Service
Code
Listed
Cash
Negotiated
Rates
Checks
LAB RBC DNA HEA 35 AG 11 BLD GRP NS
$2,160
$363
$882
50
clean
LAB ONC AML DNA DET/NONDET
$746
$163
$267
54
clean
LAB NEURO CSF PRION PROT QUAL
$1,623
$354
$541
54
clean
LAB GENE SO NEOPLSM DNA TGT SEQ 324
$10,500
$2,289
$3,763
54
clean
CT ANALYSIS PERFUSION CEREBRAL
$1,221
$199
$549
28
clean
LAB DET IA 16S&18S RRNA GENE NGS
$1,069
$233
$436
50
clean
LAB TRNSPL DNA DNR DRV CELL-FREE QN
$8,260
$1,801
$2,960
54
clean
LAB DIS INFCT DNA PLASMA NGS UNTGT
$6,379
$1,391
$2,605
50
clean
ATHERECT PERIPH TR&BR BRACH W S&I
$10,412
$3,561
$11,331
108
clean
ATHERECT PERIPH ART ILIAC W S&I
$13,246
$4,530
$15,393
108
clean
LAMINO/LAMINECTOMY PERC LUMB IMG GD
$11,033
$3,773
$7,614
50
clean
LAB IMM NEURO AMYLD 1-42&1-40 CSF
$785
$171
$320
50
clean
LAB IMM NEUROFILAMENT LC PLASMA QN
$800
$174
$121
50
clean
LAB GENE NEO ANLY SEQ DNA 523&RNA55
$9,866
$2,151
$3,351
50
clean
TRANSURETHRAL WATERJET ABLATION OF PROSTATE, INCLUDING CONTROL OF POST-OPERATIVE BLEEDING, INCLUDING ULTRASOUND GUIDANCE, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR DILATION, AND INTER
—
—
$4,589
6
clean
ABL CRYO DIST/PERI NRV EXT LWR PERC
$9,585
$3,278
$2,081
108
clean
ABL CRYO PLEXUS/TRUNCAL NRV PERC
$9,585
$3,278
$6,826
108
clean
ABL IRE 1+TUMOR PER ORG IMG GD PERC
$16,880
$5,773
$11,096
50
clean
QUAN AUTO&CHAR PLAQ COR PREP&TRANS
$3,044
$496
$1,388
22
clean
QUAN AUTO&CHAR PLAQ COR ANLYS CT
$3,044
$496
$1,043
41
clean
INJ CELL&/PROD LUMB CT UNI/BI 1ST
$11,193
$3,828
$13,714
50
clean
LAB DGTZ SLIDE PTH LVL 2
$54
$12
$24
28
clean
LAB DGTZ SLIDE PTH LVL 3
$54
$12
$24
28
clean
LAB DGTZ SLIDE PTH LVL 4
$54
$12
$24
28
clean
LAB DGTZ SLIDE PTH LVL 5
$54
$12
$24
28
clean
LAB DGTZ SLIDE STN ORG GRP 1
$54
$12
$24
28
clean
LAB DGTZ SLIDE STN OTH GRP 2
$54
$12
$24
28
clean
LAB DGTZ SLIDE STN IHC/ICC AB 1ST
$54
$12
$24
28
clean
LAB DGTZ SLIDE STN IHC/ICC AB ADD
$54
$12
$24
28
clean
LAB DGTZ SLIDE STN IHC/ICC AB MULT
$54
$12
$24
28
clean
LAB DGTZ SLIDE STN MORPHO ANLYS AB
$54
$12
$24
28
clean
INSTILL FECAL MICROB LGI EN RECT SP
$552
$171
$193
50
clean
LAB DGTZ SLD CYTOP SMEAR NONGYN
$54
$12
$24
28
clean
LAB DGTZ SLD CYTOP SC ENHCMT NONGYN
$54
$12
$24
28
clean
LAB DGTZ SLD CYTOP EVL FNA I&R
$54
$12
$24
28
clean
LAB DGTZ SLD MORPHO ISH MAN MP EA
$54
$12
$24
28
clean
ASP NEEDLE FINE BX US GD LSN 1ST
$1,908
$1,444
$825
108
clean
ASP NEEDLE FINE BX US GD LSN ADDL
$1,301
$445
$703
70
clean
ASP NEEDLE FINE BX CT GD LSN 1ST
$2,970
$1,016
$922
54
clean
ASP NEEDLE FINE BX CT GD LSN ADDL
$2,168
$741
$1,171
35
clean
ASP NEEDLE FINE BX MR GD LSN 1ST
$3,960
$1,354
$922
54
clean
ASP NEEDLE FINE BX MR GD LSN ADDL
$2,891
$989
$1,301
35
clean
ASP NEEDLE FINE BX WO IMG LSN 1ST
$1,425
$487
$447
54
clean
DRN CATH FLUID TISSUE SOFT IMG GD
$2,583
$883
$806
162
clean
PLC DEV/S LOC TIS SOFT PERC LSN 1ST
$1,422
$486
$770
162
clean
PLC DEV/S LOC TIS SOFT PERC LSN ADD
$725
$248
$544
93
clean
I&D ABSCESS SIMPLE
$549
$211
$233
65
clean
I&D ABSCESS CMP/MULT
$793
$305
$426
65
clean
I&R FB TISSUE SUBQ SIMPLE
$593
$228
$426
54
clean
I&R FB TISSUE SUBQ COMPLICATED
$1,664
$639
$1,727
65
clean
I&D HEMATOMA/SEROMA/FLUID
$2,325
$795
$1,727
119
clean
ASP PUNCT ABSCESS/CYST
$593
$203
$426
281
clean
I&D WOUND POSTOP COMPLEX
$3,888
$1,493
$3,050
65
clean
REMOVAL OF PROSTHETIC MATERIAL OR MESH, ABDOMINAL WALL FOR INFECTION (EG, FOR CHRONIC OR RECURRENT MESH INFECTION OR NECROTIZING SOFT TISSUE INFECTION) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$2,182
7
clean
DEBRIDE TISSUE SUBQ 1ST 20CM
$1,115
$428
$468
119
clean
DEBRIDE MUSCLE&/FASCIA 1ST 20CM
$2,833
$1,088
$887
119
clean
DEBRIDE BONE 1ST 20CM
$4,157
$1,596
$1,871
119
clean
DEBRIDE TISSUE SUBQ ADDL 20CM
$480
$184
$240
81
clean
DEBRIDE MUSCLE&/FASCIA ADDL 20CM
$794
$305
$397
70
clean
DEBRIDE BONE ADDL 20CM
$1,401
$538
$701
70
clean
PAR/CUT LSN HYPERKERATOTIC BGN SGL
$210
$81
$212
54
clean
PAR/CUT LSN HYPERKERATOTIC BGN 2-4
$304
$117
$212
54
clean
PAR/CUT LSN HYPERKERATOTIC BGN 4+
$388
$149
$212
54
clean
BX SKIN TANGENTIAL LSN SGL
$396
$135
$212
108
clean
BX SKIN TANGENTIAL LSN ADDL
$204
$70
$105
70
clean
BX PUNCH SKIN LSN SGL
$733
$251
$426
108
clean
BX PUNCH SKIN LSN ADDL
$238
$81
$123
70
clean
BX INCISIONAL SKIN LSN SGL
$886
$303
$652
108
clean
BX INCISIONAL SKIN LSN ADDL
$286
$98
$148
70
