge $271
CPT 78110/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,382 exceeds the gross charge $9
CPT 36253/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,348 exceeds the gross charge $4,710
CPT 78121/o
warn
mrf_negotiated_above_gross
highest negotiated rate $526 exceeds the gross charge $9
CPT 36430/o
warn
mrf_negotiated_above_gross
highest negotiated rate $422 exceeds the gross charge $375
CPT 36440/o
warn
mrf_negotiated_above_gross
highest negotiated rate $422 exceeds the gross charge $375
CPT 36450/o
warn
mrf_negotiated_above_gross
highest negotiated rate $422 exceeds the gross charge $375
CPT 78800/o
warn
mrf_negotiated_above_gross
highest negotiated rate $401 exceeds the gross charge $357
CPT 36560/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $2,625
CPT 36561/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $2,798
CPT 36573/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,559 exceeds the gross charge $1,108
CPT 36581/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $2,303
CPT 36584/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,559 exceeds the gross charge $1,108
CPT 36593/o
warn
mrf_negotiated_above_gross
highest negotiated rate $330 exceeds the gross charge $312
CPT 99465/o
warn
mrf_negotiated_above_gross
highest negotiated rate $633 exceeds the gross charge $539
CPT 36902/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,562 exceeds the gross charge $4,552
CPT 37184/o
warn
mrf_negotiated_above_gross
highest negotiated rate $17,064 exceeds the gross charge $9,727
CPT 37187/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,706 exceeds the gross charge $9,727
CPT 37191/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,348 exceeds the gross charge $5,120
CPT 37212/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $2,730
CPT 37214/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $2,970
CPT 37230/o
warn
mrf_negotiated_above_gross
highest negotiated rate $17,064 exceeds the gross charge $14,654
CPT 38220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,578 exceeds the gross charge $1,374
CPT 38222/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,765 exceeds the gross charge $2,207
CPT 40804/o
warn
mrf_negotiated_above_gross
highest negotiated rate $882 exceeds the gross charge $757
CPT 40820/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,133 exceeds the gross charge $22
CPT C9600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,706 exceeds the gross charge $1,820
CPT C9740/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,965 exceeds the gross charge $2,600
CPT M0241/o
warn
mrf_negotiated_above_gross
highest negotiated rate $788 exceeds the gross charge $773
CPT M0244/o
warn
mrf_negotiated_above_gross
highest negotiated rate $788 exceeds the gross charge $773
CPT M0246/o
warn
mrf_negotiated_above_gross
highest negotiated rate $788 exceeds the gross charge $773
CPT M0248/o
warn
mrf_negotiated_above_gross
highest negotiated rate $788 exceeds the gross charge $773
MS-DRG 391/i
warn
mrf_negotiated_above_gross
highest negotiated rate $1,875 exceeds the gross charge $120
MS-DRG 491/i
warn
mrf_negotiated_above_gross
highest negotiated rate $1,875 exceeds the gross charge $120
MS-DRG 591/i
warn
mrf_negotiated_above_gross
highest negotiated rate $1,875 exceeds the gross charge $9
MS-DRG 691/i
warn
mrf_negotiated_above_gross
highest negotiated rate $1,875 exceeds the gross charge $291
CPT 43246/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,852 exceeds the gross charge $1,596
MS-DRG 791/i
warn
mrf_negotiated_above_gross
highest negotiated rate $1,875 exceeds the gross charge $650
MS-DRG 891/i
warn
mrf_negotiated_above_gross
highest negotiated rate $1,875 exceeds the gross charge $288
MS-DRG 991/i
warn
mrf_negotiated_above_gross
highest negotiated rate $1,875 exceeds the gross charge $66
CPT 44500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $882 exceeds the gross charge $757
CPT 46040/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,148 exceeds the gross charge $993
CPT 47531/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,367 exceeds the gross charge $3,246
CPT 47532/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,367 exceeds the gross charge $3,246
CPT 47533/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,367 exceeds the gross charge $3,246
CPT 0238T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $17,064 exceeds the gross charge $16,695
CPT 47555/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,367 exceeds the gross charge $3,246
CPT 10005/o
warn
mrf_negotiated_above_gross
highest negotiated rate $685 exceeds the gross charge $530
CPT 47556/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,017 exceeds the gross charge $4,776
CPT 10021/o
warn
mrf_negotiated_above_gross
highest negotiated rate $388 exceeds the gross charge $342
CPT 49082/o
warn
mrf_negotiated_above_gross
highest negotiated rate $882 exceeds the gross charge $757
CPT 49405/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,578 exceeds the gross charge $1,458
CPT 49440/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,852 exceeds the gross charge $1,596
CPT 49450/o
warn
mrf_negotiated_above_gross
highest negotiated rate $882 exceeds the gross charge $757
CPT 49491/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,615 exceeds the gross charge $10
CPT 50435/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,982 exceeds the gross charge $1,700
CPT 51726/o
warn
mrf_negotiated_above_gross
highest negotiated rate $241 exceeds the gross charge $20
CPT 51727/o
warn
mrf_negotiated_above_gross
highest negotiated rate $665 exceeds the gross charge $61
CPT 51729/o
warn
mrf_negotiated_above_gross
highest negotiated rate $665 exceeds the gross charge $39
CPT 52010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $665 exceeds the gross charge $10
CPT 52351/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,393 exceeds the gross charge $2,937
CPT 53601/o
warn
mrf_negotiated_above_gross
highest negotiated rate $124 exceeds the gross charge $9
CPT 11720/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 53610/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83018/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87220/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 11721/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 53611/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83020/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87252/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 11730/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 53612/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83021/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87254/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 11732/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 53613/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83050/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87275/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 53619/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83060/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87276/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 11750/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83070/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87299/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 54023/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83080/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87300/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83088/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87305/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 12001/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 54317/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83150/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87328/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 12002/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 54356/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83260/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87340/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83516/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87350/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83518/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87400/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83519/o
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87425/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 57401/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83520/o
info
mrf_item_fields_vary
this code and setting cover at least 30 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87449/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item