Service
Code
Listed
Cash
Negotiated
Rates
Checks
0035U - NEURO CSF DETCJ PRION PRTN QUAKG CONF CONV QUAL
$1,409
$352
$678
15
clean
0202U - Nfct ds 22 trgt sars-cov-2
$1,301
$325
$436
11
clean
0232T - NJX PLTLT PLASMA W-IMG HARVEST-PREPARATION
$194
$48
$666
15
clean
0690T - QUANTITATIVE US TISS CHARAC IANDR W-DX US SM ANAT
$260
$65
$6,256
1
clean
0866T - QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI
$555
$139
$336
15
clean
10005 - FINE NEEDLE ASPIRATION BX W-US GDN 1ST LESION
$2,191
$548
$867
20
clean
10006 - FINE NEEDLE ASPIRATION BX W-US GDN EA ADDL
$1,297
$324
$3,487
3
clean
10030 - IMG-GUIDED FLU COLLJ DRG CATH SOFT TISS PERQ
$1,498
$375
$757
20
clean
10060 - INCISION AND DRAINAGE ABSCESS SIMPLE-SINGLE
$1,516
$379
$306
20
clean
10061 - INCISION AND DRAINAGE ABSCESS COMPLICATED-MULTIPLE
$9,248
$2,312
$498
20
clean
10080 - INCISION AND DRAINAGE PILONIDAL CYST SIMPLE
$2,473
$618
$757
20
clean
10120 - INCISION AND REMOVAL FOREIGN BODY SUBQ TISS SIMPLE
$2,592
$648
$498
20
clean
10121 - INCISION AND REMOVAL FOREIGN BODY SUBQ TISS COMP
$13,092
$3,273
$1,652
19
clean
10140 - IANDD HEMATOMA SEROMA-FLUID COLLECTION
$8,750
$2,187
$1,622
19
clean
10160 - PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA-CYST
$849
$212
$407
19
clean
10180 - INCISION AND DRAINAGE COMPLEX PO WOUND INFECTION
$8,856
$2,214
$2,879
20
clean
11008 - RMVL PROSTC MATRL-MESH ABDL WALL FOR INFECTION
$8,856
$2,214
$5,954
2
clean
11010 - DBRDMT W-RMVL FM FXAND-DISLC SKINANDSUBQ TISSUS
$11,100
$2,775
$867
20
clean
11011 - DBRDMT W-RMVL FM FXAND-DISLC SKN SUBQ T-M-F MUSC
$19,210
$4,802
$867
20
clean
11012 - DBRDMT FXAND-DISLC SUBQ T-M-F BONE
$6,056
$1,514
$2,837
20
clean
11042 - DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM-LESS THAN
$2,457
$614
$498
20
clean
11043 - DEBRIDEMENT MUSCLE AND-FASCIA 1ST 20 SQ CM-LESS THAN
$3,240
$810
$733
20
clean
11044 - DEBRIDEMENT BONE 1ST 20 SQ CM-LESS THAN
$4,097
$1,024
$1,637
20
clean
11045 - DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM
$855
$214
$3,487
3
clean
11046 - DEBRIDEMENT MUSCLE AND-FASCIA EA ADDL 20 SQ CM
$1,110
$278
$3,487
3
clean
11047 - DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM
$1,616
$404
$3,487
3
clean
11055 - PARING-CUTTING BENIGN HYPERKERATOTIC LESION 1
$8,165
$2,041
$302
19
clean
11056 - PARING-CUTTING BENIGN HYPERKERATOTIC LESION 2-4
$4,313
$1,078
$302
19
clean
11102 - TANGENTIAL BIOPSY SKIN SINGLE LESION
$862
$216
$392
20
clean
11104 - PUNCH BIOPSY SKIN SINGLE LESION
$862
$216
$498
20
clean
11106 - INCISIONAL BIOPSY SKIN SINGLE LESION
$4,868
$1,217
$829
20
clean
11400 - EXC B9 LESION MRGN XCP SK TG T-A-L 0.5 CM-LESS THAN
$8,480
$2,120
$867
20
clean
11401 - EXC B9 LESION MRGN XCP SK TG T-A-L 0.6-1.0 CM
$2,003
$501
$498
20
clean
11402 - EXC B9 LESION MRGN XCP SK TG T-A-L 1.1-2.0 CM
$6,525
$1,631
$867
20
clean
11403 - EXC B9 LESION MRGN XCP SK TG T-A-L 2.1-3.0 CM
$24,216
$6,054
$867
20
clean
11404 - EXC B9 LESION MRGN XCP SK TG T-A-L 3.1-4.0 CM
$6,773
$1,693
$1,652
19
clean
11406 - EXC B9 LESION MRGN XCP SK TG T-A-L GREATER THAN 4.0 CM
$9,091
$2,273
$1,652
19
clean
11420 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 0.5 CM-LESS THAN
$8,927
$2,232
$1,637
20
clean
11421 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 0.6-1.0CM
$7,784
$1,946
$867
20
clean
11422 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 1.1-2.0CM
$11,651
$2,913
$1,637
20
clean
11423 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 2.1-3.0CM
$11,165
$2,791
$1,652
19
clean
11426 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G GREATER THAN 4.0CM
$7,944
$1,986
$2,879
20
clean
11440 - EXC B9 LESION MRGN XCP SK TG F-E-E-N-L-M 0.5CM-LESS THAN
$11,627
$2,907
$867
20
clean
11442 - EXC B9 LES MRGN XCP SK TG F-E-E-N-L-M 1.1-2.0CM
$8,620
$2,155
$867
20
clean
11443 - EXC B9 LES MRGN XCP SK TG F-E-E-N-L-M 2.1-3.0CM
$12,464
$3,116
$1,637
20
clean
11462 - EXCISION HIDRADENITIS INGUINAL SMPL-INTRM RPR
$19,609
$4,902
$2,879
20
clean
11603 - EXCISION MAL LESION TRUNK-ARM-LEG 2.1-3.0 CM
$7,238
$1,810
$867
20
clean
11604 - EXCISION MAL LESION TRUNK-ARM-LEG 3.1-4.0 CM
$6,586
$1,647
$867
20
clean
11606 - EXCISION MALIGNANT LESION TRUNK-ARM-LEG GREATER THAN 4.0 CM
$6,161
$1,540
$1,652
19
clean
11622 - EXCISION MALIGNANT LESION S-N-H-F-G 1.1-2.0 CM
$7,906
$1,977
$867
20
clean
11626 - EXCISION MALIGNANT LESION S-N-H-F-G GREATER THAN 4.0 CM
$7,008
$1,752
$2,879
20
clean
11642 - EXCISION MALIGNANT LESION F-E-E-N-L 1.1-2.0 CM
$14,015
$3,504
$867
20
clean
11643 - EXCISION MALIGNANT LESION F-E-E-N-L 2.1-3.0 CM
$14,275
$3,569
$1,637
20
clean
11644 - EXCISION MALIGNANT LESION F-E-E-N-L 3.1-4.0 CM
$13,757
$3,439
$1,652
19
clean
11721 - DEBRIDEMENT NAIL ANY METHOD 6-GREATER THAN
$807
$202
$93
19
clean
11730 - AVULSION NAIL PLATE PARTIAL-COMPLETE SIMPLE 1
$1,413
$353
$302
19
clean
11740 - EVACUATION SUBUNGUAL HEMATOMA
$862
$216
$200
19
clean
11750 - EXCISION NAILANDNAIL MATRIX PRTL-COMPL PERM RMVL
$4,911
$1,228
$498
20
clean
11760 - REPAIR NAIL BED
$5,809
$1,452
$733
20
clean
11770 - EXCISION PILONIDAL CYST-SINUS SIMPLE
$8,856
$2,214
$3,133
20
clean
11771 - EXCISION PILONIDAL CYST-SINUS EXTENSIVE
$16,786
$4,196
$3,133
20
clean
11772 - EXCISION PILONIDAL CYST-SINUS COMPLICATED
$21,527
$5,382
$3,133
20
clean
11970 - REPLACEMENT TISSUE EXPANDER W-PERMANENT IMPLANT
$17,193
$4,298
$7,004
20
clean
11981 - INSERTION DRUG DELIVERY IMPLANT
$3,840
$960
$200
19
clean
11982 - REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT
$20,274
$5,068
$447
19
clean
12001 - SIMPLE REPAIR SCALP-NECK-AX-GENIT-TRUNK 2.5CM-LESS THAN
$827
$207
$302
19
clean
12002 - SMPL REPAIR SCALP-NECK-AX-GENIT-TRUNK 2.6-7.5CM
$917
$229
$302
19
clean
12004 - SIMPLE RPR SCALP-NECK-AX-GENIT-TRUNK 7.6-12.5CM
$862
$216
$306
20