clean
REM TAGS SKIN LSN 1-15
$328
$126
$212
54
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.5 CM OR LESS
—
—
$2,440
11
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.6 TO 1.0 CM
—
—
$2,440
11
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 1.1 TO 2.0 CM
—
—
$2,440
11
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 2.1 TO 3.0 CM
—
—
$2,440
11
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 3.1 TO 4.0 CM
—
—
$2,440
11
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER OVER 4.0 CM
—
—
$3,268
11
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.5 CM OR LESS
—
—
$2,440
11
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.6 TO 1.0 CM
—
—
$2,440
11
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 1.1 TO 2.0 CM
—
—
$2,440
11
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER OVER 4.0 CM
—
—
$3,268
11
clean
EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, AXILLARY; WITH SIMPLE OR INTERMEDIATE REPAIR
—
—
$3,268
11
clean
EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, AXILLARY; WITH COMPLEX REPAIR
—
—
$3,268
11
clean
EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, INGUINAL; WITH SIMPLE OR INTERMEDIATE REPAIR
—
—
$3,268
11
clean
EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, INGUINAL; WITH COMPLEX REPAIR
—
—
$3,268
11
clean
EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, PERIANAL, PERINEAL, OR UMBILICAL; WITH SIMPLE OR INTERMEDIATE REPAIR
—
—
$3,268
11
clean
EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, PERIANAL, PERINEAL, OR UMBILICAL; WITH COMPLEX REPAIR
—
—
$3,268
11
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 2.1 TO 3.0 CM
—
—
$2,440
11
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 3.1 TO 4.0 CM
—
—
$3,268
11
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER OVER 4.0 CM
—
—
$3,268
11
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER OVER 4.0 CM
—
—
$3,268
11
clean
TRIM NAILS NONDYSTROPHIC
$175
$67
$68
54
clean
DEBRIDE NAIL/S 1-5
$207
$79
$70
54
clean
DEBRIDE NAIL/S 6+
$279
$107
$78
54
clean
AVULSION PLATE NAIL SMPL SGL
$524
$201
$233
65
clean
AVULSION PLATE NAIL SMPL ADDL
$135
$52
$69
35
clean
EXC NAIL&MATRIX REM PERM
$953
$366
$440
65
clean
EXCISION OF PILONIDAL CYST OR SINUS; SIMPLE
—
—
$3,741
11
clean
EXCISION OF PILONIDAL CYST OR SINUS; EXTENSIVE
—
—
$3,741
11
clean
EXCISION OF PILONIDAL CYST OR SINUS; COMPLICATED
—
—
$3,741
11
clean
INS EXPANDER TISSUE OTH THAN BREAST
$5,446
$2,091
$3,902
54
clean
REMOVAL, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT
—
—
$202
11
clean
RPR WND SMPL TR&/EXT 0-2.5CM
$478
$184
$222
76
clean
RPR WND SMPL TR&/EXT 2.6-7.5CM
$541
$208
$228
54
clean
RPR WND SMPL TR&/EXT 7.6-12.5CM
$593
$228
$228
54
clean
RPR WND SMPL TR&/EXT 12.5-20.0CM
$763
$293
$426
54
clean
RPR WND SMPL TR&/EXT 20.1-30.0CM
$933
$358
$428
54
clean
RPR WND SMPL TR&/EXT 31.0+CM
$1,159
$445
$260
54
clean
RPR WND SMPL F/E/E/N 0-2.5CM
$546
$210
$228
54
clean
RPR WND SMPL F/E/E/N 2.6-5.0CM
$569
$219
$228
54
clean
RPR WND SMPL F/E/E/N 5.1-7.5CM
$737
$283
$240
54
clean
RPR WND SMPL F/E/E/N 7.6-12.5CM
$924
$355
$260
54
clean
RPR WND SMPL F/E/E/N 12.6-20.0CM
$1,361
$523
$452
54
clean
RPR WND SMPL F/E/E/N 20.1-30.0CM
$1,513
$581
$453
54
clean
RPR WND SMPL F/E/E/N 31.0+CM
$1,704
$654
$260
54
clean
TX DEHISCENCE WOUND CLSR SMPL
$1,158
$396
$662
54
clean
REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 2.6 CM TO 7.5 CM
—
—
$2,440
11
clean
REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 7.6 CM TO 12.5 CM
—
—
$3,268
11
clean
REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 12.6 CM TO 20.0 CM
—
—
$3,268
11
clean
REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 20.1 CM TO 30.0 CM
—
—
$3,268
11
clean
REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 5.1 CM TO 7.5 CM
—
—
$2,440
11
clean
REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; 2.6 CM TO 7.5 CM
—
—
$3,741
11
clean
REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; 2.6 CM TO 7.5 CM
—
—
$3,741
11
clean
REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; EACH ADDITIONAL 5 CM OR LESS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$1,873
11
clean
REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 2.6 CM TO 7.5 CM
—
—
$3,741
11
clean
SECONDARY CLOSURE OF SURGICAL WOUND OR DEHISCENCE, EXTENSIVE OR COMPLICATED
