Service
Code
Listed
Cash
Negotiated
Rates
Checks
0035U - NEURO CSF DETCJ PRION PRTN QUAKG CONF CONV QUAL
$1,409
$352
$678
15
clean
0037U - TRGT GEN SEQ ALYS SLD ORGN NEO DNA 324 GENES
$9,100
$2,275
$4,337
19
clean
0184T - RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC
$382
$95
$6,256
15
clean
0201T - PERQ SAC AGMNTJ BI W-WO BALO-MCHNL DEV 2-GREATER THAN NDLS
$12,279
$3,070
$8,528
15
clean
0202U - Nfct ds 22 trgt sars-cov-2
$1,301
$325
$436
11
clean
0238T - TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA
$29,118
$7,280
$18,338
15
clean
0339T - TRANSCATHETER RENAL SYMPATH DENERVATION BILAT
$10,239
$2,560
$8,528
15
clean
0358T - BIA WHOLE BODY COMPOSITION ASSESSMENT W-IANDR
$59
$15
$34
14
clean
0707T - NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT
$186
$47
$4,624
15
clean
0795T - TCAT INSJ PERM DUAL CHAMBER LDLS PM COMPL SYS
$46,338
$11,585
$19,269
15
clean
0823T - TCAT INSJ PERM 1CHMBR LDLS PACEMAKER R ATRIAL
$46,386
$11,597
$19,269
15
clean
0866T - QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI
$555
$139
$336
15
clean
10005 - FINE NEEDLE ASPIRATION BX W-US GDN 1ST LESION
$2,276
$569
$867
20
clean
10006 - FINE NEEDLE ASPIRATION BX W-US GDN EA ADDL
$1,162
$290
$3,487
3
clean
10009 - FINE NEEDLE ASPIRATION BX W-CT GDN 1ST LESION
$1,144
$286
$867
20
clean
10030 - IMG-GUIDED FLU COLLJ DRG CATH SOFT TISS PERQ
$1,569
$392
$757
20
clean
10060 - INCISION AND DRAINAGE ABSCESS SIMPLE-SINGLE
$1,164
$291
$306
20
clean
10061 - INCISION AND DRAINAGE ABSCESS COMPLICATED-MULTIPLE
$6,204
$1,551
$498
20
clean
10080 - INCISION AND DRAINAGE PILONIDAL CYST SIMPLE
$1,561
$390
$757
20
clean
10120 - INCISION AND REMOVAL FOREIGN BODY SUBQ TISS SIMPLE
$855
$214
$498
20
clean
10121 - INCISION AND REMOVAL FOREIGN BODY SUBQ TISS COMP
$20,819
$5,205
$1,652
19
clean
10140 - IANDD HEMATOMA SEROMA-FLUID COLLECTION
$13,219
$3,305
$1,622
19
clean
10160 - PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA-CYST
$854
$213
$407
19
clean
10180 - INCISION AND DRAINAGE COMPLEX PO WOUND INFECTION
$22,070
$5,518
$2,879
20
clean
11011 - DBRDMT W-RMVL FM FXAND-DISLC SKN SUBQ T-M-F MUSC
$25,846
$6,462
$867
20
clean
11012 - DBRDMT FXAND-DISLC SUBQ T-M-F BONE
$7,084
$1,771
$2,837
20
clean
11042 - DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM-LESS THAN
$9,927
$2,482
$498
20
clean
11043 - DEBRIDEMENT MUSCLE AND-FASCIA 1ST 20 SQ CM-LESS THAN
$13,183
$3,296
$733
20
clean
11044 - DEBRIDEMENT BONE 1ST 20 SQ CM-LESS THAN
$18,686
$4,671
$1,637
20
clean
11045 - DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM
$7,653
$1,913
$3,487
3
clean
11046 - DEBRIDEMENT MUSCLE AND-FASCIA EA ADDL 20 SQ CM
$7,762
$1,940
$3,487
3
clean
11102 - TANGENTIAL BIOPSY SKIN SINGLE LESION
$3,544
$886
$392
20
clean
11104 - PUNCH BIOPSY SKIN SINGLE LESION
$5,875
$1,469
$498
20
clean
11200 - RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TOANDINC 15
$8,649
$2,162
$310
20
clean
11400 - EXC B9 LESION MRGN XCP SK TG T-A-L 0.5 CM-LESS THAN
$10,947
$2,737
$867
20
clean
11401 - EXC B9 LESION MRGN XCP SK TG T-A-L 0.6-1.0 CM
$3,957
$989
$498
20
clean
11402 - EXC B9 LESION MRGN XCP SK TG T-A-L 1.1-2.0 CM
$10,380
$2,595
$867
20
clean
11403 - EXC B9 LESION MRGN XCP SK TG T-A-L 2.1-3.0 CM
$18,920
$4,730
$867
20
clean