clean
12005 - SMPL RPR SCALP-NECK-AX-GENIT-TRUNK 12.6-20.0CM
$2,581
$645
$498
20
clean
12006 - SMPL RPR SCALP-NECK-AX-GENIT-TRUNK 20.1-30.0CM
$2,581
$645
$507
20
clean
12011 - SIMPLE REPAIR F-E-E-N-L-M 2.5CM-LESS THAN
$810
$203
$302
19
clean
12013 - SIMPLE REPAIR F-E-E-N-L-M 2.6CM-5.0 CM
$862
$216
$302
19
clean
12014 - SIMPLE REPAIR F-E-E-N-L-M 5.1CM-7.5 CM
$862
$216
$306
20
clean
12015 - SIMPLE REPAIR F-E-E-N-L-M 7.6CM-12.5 CM
$862
$216
$306
20
clean
12016 - SIMPLE REPAIR F-E-E-N-L-M 12.6CM-20.0 CM
$2,581
$645
$605
16
clean
12020 - TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE
$21,337
$5,334
$733
20
clean
12031 - REPAIR INTERMEDIATE S-A-T-E 2.5 CM-LESS THAN
$4,959
$1,240
$507
20
clean
12032 - REPAIR INTERMEDIATE S-A-T-E 2.6-7.5 CM
$2,122
$530
$498
20
clean
12034 - REPAIR INTERMEDIATE S-A-T-E 7.6-12.5 CM
$3,912
$978
$507
20
clean
12035 - REPAIR INTERMEDIATE S-A-T-E 12.6-20.0CM
$2,581
$645
$523
20
clean
12036 - REPAIR INTERMEDIATE S-A-T-E 20.1-30.0 CM
$4,928
$1,232
$733
20
clean
12041 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 2.5CM-LESS THAN
$3,740
$935
$498
20
clean
12042 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 2.6-7.5 CM
$2,370
$593
$498
20
clean
12044 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 7.6-12.5CM
$4,057
$1,014
$733
20
clean
12045 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 12.6-20 CM
$4,928
$1,232
$733
20
clean
12051 - REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 2.5 CM-LESS THAN
$2,572
$643
$498
20
clean
12052 - REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 2.6-5.0 CM
$862
$216
$507
20
clean
12053 - REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 5.1-7.5 CM
$7,820
$1,955
$498
20
clean
13101 - REPAIR COMPLEX TRUNK 2.6-7.5 CM
$11,311
$2,828
$733
20
clean
13102 - REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM-LESS THAN
$13,845
$3,461
$6,256
3
clean
13120 - REPAIR COMPLEX SCALP-ARM-LEG 1.1-2.5 CM
$4,083
$1,021
$534
20
clean
13121 - REPAIR COMPLEX SCALP-ARM-LEG 2.6-7.5 CM
$10,529
$2,632
$509
20
clean
13131 - REPAIR COMPLEX F-C-C-M-N-AX-G-H-F 1.1-2.5 CM
$7,144
$1,786
$498
20
clean
13132 - REPAIR COMPLEX F-C-C-M-N-AX-G-H-F 2.6-7.5 CM
$7,692
$1,923
$518
20
clean
13133 - REPAIR COMPLEX F-C-C-M-N-AX-G-H-F EA ADDL 5 CM-LESS THAN
$3,603
$901
$6,256
3
clean
13152 - REPAIR COMPLEX EYELID-NOSE-EAR-LIP 2.6-7.5 CM
$10,529
$2,632
$733
20
clean
13160 - SECONDARY CLOSURE SURG WOUND-DEHSN XTNSV-COMP
$17,374
$4,344
$3,363
19
clean
14000 - ADJACENT TISSUE TRANSFER-REARGMT TRUNK 10 SQCM-LESS THAN
$9,990
$2,497
$2,064
19
clean
14021 - ADJT-REARRGMT SCALP-ARM-LEG 10.1-30.0 SQ CM
$18,940
$4,735
$2,064
19
clean
14040 - ADJT TIS TRNS-REARGMT F-C-C-M-N-A-G-H-F 10SQCM-LESS THAN
$7,784
$1,946
$2,064
19
clean
14041 - ADJT-REARGMT F-C-C-M-N-AX-G-H-F 10.1-30.0 SQ CM
$7,906
$1,977
$2,064
19
clean
14060 - ADJT TIS TRNSFR-REARRGMT E-N-E-L DFCT 10 SQ CM-LESS THAN
$13,708
$3,427
$2,064
19
clean
15002 - PREP SITE TRUNK-ARM-LEG 1ST 100 SQ CM-1PCT
$8,424
$2,106
$739
19
clean
15004 - PREP SITE F-S-N-H-F-G-M-D GT 1ST 100 SQ CM-1PCT
$7,421
$1,855
$534
20
clean
15100 - SPLT AGRFT T-A-L 1ST 100 SQCM-LESS THAN -1PERCENT BDY INFT-CHLD
$9,190
$2,297
$2,064
19
clean
15101 - SPLT AGRFT T-A-L EA ADD 100 SQCM-EA 1PERCENT INFT-CHLD
$5,801
$1,450
$457
7
clean
15120 - SPLT AGRFT F-S-N-H-F-G-M-DGT 1ST 100 SQCM-LESS THAN -1PERCENT
$14,535
$3,634
$3,483
20
clean
15240 - FTH-GFT FR DIR CLSR F-C-C-M-N-AX-G-H-F 20SQCM-LESS THAN
$13,675
$3,419
$2,064
19
clean
15260 - FTH-GFT FREE W-DIRECT CLOSURE N-E-E-L 20 SQ CM-LESS THAN
$11,702
$2,926
$2,064
19
clean
15271 - APP SKN SUB GRFT T-A-L AREA-100SQ CM -LESS THAN 1ST 25
$9,614
$2,403
$739
19
clean
15272 - APP SKN SUB GRFT T-A-L AREA-100SQ CM EA ADL 25SC
$5,904
$1,476
$6,256
3
clean
15275 - SUB GRFT F-S-N-H-F-G-M-D LESS THAN 100SQ CM 1ST 25 SQ CM
$9,303
$2,326
$739
19
clean
15276 - SUB GRFT F-S-N-H-F-G-M-DLESS THAN 100SQ CM EA ADDL25SQ CM
$3,805
$951
$6,256
3
clean
15576 - FRMJ DIRECT-TUBED PEDICLE W-WOTR E-N-E-L-NTRORAL
$7,745
$1,936
$2,064
19
clean
15733 - MUSC MYOQ-FSCQ FLAP HEADANDNECK W-NAMED VASC PEDCL
$8,470
$2,117
$4,343
20
clean
15769 - GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC
$7,904
$1,976
$4,343
20
clean
15777 - IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT
$9,687
$2,422
$3,487
3
clean
15830 - EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY
$32,252
$8,063
$6,486
20
clean
15851 - REMOVAL SUTURES-STAPLES REQUIRING ANESTHESIA
$10,841
$2,710
$2,064
19
clean
15853 - REMOVAL SUTURES-STAPLES NOT REQUIRING ANESTHESIA
$252
$63
$3,477
2
clean
16000 - INITIAL TX 1ST DEGREE BURN LOCAL TX
$862
$216
$302
19
clean
16020 - DRSAND-DBRDMT PRTL-THKNS BURNS 1ST-SBSQ SMALL
$2,003
$501
$201
19
clean
16025 - DRSAND-DBRDMT PRTL-THKNS BURNS 1ST-SBSQ MEDIUM
$807
$202
$293
20
clean
16030 - DRSAND-DBRDMT PRTL-THKNS BURNS 1ST-SBSQ LARGE
$2,581
$645
$515
20
clean
17110 - DESTRUCTION BENIGN LESIONS UP TO 14
$15,402
$3,851
$306
20
clean
17250 - CHEMICAL CAUTERIZATION OF GRANULATION TISSUE
$862
$216
$302
19
clean
17999 - UNLISTED PX SKIN MUC MEMBRANE AND SUBQ TISSUE
$7,070
$1,768
$293
15
clean
19000 - PUNCTURE ASPIRATION CYST OF BREAST
$2,003
$501
$708
19
clean
19020 - MASTOTOMY W-EXPLORATION-DRAINAGE ABSCESS DEEP
$13,568
$3,392
$1,918
20
clean
19081 - BX BREAST W-DEVICE 1ST LESION STEREOTACTIC GUID
$10,529
$2,632
$1,652
19
clean
19082 - BX BREAST W-DEVICE ADDL LESION STEREOTACT GUID
$1,207
$302
$3,487
3
clean
19083 - BX BREAST W-DEVICE 1ST LESION ULTRASOUND GUID
$10,529
$2,632
$1,652
19
clean
19084 - BX BREAST W-DEVICE ADDL LESION ULTRASOUND GUID
$1,207
$302
$3,487
3
clean
19101 - BIOPSY BREAST OPEN INCISIONAL
$18,402
$4,600
$3,779
20
clean
19120 - EXC CYST-ABERRANT BREAST TISSUE OPEN 1-GREATER THAN LESION
$15,421
$3,855