—
—
$3,268
11
clean
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; DEFECT 10 SQ CM OR LESS
—
—
$3,268
11
clean
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; DEFECT 10.1 SQ CM TO 30.0 SQ CM
—
—
$3,741
11
clean
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, ARMS AND/OR LEGS; DEFECT 10.1 SQ CM TO 30.0 SQ CM
—
—
$3,741
11
clean
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; DEFECT 10 SQ CM OR LESS
—
—
$3,268
11
clean
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, ANY AREA; DEFECT 30.1 SQ CM TO 60.0 SQ CM
—
—
$4,621
11
clean
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, ANY AREA; EACH ADDITIONAL 30.0 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$2,313
11
clean
PREP WND T/A/L 1ST 100CM
$3,422
$1,314
$1,950
65
clean
PREP WND T/A/L ADDL 100CM
$722
$277
$379
46
clean
PREP WND F/N/H/F/G 1ST 100CM
$3,696
$1,419
$887
65
clean
PREP WND F/N/H/F/G ADDL 100CM
$1,443
$554
$722
35
clean
SPLIT-THICKNESS AUTOGRAFT, TRUNK, ARMS, LEGS; FIRST 100 SQ CM OR LESS, OR 1% OF BODY AREA OF INFANTS AND CHILDREN (EXCEPT 15050)
—
—
$3,268
11
clean
SPLIT-THICKNESS AUTOGRAFT, TRUNK, ARMS, LEGS; EACH ADDITIONAL 100 SQ CM, OR EACH ADDITIONAL 1% OF BODY AREA OF INFANTS AND CHILDREN, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$1,636
11
clean
SPLIT-THICKNESS AUTOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS; FIRST 100 SQ CM OR LESS, OR 1% OF BODY AREA OF INFANTS AND CHILDREN (EXCEPT 15050)
—
—
$3,268
11
clean
APP SKN HC T/A/L 0-100CM 1ST 25CM
$660
$253
$1,950
54
clean
APP SKN HC T/A/L 0-100CM ADDL 25CM
$82
$31
$44
35
clean
APP SKN HC T/A/L 100+CM/1%PEDS
$1,162
$446
$3,902
54
clean
APP SKN HC T/A/L 100+CM/1%PEDS AD
$332
$127
$179
35
clean
APP SKN HC F/N/H/F 0-100CM 1ST 25CM
$624
$240
$1,950
54
clean
APP SKN HC F/N/H/F 0-100CM ADDL 25
$91
$35
$49
35
clean
APP SKN HC F/N/H/F 100+CM/1%PEDS
$1,248
$479
$1,950
54
clean
APP SKN HC F/N/H/F 100+CM/1%PEDS AD
$372
$143
$201
35
clean
MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; TRUNK
—
—
$3,741
11
clean
FLAP; ISLAND PEDICLE REQUIRING IDENTIFICATION AND DISSECTION OF AN ANATOMICALLY NAMED AXIAL VESSEL
—
—
$3,268
11
clean
IMPLANTATION OF BIOLOGIC IMPLANT (EG, ACELLULAR DERMAL MATRIX) FOR SOFT TISSUE REINFORCEMENT (IE, BREAST, TRUNK) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$3,646
11
clean
ED REM SUTURE/STAPLE NO ANESTH
$273
$65
$137
106
clean
ED REM SUTURE&STAPLE NO ANESTH
$341
$81
$172
106
clean
EXCISION, SACRAL PRESSURE ULCER, WITH PRIMARY SUTURE;
—
—
$3,741
11
clean
EXCISION, ISCHIAL PRESSURE ULCER, WITH PRIMARY SUTURE;
—
—
$3,741
11
clean
DSG&/DEBRIDE BURN PART-THICK SM
$417
$160
$212
54
clean
DSG&/DEBRIDE BURN PART-THICK MED
$634
$243
$228
54
clean
CAUT CHEMICAL TISSUE GRANULATION
$283
$109
$212
65
clean
BX FAT PAD ABDOMINAL NDL PERC
$1,267
$433
$288
65
clean
ASP PUNCT CYST BREAST INIT
$956
$327
$750
194
clean
ASP PUNCT CYST BREAST ADDL LT
$496
$170
$268
70
clean
INJ DUCTO/GALACTOGRAM MAMMARY BI
$1,917
$656
$639
210
clean
BX BRST W/WO DEV/IMG SG LSN 1ST LT
$3,237
$1,107
$1,748
70
clean
BX BRST W/WO DEV/IMG SG LSN ADD
$1,404
$480
$758
35
clean
BX BRST W/WO DEV/IMG US LSN 1ST LT
$3,011
$1,030
$1,626
81
clean
BX BRST W/WO DEV/IMG US LSN ADD
$1,730
$592
$934
35
clean
BX BRST W/WO DEV/IMG MR LSN 1ST LT
$2,984
$1,021
$1,611
70
clean
BX BRST W/WO DEV/IMG MR LSN ADD
$1,830
$626
$988
35
clean
EXCISION OF CYST, FIBROADENOMA, OR OTHER BENIGN OR MALIGNANT TUMOR, ABERRANT BREAST TISSUE, DUCT LESION, NIPPLE OR AREOLAR LESION (EXCEPT 19300), OPEN, MALE OR FEMALE, 1 OR MORE LESIONS
—
—
$3,741
11
clean
EXCISION OF BREAST LESION IDENTIFIED BY PREOPERATIVE PLACEMENT OF RADIOLOGICAL MARKER, OPEN; SINGLE LESION
—
—
$3,741
11
clean
PLC DEV/S BRST MAMMO GD LSN 1ST LT
$2,325
$795
$1,256
70
clean
PLC DEV/S BRST MAMMO GD LSN ADD
$743
$254
$401
35
clean
PLC DEV/S BRST SG LSN 1ST LT
$2,349
$803
$1,268
70
clean
PLC DEV/S BRST SG LSN ADD
$1,067
$365
$576
35
clean
PLC DEV/S BRST US GD LSN 1ST LT
$1,703
$582
$920
70
clean
PLC DEV/S BRST US GD LSN ADD
$1,124
$384
$607
35
clean
PLC DEV/S BRST MR GD LSN 1ST LT
$2,398
$820
$1,295
70
clean
PLC DEV/S BRST MR GD LSN ADD
$1,999
$684
$1,079
35
clean
MASTECTOMY, PARTIAL (EG, LUMPECTOMY, TYLECTOMY, QUADRANTECTOMY, SEGMENTECTOMY);
—
—
$3,741
11
clean