11406 - EXC B9 LESION MRGN XCP SK TG T-A-L GREATER THAN 4.0 CM
$7,729
$1,932
$1,652
19
clean
11420 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 0.5 CM-LESS THAN
$16,173
$4,043
$1,637
20
clean
11422 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 1.1-2.0CM
$7,410
$1,853
$1,637
20
clean
11423 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 2.1-3.0CM
$13,056
$3,264
$1,652
19
clean
11424 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 3.1-4.0CM
$3,957
$989
$1,652
19
clean
11426 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G GREATER THAN 4.0CM
$10,713
$2,678
$2,879
20
clean
11440 - EXC B9 LESION MRGN XCP SK TG F-E-E-N-L-M 0.5CM-LESS THAN
$6,900
$1,725
$867
20
clean
11441 - EXC B9 LES MRGN XCP SK TG F-E-E-N-L-M 0.6-1.0CM
$11,995
$2,999
$867
20
clean
11442 - EXC B9 LES MRGN XCP SK TG F-E-E-N-L-M 1.1-2.0CM
$8,297
$2,074
$867
20
clean
11443 - EXC B9 LES MRGN XCP SK TG F-E-E-N-L-M 2.1-3.0CM
$7,591
$1,898
$1,637
20
clean
11444 - EXC B9 LES MRGN XCP SK TG F-E-E-N-L-M 3.1-4.0CM
$6,578
$1,644
$1,637
20
clean
11450 - EXCISION HIDRADENITIS AXILLARY SMPL-INTRM RPR
$19,840
$4,960
$2,879
20
clean
11451 - EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR
$19,610
$4,903
$2,879
20
clean
11462 - EXCISION HIDRADENITIS INGUINAL SMPL-INTRM RPR
$13,399
$3,350
$2,879
20
clean
11463 - EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR
$11,313
$2,828
$2,879
20
clean
11470 - EXCISION H-P-P-U SIMPLE-INTERMEDIATE REPAIR
$17,378
$4,344
$2,879
20
clean
11471 - EXCISION H-P-P-U COMPLEX REPAIR
$11,313
$2,828
$2,879
20
clean
11601 - EXCISION MAL LESION TRUNK-ARM-LEG 0.6-1.0 CM
$7,820
$1,955
$708
19
clean
11604 - EXCISION MAL LESION TRUNK-ARM-LEG 3.1-4.0 CM
$7,820
$1,955
$867
20
clean
11606 - EXCISION MALIGNANT LESION TRUNK-ARM-LEG GREATER THAN 4.0 CM
$12,384
$3,096
$1,652
19
clean
11623 - EXCISION MALIGNANT LESION S-N-H-F-G 2.1-3.0 CM
$15,985
$3,996
$1,613
20
clean
11626 - EXCISION MALIGNANT LESION S-N-H-F-G GREATER THAN 4.0 CM
$9,549
$2,387
$2,879
20
clean
11642 - EXCISION MALIGNANT LESION F-E-E-N-L 1.1-2.0 CM
$10,551
$2,638
$867
20
clean
11643 - EXCISION MALIGNANT LESION F-E-E-N-L 2.1-3.0 CM
$5,961
$1,490
$1,637
20
clean
11646 - EXCISION MALIGNANT LESION F-E-E-N-L GREATER THAN 4.0 CM
$8,445
$2,111
$2,879
20
clean
11719 - TRIMMING NONDYSTROPHIC NAILS ANY NUMBER
$758
$190
$93
19
clean
11730 - AVULSION NAIL PLATE PARTIAL-COMPLETE SIMPLE 1
$1,868
$467
$302
19
clean
11740 - EVACUATION SUBUNGUAL HEMATOMA
$862
$216
$200
19
clean
11750 - EXCISION NAILANDNAIL MATRIX PRTL-COMPL PERM RMVL
$5,874
$1,469
$498
20
clean
11760 - REPAIR NAIL BED
$892
$223
$733
20
clean
11770 - EXCISION PILONIDAL CYST-SINUS SIMPLE
$15,355
$3,839
$3,133
20
clean
11771 - EXCISION PILONIDAL CYST-SINUS EXTENSIVE
$21,863
$5,466
$3,133
20
clean
11772 - EXCISION PILONIDAL CYST-SINUS COMPLICATED
$21,086
$5,272
$3,133
20
clean
11970 - REPLACEMENT TISSUE EXPANDER W-PERMANENT IMPLANT
$11,233
$2,808
$7,004
20
clean
11971 - REMOVAL TISSUE EXPANDER W-O INSERTION IMPLANT
$20,376
$5,094
$2,879
20
clean
11981 - INSERTION DRUG DELIVERY IMPLANT
$4,580
$1,145
$200
19
clean
11982 - REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT
$10,083
$2,521
$447
19
clean
12001 - SIMPLE REPAIR SCALP-NECK-AX-GENIT-TRUNK 2.5CM-LESS THAN
$834
$209
$302
19
clean