$3,825
20
clean
19283 - PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE
$2,671
$668
$867
20
clean
19285 - PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG
$2,003
$501
$867
20
clean
19300 - MASTECTOMY FOR GYNECOMASTIA
$23,926
$5,982
$3,881
20
clean
19303 - MASTECTOMY SIMPLE COMPLETE
$19,783
$4,946
$6,486
20
clean
19318 - BREAST REDUCTION
$40,822
$10,205
$6,581
20
clean
19330 - RMVL RUPTURED BREAST IMPLANT W-IMPLANT CONTENTS
$9,719
$2,430
$3,881
20
clean
19342 - INSJ-RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY
$9,719
$2,430
$7,984
20
clean
19380 - REVISION OF RECONSTRUCTED BREAST
$32,213
$8,053
$6,581
20
clean
20206 - BIOPSY MUSCLE PERCUTANEOUS NEEDLE
$2,987
$747
$1,652
19
clean
20220 - BIOPSY BONE TROCAR-NEEDLE SUPERFICIAL
$2,693
$673
$1,637
20
clean
20225 - BIOPSY BONE TROCAR-NEEDLE DEEP
$2,581
$645
$1,652
19
clean
20240 - BIOPSY BONE OPEN SUPERFICIAL
$7,733
$1,933
$2,879
20
clean
20245 - BIOPSY BONE OPEN DEEP
$7,841
$1,960
$3,133
20
clean
20501 - INJECTION SINUS TRACT DIAGNOSTIC
$807
$202
$357
6
clean
20525 - RMVL FOREIGN BODY MUSCLE-TENDON SHEATH DEEP-COMP
$10,188
$2,547
$3,133
20
clean
20526 - INJECTION THERAPEUTIC CARPAL TUNNEL
$7,647
$1,912
$393
20
clean
20550 - INJECTION 1 TENDON SHEATH-LIGAMENT APONEUROSIS
$4,320
$1,080
$393
20
clean
20552 - INJECTION SINGLE-MLT TRIGGER POINT 1-2 MUSCLES
$2,003
$501
$393
20
clean
20600 - ARTHROCENTESIS ASPIRAND-INJ SMALL JT-BURSA W-O US
$5,452
$1,363
$393
20
clean
20605 - ARTHROCENTESIS ASPIRAND-INJ INTERM JT-BURS W-O US
$2,003
$501
$393
20
clean
20610 - ARTHROCENTESIS ASPIRAND-INJ MAJOR JT-BURSA W-O US
$2,427
$607
$393
20
clean
20611 - ARTHROCENTESIS ASPIRAND-INJ MAJOR JT-BURSA W-US
$862
$216
$393
20
clean
20670 - REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE
$10,629
$2,657
$1,652
19
clean
20680 - REMOVAL IMPLANT DEEP
$10,580
$2,645
$3,133
20
clean
20692 - APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM
$18,056
$4,514
$12,390
20
clean
20694 - REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES
$10,559
$2,640
$1,609
19
clean
20700 - MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV
$4,689
$1,172
$3,477
2
clean
20702 - MANUAL PREPANDINSJ INTRAMEDULLARY DRUG DLVR DEVICE
$4,682
$1,170
$3,477
2
clean
20900 - BONE GRAFT ANY DONOR AREA MINOR-SMALL
$9,871
$2,468
$7,003
20
clean
20902 - BONE GRAFT ANY DONOR AREA MAJOR-LARGE
$5,945
$1,486
$7,088
20
clean
20912 - CARTILAGE GRAFT NASAL SEPTUM
$15,356
$3,839
$3,512
20
clean
20924 - TENDON GRAFT FROM A DISTANCE
$5,669
$1,417
$7,088
20
clean
20931 - ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL
$6,203
$1,551
$6,256
3
clean
20937 - AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION
$3,888
$972
$6,256
3
clean
20938 - AUTOGRAFT SPINE SURGERY BICORT-TRICORT SEP INC
$4,076
$1,019
$6,256
3
clean
20939 - BONE MARROW ASPIRATION BONE GRFG SPI SURG ONLY
$4,314
$1,078
$6,256
3
clean
20975 - ELECTRICAL STIMULATION BONE HEALING INVASIVE
$6,208
$1,552
$3,487
3
clean
20983 - ABLATJ BONE TUMOR CRYO PERQ W-IMG GDN WHEN PRFMD
$4,388
$1,097
$7,192
20
clean
20985 - CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS
$22,702
$5,675
$6,256
3
clean
20999 - UNLISTED PROCEDURE MUSCSKELETAL SYSTEM GENERAL
$2,586
$647
$336
15
clean
21012 - EXCISION TUMOR SOFT TISS FACE-SCALP SUBQ 2 CM-GREATER THAN
$18,672
$4,668
$1,637
20
clean
21015 - RAD RESECTION TUMOR SOFT TISS FACE-SCALP LESS THAN 2CM
$20,991
$5,248
$2,906
19
clean
21029 - REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE
$15,972
$3,993
$3,424
16
clean
21235 - GRAFT EAR CRTLG AUTOGENOUS NOSE-EAR
$7,745
$1,936
$5,812
19
clean
21320 - CLOSED TX NASAL BONE FX W-MNPJ W-STABILIZATION
$8,139
$2,035
$3,255
19
clean
21480 - CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST-SBSQ
$2,003
$501
$376
20
clean
21501 - IANDD DEEP ABSC-HMTMA SOFT TISSUE NECK-THORAX
$6,439
$1,610
$2,879
20
clean
21556 - EXC TUMOR SOFT TISS NECK-THORAX SUBFASCIAL LESS THAN 5CM
$20,646
$5,162
$2,879
20
clean
21700 - DIVISION SCALENUS ANTICUS W-O RESCJ CERVICAL RIB
$27,868
$6,967
$7,003
20
clean
21930 - EXCISION TUMOR SOFT TISSUE BACK-FLANK SUBQ LESS THAN 3CM
$10,150
$2,538
$1,652
19
clean
21931 - EXCISION TUMOR SOFT TIS BACK-FLANK SUBQ 3 CM-GREATER THAN
$13,514
$3,378
$2,011
20
clean
21933 - EXC TUMOR SOFT TISS BACK-FLANK SUBFASCIAL 5 CM-GREATER THAN
$10,932
$2,733
$3,133
20
clean
22100 - PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV
$18,554
$4,638
$10,592
16
clean
22110 - PRTL EXC VRT BDY B1Y LES W-O SPI CORD 1 SGM CRV
$22,027
$5,507
$7,192
12
clean
22513 - PERQ VERT AGMNTJ CAVITY CRTJ UNI-BI CANNULATION
$14,210
$3,552
$7,192
20
clean
22514 - PERQ VERT AGMNTJ CAVITY CRTJ UNI-BI CANNULJ LMBR
$12,319
$3,080
$7,192
20
clean
22515 - PERQ VERT AGMNTJ CAVITY CRTJ UNI-BI CANNULJ EACH
$10,298
$2,575
$3,477
2
clean
22551 - ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2
$5,447
$1,362
$12,390
20
clean
22552 - ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC
$5,053
$1,263
$6,256
3
clean
22554 - ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2
$4,950
$1,238
$12,541
20
clean
22585 - ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE
$4,034
$1,009
$8,537
2
clean
22600 - ARTHRD PST-PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT
$4,903
$1,226
$16,722
16
clean
22612 - ARTHRODESIS POSTERIOR-PSTLAT TQ 1NTRSPC LUMBAR
$5,744
$1,436
$17,540
15
clean
22614 - ARTHRODESIS PST-PSTLAT TQ 1NTRSPC EA ADDL NTRSPC
$4,507
$1,127
$3,477
2
clean
22630 - ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR
$6,431
$1,608
$26,187
20
clean
Showing the first 200 of 3,068 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
764 of 2,481 comparable items (31%) 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 $903 exceeds the gross charge $194
warn