MASTECTOMY, PARTIAL (EG, LUMPECTOMY, TYLECTOMY, QUADRANTECTOMY, SEGMENTECTOMY); WITH AXILLARY LYMPHADENECTOMY
—
—
$7,293
11
clean
MASTECTOMY, SIMPLE, COMPLETE
—
—
$4,621
11
clean
MASTECTOMY, MODIFIED RADICAL, INCLUDING AXILLARY LYMPH NODES, WITH OR WITHOUT PECTORALIS MINOR MUSCLE, BUT EXCLUDING PECTORALIS MAJOR MUSCLE
—
—
$7,293
11
clean
MASTOPEXY
—
—
$4,621
11
clean
BREAST REDUCTION
—
—
$4,621
11
clean
INSERTION OF BREAST IMPLANT ON SAME DAY OF MASTECTOMY (IE, IMMEDIATE)
—
—
$4,012
11
clean
INSERTION OR REPLACEMENT OF BREAST IMPLANT ON SEPARATE DAY FROM MASTECTOMY
—
—
$4,988
11
clean
TISSUE EXPANDER PLACEMENT IN BREAST RECONSTRUCTION, INCLUDING SUBSEQUENT EXPANSION(S)
—
—
$7,006
11
clean
PERI-IMPLANT CAPSULECTOMY, BREAST, COMPLETE, INCLUDING REMOVAL OF ALL INTRACAPSULAR CONTENTS
—
—
$4,621
11
clean
REVISION OF RECONSTRUCTED BREAST (EG, SIGNIFICANT REMOVAL OF TISSUE, RE-ADVANCEMENT AND/OR RE-INSET OF FLAPS IN AUTOLOGOUS RECONSTRUCTION OR SIGNIFICANT CAPSULAR REVISION COMBINED WITH SOFT TISSUE EXCISION IN IMPLANT-BAS
—
—
$5,254
11
clean
BX MUSCLE SUPERFICIAL
$2,205
$847
$1,727
54
clean
BIOPSY, MUSCLE; DEEP
—
—
$3,741
11
clean
BX MUSCLE NDL PERC
$1,584
$542
$1,727
173
clean
BX BONE TROCAR/NDL SUPERFICIAL
$1,573
$538
$1,727
173
clean
BX BONE TROCAR/NDL DEEP
$2,190
$749
$1,727
108
clean
BX BONE OPEN SUPERFICIAL
$4,090
$1,571
$3,050
65
clean
BIOPSY, BONE, OPEN; DEEP (EG, HUMERAL SHAFT, ISCHIUM, FEMORAL SHAFT)
—
—
$3,741
11
clean
INJ TRACT SINOGRAM
$273
$93
$205
62
clean
REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON SHEATH; SIMPLE
—
—
$2,440
11
clean
REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON SHEATH; DEEP OR COMPLICATED
—
—
$3,741
11
clean
INJ/S SHTH TNDN SGL/LIG/AP BI
$660
$226
$330
221
clean
INJ/S TENDON SGL ORIGIN/INSERT
$440
$150
$315
54
clean
INJ/S TRIGGER PT/S MUSC/S 1-2
$440
$150
$315
216
clean
Showing the first 200 of 3,966 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,340 of 1,976 comparable items (68%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $3,737 exceeds the gross charge $2,160
warn
mrf_rate_without_estimate
2,644 of 2,644 percentage/algorithm rates across 1,703 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 97533/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 9% of the gross charge $153
CPT 92961/o
info
mrf_cash_under_tenth_of_gross
cash price $190 is 10% of the gross charge $1,921
CPT 93260/o
info
mrf_cash_under_tenth_of_gross
cash price $211 is 10% of the gross charge $2,132
CPT 93261/o
info
mrf_cash_under_tenth_of_gross
cash price $211 is 10% of the gross charge $2,132
CPT 93279/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 10% of the gross charge $133
CPT 93280/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 10% of the gross charge $153
CPT 93281/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 10% of the gross charge $170
CPT 93282/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 10% of the gross charge $141
CPT 93283/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 10% of the gross charge $162
CPT 93284/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 10% of the gross charge $183
CPT 93285/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 10% of the gross charge $145
CPT 93286/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 10% of the gross charge $145
CPT 93287/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 10% of the gross charge $145
CPT 93288/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 10% of the gross charge $145
CPT 93289/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 10% of the gross charge $145
CPT 93290/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 10% of the gross charge $145
CPT 93292/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 10% of the gross charge $145
CPT 93296/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 10% of the gross charge $145
CPT 93503/o
info
mrf_cash_under_tenth_of_gross
cash price $415 is 10% of the gross charge $4,189
CPT 93600/o
info
mrf_cash_under_tenth_of_gross
cash price $551 is 10% of the gross charge $5,564
CPT 93602/o
info
mrf_cash_under_tenth_of_gross
cash price $581 is 10% of the gross charge $5,872
CPT 93603/o
info
mrf_cash_under_tenth_of_gross
cash price $400 is 10% of the gross charge $4,045
CPT 93609/o
info
mrf_cash_under_tenth_of_gross