12002 - SMPL REPAIR SCALP-NECK-AX-GENIT-TRUNK 2.6-7.5CM
$862
$216
$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
$498
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
12017 - SIMPLE REPAIR F-E-E-N-L-M 20.1CM-30.0 CM
$2,581
$645
$498
20
clean
12031 - REPAIR INTERMEDIATE S-A-T-E 2.5 CM-LESS THAN
$4,577
$1,144
$498
20
clean
12032 - REPAIR INTERMEDIATE S-A-T-E 2.6-7.5 CM
$1,390
$348
$498
20
clean
12034 - REPAIR INTERMEDIATE S-A-T-E 7.6-12.5 CM
$2,879
$720
$498
20
clean
12035 - REPAIR INTERMEDIATE S-A-T-E 12.6-20.0CM
$2,997
$749
$498
20
clean
12036 - REPAIR INTERMEDIATE S-A-T-E 20.1-30.0 CM
$6,812
$1,703
$733
20
clean
12037 - REPAIR INTERMEDIATE S-A-T-E GREATER THAN 30.0 CM
$10,237
$2,559
$2,064
19
clean
12041 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 2.5CM-LESS THAN
$3,177
$794
$498
20
clean
12042 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 2.6-7.5 CM
$3,793
$948
$498
20
clean
12044 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 7.6-12.5CM
$2,581
$645
$733
20
clean
12051 - REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 2.5 CM-LESS THAN
$4,758
$1,190
$498
20
clean
12052 - REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 2.6-5.0 CM
$1,871
$468
$498
20
clean
12053 - REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 5.1-7.5 CM
$862
$216
$498
20
clean
12054 - REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 7.6-12.5 CM
$5,783
$1,446
$498
20
clean
12055 - REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 12.6-20.0CM
$2,581
$645
$498
20
clean
13100 - REPAIR COMPLEX TRUNK 1.1-2.5 CM
$13,707
$3,427
$733
20
clean
13101 - REPAIR COMPLEX TRUNK 2.6-7.5 CM
$6,220
$1,555
$733
20
clean
13102 - REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM-LESS THAN
$6,033
$1,508
$6,256
3
clean
13121 - REPAIR COMPLEX SCALP-ARM-LEG 2.6-7.5 CM
$8,302
$2,076
$509
20
clean
13122 - REPAIR COMPLEX SCALP-ARM-LEG EA ADDL 5 CM-LESS THAN
$5,657
$1,414
$6,256
3
clean
13131 - REPAIR COMPLEX F-C-C-M-N-AX-G-H-F 1.1-2.5 CM
$2,603
$651
$498
20
clean
13132 - REPAIR COMPLEX F-C-C-M-N-AX-G-H-F 2.6-7.5 CM
$7,334
$1,834
$509
20
clean
13133 - REPAIR COMPLEX F-C-C-M-N-AX-G-H-F EA ADDL 5 CM-LESS THAN
$4,968
$1,242
$6,256
3
clean
13151 - REPAIR COMPLEX EYELID-NOSE-EAR-LIP 1.1-2.5 CM
$10,529
$2,632
$733
20
clean
13152 - REPAIR COMPLEX EYELID-NOSE-EAR-LIP 2.6-7.5 CM
$7,905
$1,976
$733
20
clean
13153 - REPAIR COMPLX EYELID-NOSE-EAR-LIP EA ADDL 5 CM-LESS THAN
$3,297
$824
$4,769
3
clean
13160 - SECONDARY CLOSURE SURG WOUND-DEHSN XTNSV-COMP
$14,795
$3,699
$3,363
19
clean
14000 - ADJACENT TISSUE TRANSFER-REARGMT TRUNK 10 SQCM-LESS THAN
$19,942
$4,986
$2,064
19
clean
14001 - ADJNT TIS TRANSFR-REARRANGE TRUNK 10.1-30.0 SQCM
$18,150
$4,537
$2,064
19
clean
14020 - ADJT TIS TRNSFR-REARGMT SCALP-ARM-LEG 10 SQ CM-LESS THAN
$16,503
$4,126
$2,064
19
clean
14021 - ADJT-REARRGMT SCALP-ARM-LEG 10.1-30.0 SQ CM
$6,857
$1,714
$2,064
19
clean
14040 - ADJT TIS TRNS-REARGMT F-C-C-M-N-A-G-H-F 10SQCM-LESS THAN
$19,548
$4,887
$2,064
19
clean
14041 - ADJT-REARGMT F-C-C-M-N-AX-G-H-F 10.1-30.0 SQ CM
$17,508
$4,377
$2,064
19
clean
14060 - ADJT TIS TRNSFR-REARRGMT E-N-E-L DFCT 10 SQ CM-LESS THAN
$10,280
$2,570
$2,064
19
clean
14061 - ADJT TIS REARGMT EYE-NOSE-EAR-LIP 10.1-30.0 SQCM
$14,315
$3,579
$2,064
19
clean