mrf_rate_without_estimate
23,282 of 23,282 percentage/algorithm rates across 3,068 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
MS-DRG 274/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $169; the same hospital's average submitted charge to Medicare for this DRG is $103,055 (0.0×)
MS-DRG 390/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $447; the same hospital's average submitted charge to Medicare for this DRG is $19,990 (0.0×)
MS-DRG 391/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $1,881; the same hospital's average submitted charge to Medicare for this DRG is $42,143 (0.0×)
MS-DRG 480/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $1,738; the same hospital's average submitted charge to Medicare for this DRG is $85,160 (0.0×)
MS-DRG 481/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $9,149; the same hospital's average submitted charge to Medicare for this DRG is $66,758 (0.1×)
MS-DRG 482/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $780; the same hospital's average submitted charge to Medicare for this DRG is $46,797 (0.0×)
MS-DRG 789/i
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
MS-DRG 790/i
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
MS-DRG 791/i
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
MS-DRG 792/i
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
MS-DRG 793/i
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
MS-DRG 794/i
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
MS-DRG 795/i
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 22554/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $4,950 — part of a file-wide pattern, counted once at the file level
CPT 31254/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,265 exceeds the gross charge $6,691 — part of a file-wide pattern, counted once at the file level
CPT 70100/o
info
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $172 — part of a file-wide pattern, counted once at the file level
CPT 22585/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,818 exceeds the gross charge $4,034 — part of a file-wide pattern, counted once at the file level
CPT 31255/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,265 exceeds the gross charge $6,025 — part of a file-wide pattern, counted once at the file level
CPT 71047/o
info
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $160 — part of a file-wide pattern, counted once at the file level
CPT 22600/o
info
mrf_negotiated_above_gross
highest negotiated rate $35,440 exceeds the gross charge $4,903 — part of a file-wide pattern, counted once at the file level
CPT 31256/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,536 exceeds the gross charge $4,871 — part of a file-wide pattern, counted once at the file level
CPT 75625/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,382 exceeds the gross charge $5,271 — part of a file-wide pattern, counted once at the file level
CPT 22612/o
info
mrf_negotiated_above_gross
highest negotiated rate $35,522 exceeds the gross charge $5,744 — part of a file-wide pattern, counted once at the file level
CPT 31257/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,265 exceeds the gross charge $4,249 — part of a file-wide pattern, counted once at the file level
CPT 75630/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,382 exceeds the gross charge $5,271 — part of a file-wide pattern, counted once at the file level
CPT 22614/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $4,507 — part of a file-wide pattern, counted once at the file level
CPT 31259/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,265 exceeds the gross charge $6,017 — part of a file-wide pattern, counted once at the file level
CPT 75710/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,382 exceeds the gross charge $5,271 — part of a file-wide pattern, counted once at the file level
CPT 22630/o
info
mrf_negotiated_above_gross
highest negotiated rate $54,844 exceeds the gross charge $6,431 — part of a file-wide pattern, counted once at the file level
CPT 31267/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,265 exceeds the gross charge $6,616 — part of a file-wide pattern, counted once at the file level
CPT 75716/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,382 exceeds the gross charge $5,271 — part of a file-wide pattern, counted once at the file level
CPT 22633/o
info
mrf_negotiated_above_gross
highest negotiated rate $54,844 exceeds the gross charge $5,553 — part of a file-wide pattern, counted once at the file level
CPT 31276/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,265 exceeds the gross charge $4,954 — part of a file-wide pattern, counted once at the file level
CPT 75726/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,247 exceeds the gross charge $9,796 — part of a file-wide pattern, counted once at the file level
CPT 22634/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $4,587 — part of a file-wide pattern, counted once at the file level
CPT 31288/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,265 exceeds the gross charge $6,888 — part of a file-wide pattern, counted once at the file level
CPT 75736/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,247 exceeds the gross charge $8,781 — part of a file-wide pattern, counted once at the file level
CPT 22830/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $7,133 — part of a file-wide pattern, counted once at the file level
CPT 31296/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,265 exceeds the gross charge $5,081 — part of a file-wide pattern, counted once at the file level
CPT 75820/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,182 exceeds the gross charge $2,435 — part of a file-wide pattern, counted once at the file level