cash price $1,137 is 10% of the gross charge $11,486
CPT 93610/o
info
mrf_cash_under_tenth_of_gross
cash price $651 is 10% of the gross charge $6,576
CPT 93612/o
info
mrf_cash_under_tenth_of_gross
cash price $691 is 10% of the gross charge $6,980
CPT 93613/o
info
mrf_cash_under_tenth_of_gross
cash price $954 is 10% of the gross charge $9,635
CPT 93619/o
info
mrf_cash_under_tenth_of_gross
cash price $1,041 is 10% of the gross charge $10,511
CPT 93620/o
info
mrf_cash_under_tenth_of_gross
cash price $1,888 is 10% of the gross charge $19,066
CPT 93621/o
info
mrf_cash_under_tenth_of_gross
cash price $366 is 10% of the gross charge $3,696
CPT 93622/o
info
mrf_cash_under_tenth_of_gross
cash price $549 is 10% of the gross charge $5,543
CPT 93623/o
info
mrf_cash_under_tenth_of_gross
cash price $919 is 10% of the gross charge $9,286
CPT 93624/o
info
mrf_cash_under_tenth_of_gross
cash price $1,089 is 10% of the gross charge $11,004
CPT 93631/o
info
mrf_cash_under_tenth_of_gross
cash price $668 is 10% of the gross charge $6,751
CPT 93640/o
info
mrf_cash_under_tenth_of_gross
cash price $203 is 10% of the gross charge $2,053
CPT 93641/o
info
mrf_cash_under_tenth_of_gross
cash price $313 is 10% of the gross charge $3,162
CPT 93642/o
info
mrf_cash_under_tenth_of_gross
cash price $319 is 10% of the gross charge $3,226
CPT 93644/o
info
mrf_cash_under_tenth_of_gross
cash price $295 is 10% of the gross charge $2,978
CPT 93650/o
info
mrf_cash_under_tenth_of_gross
cash price $1,841 is 10% of the gross charge $18,598
CPT 93653/o
info
mrf_cash_under_tenth_of_gross
cash price $4,754 is 10% of the gross charge $48,022
CPT 93654/o
info
mrf_cash_under_tenth_of_gross
cash price $5,096 is 10% of the gross charge $51,479
CPT 93655/o
info
mrf_cash_under_tenth_of_gross
cash price $1,965 is 10% of the gross charge $19,853
CPT 93656/o
info
mrf_cash_under_tenth_of_gross
cash price $5,172 is 10% of the gross charge $52,243
CPT 93657/o
info
mrf_cash_under_tenth_of_gross
cash price $1,894 is 10% of the gross charge $19,129
CPT 93660/o
info
mrf_cash_under_tenth_of_gross
cash price $273 is 10% of the gross charge $2,755
CPT 93662/o
info
mrf_cash_under_tenth_of_gross
cash price $541 is 10% of the gross charge $5,464
CPT 93786/o
info
mrf_cash_under_tenth_of_gross
cash price $41 is 10% of the gross charge $412
CPT 93788/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 10% of the gross charge $114
CPT 75580/o
info
mrf_cash_under_tenth_of_gross
cash price $452 is 10% of the gross charge $4,566
CPT 95992/o
info
mrf_cash_under_tenth_of_gross
cash price $25 is 9% of the gross charge $277
CPT G0166/o
info
mrf_cash_under_tenth_of_gross
cash price $101 is 10% of the gross charge $1,018
CPT J0475/o
info
mrf_cash_under_tenth_of_gross
cash price $81 is 8% of the gross charge $973
CPT J1380/o
info
mrf_cash_under_tenth_of_gross
cash price $1 is 2% of the gross charge $30
CPT J1569/o
info
mrf_cash_under_tenth_of_gross
cash price $21 is 8% of the gross charge $258
CPT J2599/o
info
mrf_cash_under_tenth_of_gross
cash price $0 is 3% of the gross charge $8
CPT J9100/o
info
mrf_cash_under_tenth_of_gross
cash price $0 is 2% of the gross charge $11
CPT J9400/o
info
mrf_cash_under_tenth_of_gross
cash price $2 is 8% of the gross charge $26
CPT 97012/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 9% of the gross charge $121
CPT 97022/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 9% of the gross charge $133
CPT 97033/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 9% of the gross charge $195
CPT 97116/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 9% of the gross charge $134
CPT 90632/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 2% of the gross charge $294
CPT Q4186/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 86382/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, max differ, so no cross-line comparison was made for this item
CPT Q5105/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 differ, so no cross-line comparison was made for this item
CPT 86403/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, max differ, so no cross-line comparison was made for this item
CPT 97530/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT V2630/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 86406/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, max differ, so no cross-line comparison was made for this item