14301 - ADJNT TIS TRNSFR-REARGMT ANY AREA 30.1-60 SQ CM
$16,069
$4,017
$4,343
20
clean
14302 - ADJT TIS TRNSFR-REARGMT DEFEC EA ADDL 30 SQCM
$17,220
$4,305
$6,256
3
clean
15002 - PREP SITE TRUNK-ARM-LEG 1ST 100 SQ CM-1PCT
$11,891
$2,973
$739
19
clean
15004 - PREP SITE F-S-N-H-F-G-M-D GT 1ST 100 SQ CM-1PCT
$7,532
$1,883
$509
20
clean
15100 - SPLT AGRFT T-A-L 1ST 100 SQCM-LESS THAN -1PERCENT BDY INFT-CHLD
$16,609
$4,152
$2,064
19
clean
15220 - FTH-GFT FREE W-DIRECT CLOSURE S-A-L 20 SQ CM-LESS THAN
$10,769
$2,692
$2,064
19
clean
15221 - FTH-GFT FR W-DIR CLSR S-A-L EA ADDL 20 SQ CM
$7,647
$1,912
$3,487
3
clean
15240 - FTH-GFT FR DIR CLSR F-C-C-M-N-AX-G-H-F 20SQCM-LESS THAN
$12,326
$3,082
$2,064
19
clean
15260 - FTH-GFT FREE W-DIRECT CLOSURE N-E-E-L 20 SQ CM-LESS THAN
$9,525
$2,381
$2,064
19
clean
15271 - APP SKN SUB GRFT T-A-L AREA-100SQ CM -LESS THAN 1ST 25
$11,711
$2,928
$739
19
clean
15273 - APP SKN SUBGRFT T-A-L AREA-100SQ CM 1ST 100SQ CM
$7,250
$1,813
$2,124
20
clean
15275 - SUB GRFT F-S-N-H-F-G-M-D LESS THAN 100SQ CM 1ST 25 SQ CM
$7,811
$1,953
$739
19
clean
15277 - SUB GRFT F-S-N-H-F-G-M-D GREATER THAN = 100SCM 1ST 100SQ CM
$5,273
$1,318
$2,064
19
clean
15278 - SUB GRFT F-S-N-H-F-G-M-D GREATER THAN = 100SCM ADL 100SQ CM
$5,273
$1,318
$6,256
3
clean
15576 - FRMJ DIRECT-TUBED PEDICLE W-WOTR E-N-E-L-NTRORAL
$19,905
$4,976
$2,064
19
clean
15630 - DELAY FLAP-SCTJ FLAP EYELIDS NOSE EARS-LIPS
$20,358
$5,090
$2,064
19
clean
15731 - FOREHEAD FLAP W-PRESERVATION VASCULAR PEDICLE
$14,505
$3,626
$3,512
20
clean
15734 - MUSC MYOCUTANEOUS-FASCIOCUTANEOUS FLAP TRUNK
$10,889
$2,722
$3,512
20
clean
15769 - GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC
$14,270
$3,568
$4,343
20
clean
15771 - GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS
$9,279
$2,320
$5,277
16
clean
15772 - GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC
$7,519
$1,880
$4,769
3
clean
15777 - IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT
$9,538
$2,384
$3,487
3
clean
15820 - BLEPHAROPLASTY LOWER EYELID
$14,317
$3,579
$2,800
15
clean
15822 - BLEPHAROPLASTY UPPER EYELID
$15,040
$3,760
$2,800
15
clean
15823 - BLEPHAROPLASTY UPPER EYELID W-EXCESSIVE SKIN
$10,322
$2,581
$2,800
15
clean
15829 - RHYTIDECTOMY SMAS FLAP
$19,830
$4,958
$5,277
16
clean
15830 - EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY
$11,658
$2,915
$6,486
20
clean
15832 - EXCISION EXCESSIVE SKIN AND SUBQ TISSUE THIGH
$27,772
$6,943
$3,733
16
clean
15835 - EXCISION EXCESSIVE SKIN AND SUBQ TISSUE BUTTOCK
$17,989
$4,497
$3,733
16
clean
15836 - EXCISION EXCESSIVE SKIN AND SUBQ TISSUE ARM
$15,313
$3,828
$4,083
15
clean
15839 - EXCISION EXCESSIVE SKIN AND SUBQ TISSUE OTHER AREA
$27,102
$6,775
$4,083
15
clean
15847 - EXCISION EXCESSIVE SKIN AND SUBQ TISSUE ABDOMEN
$13,235
$3,309
$4,769
3
clean
15851 - REMOVAL SUTURES-STAPLES REQUIRING ANESTHESIA
$6,931
$1,733
$2,064
19
clean
15852 - DRESSING CHANGE UNDER ANESTHESIA
$9,549
$2,387
$726
19
clean
15853 - REMOVAL SUTURES-STAPLES NOT REQUIRING ANESTHESIA
$252
$63
$3,477
2
clean
15860 - IV INJECTION AGENT TEST VASCULAR FLOW FLAP-GRAFT
$8,400
$2,100
$612
15
clean
15877 - SUCTION ASSISTED LIPECTOMY TRUNK
$11,793
$2,948
$4,955
16
clean
15879 - SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY
$15,654
$3,913
$4,955
16
clean