CPT 22840/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $5,725 — part of a file-wide pattern, counted once at the file level
CPT 31500/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,427 — part of a file-wide pattern, counted once at the file level
CPT 75825/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,382 exceeds the gross charge $5,271 — part of a file-wide pattern, counted once at the file level
CPT 22842/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $4,412 — part of a file-wide pattern, counted once at the file level
CPT 31525/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $7,904 — part of a file-wide pattern, counted once at the file level
CPT 75831/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,382 exceeds the gross charge $5,271 — part of a file-wide pattern, counted once at the file level
CPT 22845/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,818 exceeds the gross charge $5,228 — part of a file-wide pattern, counted once at the file level
CPT 31545/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $9,424 — part of a file-wide pattern, counted once at the file level
CPT 75833/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,382 exceeds the gross charge $5,271 — part of a file-wide pattern, counted once at the file level
CPT 22846/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,818 exceeds the gross charge $6,866 — part of a file-wide pattern, counted once at the file level
CPT 31622/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,555 — part of a file-wide pattern, counted once at the file level
CPT 75889/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,382 exceeds the gross charge $5,271 — part of a file-wide pattern, counted once at the file level
CPT 22849/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $16,016 — part of a file-wide pattern, counted once at the file level
CPT 31623/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,598 exceeds the gross charge $2,912 — part of a file-wide pattern, counted once at the file level
CPT 76000/o
info
mrf_negotiated_above_gross
highest negotiated rate $482 exceeds the gross charge $423 — part of a file-wide pattern, counted once at the file level
CPT 22853/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,082 exceeds the gross charge $5,335 — part of a file-wide pattern, counted once at the file level
CPT 31624/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,598 exceeds the gross charge $3,041 — part of a file-wide pattern, counted once at the file level
CPT 76080/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,104 exceeds the gross charge $901 — part of a file-wide pattern, counted once at the file level
CPT 22856/o
info
mrf_negotiated_above_gross
highest negotiated rate $35,522 exceeds the gross charge $26,202 — part of a file-wide pattern, counted once at the file level
CPT 31625/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,598 exceeds the gross charge $2,939 — part of a file-wide pattern, counted once at the file level
CPT 76098/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,104 exceeds the gross charge $994 — part of a file-wide pattern, counted once at the file level
CPT 22859/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,082 exceeds the gross charge $5,149 — part of a file-wide pattern, counted once at the file level
CPT 31627/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $3,678 — part of a file-wide pattern, counted once at the file level
CPT 76775/o
info
mrf_negotiated_above_gross
highest negotiated rate $211 exceeds the gross charge $209 — part of a file-wide pattern, counted once at the file level
CPT 23120/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $10,716 — part of a file-wide pattern, counted once at the file level
CPT 31628/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,536 exceeds the gross charge $3,693 — part of a file-wide pattern, counted once at the file level
CPT 76981/o
info
mrf_negotiated_above_gross
highest negotiated rate $211 exceeds the gross charge $209 — part of a file-wide pattern, counted once at the file level
CPT 23130/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $10,367 — part of a file-wide pattern, counted once at the file level
CPT 31629/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,536 exceeds the gross charge $3,639 — part of a file-wide pattern, counted once at the file level
CPT 78014/o
info
mrf_negotiated_above_gross
highest negotiated rate $808 exceeds the gross charge $604 — part of a file-wide pattern, counted once at the file level
CPT 23334/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $12,550 — part of a file-wide pattern, counted once at the file level
CPT 31645/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,670 — part of a file-wide pattern, counted once at the file level
CPT 78290/o
info
mrf_negotiated_above_gross
highest negotiated rate $808 exceeds the gross charge $682 — part of a file-wide pattern, counted once at the file level
CPT 23350/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $772 — part of a file-wide pattern, counted once at the file level
CPT 31652/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,564 — part of a file-wide pattern, counted once at the file level
CPT 78451/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,617 exceeds the gross charge $2,092 — part of a file-wide pattern, counted once at the file level
CPT 23405/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $11,217 — part of a file-wide pattern, counted once at the file level
CPT 31653/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,336 — part of a file-wide pattern, counted once at the file level