CPT V2632/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 86431/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, max differ, so no cross-line comparison was made for this item
CPT 92526/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT V2790/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 97535/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 86581/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, max differ, so no cross-line comparison was made for this item
CPT 86592/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, max differ, so no cross-line comparison was made for this item
CPT 62270/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 97542/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 82657/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, max differ, so no cross-line comparison was made for this item
CPT 62272/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 97597/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min differ, so no cross-line comparison was made for this item
CPT 62273/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, max differ, so no cross-line comparison was made for this item
CPT 86631/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, max differ, so no cross-line comparison was made for this item
CPT 97598/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 86635/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, max differ, so no cross-line comparison was made for this item
CPT 86644/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 differ, so no cross-line comparison was made for this item
CPT 97602/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 34707/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 36005/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 97610/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, max differ, so no cross-line comparison was made for this item
CPT 86664/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 differ, so no cross-line comparison was made for this item
CPT 92950/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash, max differ, so no cross-line comparison was made for this item
CPT 86665/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 differ, so no cross-line comparison was made for this item
CPT 86682/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 differ, so no cross-line comparison was made for this item
CPT 92960/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 97763/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 36014/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 82784/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, max differ, so no cross-line comparison was made for this item
CPT 99151/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 99152/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 86689/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, max differ, so no cross-line comparison was made for this item
CPT 99153/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 86695/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 differ, so no cross-line comparison was made for this item
CPT 99155/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 62350/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82945/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, max differ, so no cross-line comparison was made for this item
CPT 64400/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, max differ, so no cross-line comparison was made for this item
CPT 86698/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 differ, so no cross-line comparison was made for this item
CPT 99156/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 64420/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 64421/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 99157/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 82977/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, max differ, so no cross-line comparison was made for this item
CPT 36222/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, max differ, so no cross-line comparison was made for this item