16020 - DRSAND-DBRDMT PRTL-THKNS BURNS 1ST-SBSQ SMALL
$3,453
$863
$201
19
clean
17250 - CHEMICAL CAUTERIZATION OF GRANULATION TISSUE
$862
$216
$302
19
clean
17999 - UNLISTED PX SKIN MUC MEMBRANE AND SUBQ TISSUE
$10,567
$2,642
$293
15
clean
19000 - PUNCTURE ASPIRATION CYST OF BREAST
$2,003
$501
$708
19
clean
19020 - MASTOTOMY W-EXPLORATION-DRAINAGE ABSCESS DEEP
$14,631
$3,658
$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
$1,212
$303
$3,487
3
clean
19085 - BX BREAST W-DEVICE 1ST LESION MAGNETIC RES GUID
$5,128
$1,282
$1,652
19
clean
19110 - NIPPLE EXPLORATION
$18,033
$4,508
$3,779
20
clean
19120 - EXC CYST-ABERRANT BREAST TISSUE OPEN 1-GREATER THAN LESION
$16,570
$4,143
$3,825
20
clean
19125 - EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES
$19,978
$4,995
$3,825
20
clean
19283 - PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE
$1,971
$493
$867
20
clean
19284 - PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC
$1,121
$280
$6,256
3
clean
19285 - PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG
$2,137
$534
$867
20
clean
19286 - PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE
$1,106
$277
$6,256
3
clean
19301 - MASTECTOMY PARTIAL
$15,791
$3,948
$3,825
20
clean
19302 - MASTECTOMY PARTIAL W-AXILLARY LYMPHADENECTOMY
$13,557
$3,389
$6,486
20
clean
19303 - MASTECTOMY SIMPLE COMPLETE
$13,868
$3,467
$6,486
20
clean
19307 - MAST MODF RAD W-AX LYMPH NOD W-WO PECT-ALIS MIN
$12,363
$3,091
$6,643
19
clean
19316 - MASTOPEXY
$14,285
$3,571
$8,018
16
clean
19318 - BREAST REDUCTION
$22,803
$5,701
$6,581
20
clean
19325 - BREAST AUGMENTATION WITH IMPLANT
$14,847
$3,712
$8,352
20
clean
19328 - REMOVAL INTACT BREAST IMPLANT
$11,936
$2,984
$3,881
20
clean
19340 - INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY
$10,106
$2,526
$7,888
20
clean
19342 - INSJ-RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY
$15,064
$3,766
$7,984
20
clean
19357 - TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION
$10,362
$2,591
$13,300
20
clean
19370 - REVISION PERI-IMPLANT CAPSULE BREAST
$11,472
$2,868
$4,675
20
clean
19371 - PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE
$11,988
$2,997
$4,675
20
clean
19380 - REVISION OF RECONSTRUCTED BREAST
$10,928
$2,732
$6,581
20
clean
19499 - UNLISTED PROCEDURE BREAST
$22,751
$5,688
$5,433
15
clean
20102 - EXPL PENETRATING WOUND SPX ABDOMEN-FLANK-BACK
$13,050
$3,262
$2,045
18
clean
20206 - BIOPSY MUSCLE PERCUTANEOUS NEEDLE
$2,833
$708
$1,652
19
clean
20220 - BIOPSY BONE TROCAR-NEEDLE SUPERFICIAL
$2,593
$648
$1,637
20
clean
20225 - BIOPSY BONE TROCAR-NEEDLE DEEP
$2,581
$645
$1,652
19
clean
20500 - INJECTION SINUS TRACT THERAPEUTIC SEPARATE PX
$3,059
$765
$2,194
15
clean
20501 - INJECTION SINUS TRACT DIAGNOSTIC
$807
$202
$310
6
clean
20520 - REMOVAL FOREIGN BODY MUSCLE-TENDON SHEATH SIMPLE
$2,693
$673
$1,637
20
clean
20525 - RMVL FOREIGN BODY MUSCLE-TENDON SHEATH DEEP-COMP
$18,574
$4,644
$3,133
20
clean
20552 - INJECTION SINGLE-MLT TRIGGER POINT 1-2 MUSCLES
$2,003
$501
$370
20
clean
20600 - ARTHROCENTESIS ASPIRAND-INJ SMALL JT-BURSA W-O US
$2,003
$501
$370
20
clean
Showing the first 200 of 3,717 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
882 of 3,029 comparable items (29%) 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 $12,271 exceeds the gross charge $382