CPT 78580/o
info
mrf_negotiated_above_gross
highest negotiated rate $808 exceeds the gross charge $682 — part of a file-wide pattern, counted once at the file level
CPT 23410/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $12,150 — part of a file-wide pattern, counted once at the file level
CPT 31654/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $3,766 — part of a file-wide pattern, counted once at the file level
CPT 78598/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,097 exceeds the gross charge $828 — part of a file-wide pattern, counted once at the file level
CPT 23412/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $12,603 — part of a file-wide pattern, counted once at the file level
CPT 32408/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $3,294 — part of a file-wide pattern, counted once at the file level
CPT 78708/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,097 exceeds the gross charge $1,006 — part of a file-wide pattern, counted once at the file level
CPT 23430/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $10,450 — part of a file-wide pattern, counted once at the file level
CPT 32550/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $10,035 — part of a file-wide pattern, counted once at the file level
CPT 81381/o
info
mrf_negotiated_above_gross
highest negotiated rate $371 exceeds the gross charge $265 — part of a file-wide pattern, counted once at the file level
CPT 23455/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $10,945 — part of a file-wide pattern, counted once at the file level
CPT 32552/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $1,457 — part of a file-wide pattern, counted once at the file level
CPT 83704/o
info
mrf_negotiated_above_gross
highest negotiated rate $75 exceeds the gross charge $51 — part of a file-wide pattern, counted once at the file level
CPT 23460/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $13,740 — part of a file-wide pattern, counted once at the file level
CPT 32555/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $4,651 — part of a file-wide pattern, counted once at the file level
CPT 84394/o
info
mrf_negotiated_above_gross
highest negotiated rate $282 exceeds the gross charge $273 — part of a file-wide pattern, counted once at the file level
CPT 23470/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $20,229 — part of a file-wide pattern, counted once at the file level
CPT 32557/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,252 — part of a file-wide pattern, counted once at the file level
CPT 84999/o
info
mrf_negotiated_above_gross
highest negotiated rate $66 exceeds the gross charge $16 — part of a file-wide pattern, counted once at the file level
CPT 23472/o
info
mrf_negotiated_above_gross
highest negotiated rate $35,440 exceeds the gross charge $22,543 — part of a file-wide pattern, counted once at the file level
CPT 33208/o
info
mrf_negotiated_above_gross
highest negotiated rate $21,126 exceeds the gross charge $20,379 — part of a file-wide pattern, counted once at the file level
CPT 85097/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,628 exceeds the gross charge $1,387 — part of a file-wide pattern, counted once at the file level
CPT 23474/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $20,274 — part of a file-wide pattern, counted once at the file level
CPT 33216/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,726 exceeds the gross charge $15,994 — part of a file-wide pattern, counted once at the file level
CPT 85999/o
info
mrf_negotiated_above_gross
highest negotiated rate $66 exceeds the gross charge $42 — part of a file-wide pattern, counted once at the file level
CPT 23550/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $13,248 — part of a file-wide pattern, counted once at the file level
CPT 33224/o
info
mrf_negotiated_above_gross
highest negotiated rate $21,126 exceeds the gross charge $20,384 — part of a file-wide pattern, counted once at the file level
CPT 86580/o
info
mrf_negotiated_above_gross
highest negotiated rate $58 exceeds the gross charge $40 — part of a file-wide pattern, counted once at the file level
CPT 23552/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $9,264 — part of a file-wide pattern, counted once at the file level
CPT 33227/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,726 exceeds the gross charge $15,994 — part of a file-wide pattern, counted once at the file level
CPT 86850/o
info
mrf_negotiated_above_gross
highest negotiated rate $105 exceeds the gross charge $92 — part of a file-wide pattern, counted once at the file level
CPT 23585/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $8,899 — part of a file-wide pattern, counted once at the file level
CPT 33228/o
info
mrf_negotiated_above_gross
highest negotiated rate $21,126 exceeds the gross charge $20,384 — part of a file-wide pattern, counted once at the file level
CPT 86860/o
info
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $238 — part of a file-wide pattern, counted once at the file level
CPT 23615/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $16,024 — part of a file-wide pattern, counted once at the file level
CPT 33229/o
info
mrf_negotiated_above_gross
highest negotiated rate $38,932 exceeds the gross charge $32,098 — part of a file-wide pattern, counted once at the file level
CPT 86870/o
info
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $464 — part of a file-wide pattern, counted once at the file level
CPT 23630/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $9,391 — part of a file-wide pattern, counted once at the file level
CPT 33274/o
info
mrf_negotiated_above_gross