CPT 64451/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 99202/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 36223/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, max differ, so no cross-line comparison was made for this item
CPT 64479/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 83001/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 differ, so no cross-line comparison was made for this item
CPT 86720/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, max differ, so no cross-line comparison was made for this item
CPT 99203/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 36224/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, max differ, so no cross-line comparison was made for this item
CPT 64480/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 differ, so no cross-line comparison was made for this item
CPT 83002/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 differ, so no cross-line comparison was made for this item
CPT 86735/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 differ, so no cross-line comparison was made for this item
CPT 99204/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 36225/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, max differ, so no cross-line comparison was made for this item
CPT 64483/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 99205/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 36226/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, max differ, so no cross-line comparison was made for this item
CPT 64484/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 83010/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 differ, so no cross-line comparison was made for this item
CPT 99211/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 36227/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 differ, so no cross-line comparison was made for this item
CPT 64490/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 86753/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 differ, so no cross-line comparison was made for this item
CPT 99212/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 36228/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 differ, so no cross-line comparison was made for this item
CPT 64491/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 99213/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 64492/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 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, max differ, so no cross-line comparison was made for this item
CPT 99214/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 64493/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 86765/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 differ, so no cross-line comparison was made for this item
CPT 99215/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 36246/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 64494/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 differ, so no cross-line comparison was made for this item
CPT 64495/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 differ, so no cross-line comparison was made for this item
CPT 86777/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 differ, so no cross-line comparison was made for this item
CPT 64633/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 86778/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 differ, so no cross-line comparison was made for this item
CPT 64634/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 differ, so no cross-line comparison was made for this item
CPT 80061/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, 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 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86780/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 differ, so no cross-line comparison was made for this item
CPT 64635/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 80150/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 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 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86787/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 differ, so no cross-line comparison was made for this item