warn
mrf_rate_without_estimate
27,587 of 27,587 percentage/algorithm rates across 3,717 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
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 24344/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $11,601 — part of a file-wide pattern, counted once at the file level
CPT 45331/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 80074/o
info
mrf_negotiated_above_gross
highest negotiated rate $104 exceeds the gross charge $48 — part of a file-wide pattern, counted once at the file level
CPT 24345/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $7,924 — part of a file-wide pattern, counted once at the file level
CPT 45334/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 80164/o
info
mrf_negotiated_above_gross
highest negotiated rate $30 exceeds the gross charge $19 — part of a file-wide pattern, counted once at the file level
CPT 24366/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $22,372 — part of a file-wide pattern, counted once at the file level
CPT 45335/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 80178/o
info
mrf_negotiated_above_gross
highest negotiated rate $14 exceeds the gross charge $13 — part of a file-wide pattern, counted once at the file level
CPT 24430/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $25,418 — part of a file-wide pattern, counted once at the file level
CPT 45337/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $1,382 — part of a file-wide pattern, counted once at the file level
CPT 80195/o
info
mrf_negotiated_above_gross
highest negotiated rate $30 exceeds the gross charge $19 — 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 $14,466 — part of a file-wide pattern, counted once at the file level
CPT 45338/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,211 — part of a file-wide pattern, counted once at the file level
CPT 80197/o
info
mrf_negotiated_above_gross
highest negotiated rate $30 exceeds the gross charge $14 — 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 45341/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,008 — part of a file-wide pattern, counted once at the file level
CPT 81229/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,533 exceeds the gross charge $2,288 — 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 $21,955 — part of a file-wide pattern, counted once at the file level
CPT 45342/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $3,451 — part of a file-wide pattern, counted once at the file level
CPT 81272/o
info
mrf_negotiated_above_gross
highest negotiated rate $720 exceeds the gross charge $250 — 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 $11,014 — part of a file-wide pattern, counted once at the file level
CPT 45346/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,772 — part of a file-wide pattern, counted once at the file level
CPT 81311/o
info
mrf_negotiated_above_gross
highest negotiated rate $646 exceeds the gross charge $582 — 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 45379/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 81314/o
info
mrf_negotiated_above_gross