highest negotiated rate $38,932 exceeds the gross charge $30,897 — part of a file-wide pattern, counted once at the file level
CPT 86885/o
info
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $274 — part of a file-wide pattern, counted once at the file level
CPT 23650/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 33285/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,726 exceeds the gross charge $15,696 — part of a file-wide pattern, counted once at the file level
CPT 86900/o
info
mrf_negotiated_above_gross
highest negotiated rate $269 exceeds the gross charge $207 — part of a file-wide pattern, counted once at the file level
CPT 23655/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $3,279 — part of a file-wide pattern, counted once at the file level
CPT 36002/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,184 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 86902/o
info
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $464 — part of a file-wide pattern, counted once at the file level
CPT 23665/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,581 — part of a file-wide pattern, counted once at the file level
CPT 36005/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $807 — part of a file-wide pattern, counted once at the file level
CPT 86905/o
info
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $464 — part of a file-wide pattern, counted once at the file level
CPT 23700/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $4,129 — part of a file-wide pattern, counted once at the file level
CPT 36010/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $807 — part of a file-wide pattern, counted once at the file level
CPT 86920/o
info
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $238 — part of a file-wide pattern, counted once at the file level
CPT 23930/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $5,288 — part of a file-wide pattern, counted once at the file level
CPT 36011/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $1,297 — part of a file-wide pattern, counted once at the file level
CPT 86922/o
info
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $274 — part of a file-wide pattern, counted once at the file level
CPT 24346/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $17,540 — part of a file-wide pattern, counted once at the file level
CPT 36012/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $1,419 — part of a file-wide pattern, counted once at the file level
CPT 86923/o
info
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $274 — part of a file-wide pattern, counted once at the file level
CPT 24358/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,528 exceeds the gross charge $7,752 — part of a file-wide pattern, counted once at the file level
CPT 36200/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $1,644 — part of a file-wide pattern, counted once at the file level
CPT 86977/o
info
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $315 — part of a file-wide pattern, counted once at the file level
CPT 24435/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $11,342 — part of a file-wide pattern, counted once at the file level
CPT 36245/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $2,083 — part of a file-wide pattern, counted once at the file level
CPT 88172/o
info
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $315 — part of a file-wide pattern, counted once at the file level
CPT 24515/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $24,453 — part of a file-wide pattern, counted once at the file level
CPT 36246/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $4,343 — part of a file-wide pattern, counted once at the file level
CPT 88184/o
info
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $700 — part of a file-wide pattern, counted once at the file level
CPT 24516/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $12,283 — part of a file-wide pattern, counted once at the file level
CPT 36247/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,074 — part of a file-wide pattern, counted once at the file level
CPT 88271/o
info
mrf_negotiated_above_gross
highest negotiated rate $47 exceeds the gross charge $14 — part of a file-wide pattern, counted once at the file level
CPT 24538/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $10,406 — part of a file-wide pattern, counted once at the file level
CPT 36253/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,247 exceeds the gross charge $10,971 — part of a file-wide pattern, counted once at the file level
CPT 88275/o
info
mrf_negotiated_above_gross
highest negotiated rate $112 exceeds the gross charge $33 — part of a file-wide pattern, counted once at the file level
CPT 24545/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $18,566 — part of a file-wide pattern, counted once at the file level
CPT 36430/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $1,881 — part of a file-wide pattern, counted once at the file level
CPT 88307/o
info
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $707 — part of a file-wide pattern, counted once at the file level
CPT 24546/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $11,636 — part of a file-wide pattern, counted once at the file level
CPT 36475/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,082 exceeds the gross charge $7,901 — part of a file-wide pattern, counted once at the file level
CPT 88309/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,628 exceeds the gross charge $1,044 — part of a file-wide pattern, counted once at the file level
CPT 24565/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,374 — part of a file-wide pattern, counted once at the file level