CPT 99366/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 64636/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 83520/o
info
mrf_item_fields_vary
this code and setting cover at least 22 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36416/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, max differ, so no cross-line comparison was made for this item
CPT 83521/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 differ, so no cross-line comparison was made for this item
CPT 86790/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, max differ, so no cross-line comparison was made for this item
CPT 99368/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 36430/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, max differ, so no cross-line comparison was made for this item
CPT 80158/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 differ, so no cross-line comparison was made for this item
CPT 83540/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, max differ, so no cross-line comparison was made for this item
CPT 86800/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, max differ, so no cross-line comparison was made for this item
CPT A4335/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 36470/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 69210/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, max differ, so no cross-line comparison was made for this item
CPT A4648/o
info
mrf_item_fields_vary
this code and setting cover at least 8 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 36471/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 80161/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 differ, so no cross-line comparison was made for this item
CPT 83605/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, max differ, so no cross-line comparison was made for this item
CPT 36473/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, max differ, so no cross-line comparison was made for this item
CPT 83615/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, max differ, so no cross-line comparison was made for this item
CPT 36474/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 83630/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 differ, so no cross-line comparison was made for this item
CPT 36478/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 differ, so no cross-line comparison was made for this item
CPT 80164/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 differ, so no cross-line comparison was made for this item
CPT 83655/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, max differ, so no cross-line comparison was made for this item
CPT 36479/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 83690/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, max differ, so no cross-line comparison was made for this item
CPT 83695/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 differ, so no cross-line comparison was made for this item
CPT 86850/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, max differ, so no cross-line comparison was made for this item
CPT 80177/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 differ, so no cross-line comparison was made for this item
CPT 83718/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, max differ, so no cross-line comparison was made for this item
CPT 86900/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, max differ, so no cross-line comparison was made for this item
CPT 83721/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, max differ, so no cross-line comparison was made for this item
CPT 86901/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, max differ, so no cross-line comparison was made for this item
CPT 80184/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 differ, so no cross-line comparison was made for this item
CPT 83735/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, max differ, so no cross-line comparison was made for this item
CPT 36561/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86999/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 differ, so no cross-line comparison was made for this item
CPT 83825/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 differ, so no cross-line comparison was made for this item