CPT 36482/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,247 exceeds the gross charge $10,304 — part of a file-wide pattern, counted once at the file level
CPT 88313/o
info
mrf_negotiated_above_gross
highest negotiated rate $269 exceeds the gross charge $184 — part of a file-wide pattern, counted once at the file level
CPT 24575/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $23,063 — part of a file-wide pattern, counted once at the file level
CPT 36556/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,051 — part of a file-wide pattern, counted once at the file level
CPT 88331/o
info
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $290 — part of a file-wide pattern, counted once at the file level
CPT 24586/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $13,477 — part of a file-wide pattern, counted once at the file level
CPT 36569/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $3,463 — part of a file-wide pattern, counted once at the file level
CPT 88361/o
info
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $464 — part of a file-wide pattern, counted once at the file level
CPT 24600/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 36584/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,987 — part of a file-wide pattern, counted once at the file level
CPT 88367/o
info
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $514 — part of a file-wide pattern, counted once at the file level
CPT 24605/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,425 — part of a file-wide pattern, counted once at the file level
CPT 36589/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $3,037 — part of a file-wide pattern, counted once at the file level
CPT 88368/o
info
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $208 — part of a file-wide pattern, counted once at the file level
CPT 24620/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,390 — part of a file-wide pattern, counted once at the file level
CPT 36590/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $7,648 — part of a file-wide pattern, counted once at the file level
CPT 88381/o
info
mrf_negotiated_above_gross
highest negotiated rate $354 exceeds the gross charge $79 — part of a file-wide pattern, counted once at the file level
CPT 24640/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,184 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 36592/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $758 — part of a file-wide pattern, counted once at the file level
CPT 90375/o
info
mrf_negotiated_above_gross
highest negotiated rate $611 exceeds the gross charge $402 — part of a file-wide pattern, counted once at the file level
CPT 24655/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,374 — part of a file-wide pattern, counted once at the file level
CPT 36593/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $810 — part of a file-wide pattern, counted once at the file level
CPT 90471/o
info
mrf_negotiated_above_gross
highest negotiated rate $146 exceeds the gross charge $98 — part of a file-wide pattern, counted once at the file level
CPT 24666/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $12,360 — part of a file-wide pattern, counted once at the file level
CPT 36595/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $8,182 — part of a file-wide pattern, counted once at the file level
CPT 90870/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,736 exceeds the gross charge $1,041 — part of a file-wide pattern, counted once at the file level
CPT 24685/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $13,512 — part of a file-wide pattern, counted once at the file level
CPT 36598/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $1,881 — part of a file-wide pattern, counted once at the file level
CPT 90935/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,387 exceeds the gross charge $1,206 — part of a file-wide pattern, counted once at the file level
CPT 25028/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,957 — part of a file-wide pattern, counted once at the file level
CPT 36903/o
info
mrf_negotiated_above_gross
highest negotiated rate $23,334 exceeds the gross charge $22,165 — part of a file-wide pattern, counted once at the file level
CPT 91110/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,833 exceeds the gross charge $1,780 — part of a file-wide pattern, counted once at the file level
CPT 25073/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,528 exceeds the gross charge $8,167 — part of a file-wide pattern, counted once at the file level
CPT 36905/o
info
mrf_negotiated_above_gross
highest negotiated rate $23,334 exceeds the gross charge $19,568 — part of a file-wide pattern, counted once at the file level
CPT 92521/o
info
mrf_negotiated_above_gross
highest negotiated rate $273 exceeds the gross charge $256 — part of a file-wide pattern, counted once at the file level
CPT 25112/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $6,391 — part of a file-wide pattern, counted once at the file level
CPT 36906/o
info
mrf_negotiated_above_gross
highest negotiated rate $37,053 exceeds the gross charge $32,454 — part of a file-wide pattern, counted once at the file level
CPT 92522/o
info
mrf_negotiated_above_gross
highest negotiated rate $229 exceeds the gross charge $207 — part of a file-wide pattern, counted once at the file level
CPT 25115/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $7,074 — part of a file-wide pattern, counted once at the file level
CPT 37184/o
info
mrf_negotiated_above_gross
highest negotiated rate $37,053 exceeds the gross charge $18,404 — part of a file-wide pattern, counted once at the file level