highest negotiated rate $720 exceeds the gross charge $499 — 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 45380/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $3,066 — 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 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 45381/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 81449/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,306 exceeds the gross charge $936 — 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 $6,694 — part of a file-wide pattern, counted once at the file level
CPT 45382/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 82233/o
info
mrf_negotiated_above_gross
highest negotiated rate $282 exceeds the gross charge $250 — 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 $7,924 — part of a file-wide pattern, counted once at the file level
CPT 45384/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 82234/o
info
mrf_negotiated_above_gross
highest negotiated rate $282 exceeds the gross charge $260 — part of a file-wide pattern, counted once at the file level
CPT 25246/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $897 — part of a file-wide pattern, counted once at the file level
CPT 45385/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $3,035 — part of a file-wide pattern, counted once at the file level
CPT 82306/o
info
mrf_negotiated_above_gross
highest negotiated rate $65 exceeds the gross charge $33 — part of a file-wide pattern, counted once at the file level
CPT 25520/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 45386/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 82575/o
info
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $6 — part of a file-wide pattern, counted once at the file level
CPT 25565/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 45392/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $3,451 — part of a file-wide pattern, counted once at the file level
CPT 82607/o
info
mrf_negotiated_above_gross
highest negotiated rate $33 exceeds the gross charge $28 — part of a file-wide pattern, counted once at the file level
CPT 25690/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,390 — part of a file-wide pattern, counted once at the file level
CPT 45915/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,016 — part of a file-wide pattern, counted once at the file level
CPT 82670/o
info
mrf_negotiated_above_gross
highest negotiated rate $61 exceeds the gross charge $14 — part of a file-wide pattern, counted once at the file level
CPT 26011/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,399 — part of a file-wide pattern, counted once at the file level
CPT 46030/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $8,647 — part of a file-wide pattern, counted once at the file level
CPT 82728/o
info
mrf_negotiated_above_gross
highest negotiated rate $30 exceeds the gross charge $22 — part of a file-wide pattern, counted once at the file level
CPT 26605/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $807 — part of a file-wide pattern, counted once at the file level
CPT 46050/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $5,656 — part of a file-wide pattern, counted once at the file level
CPT 82746/o
info
mrf_negotiated_above_gross
highest negotiated rate $32 exceeds the gross charge $24 — part of a file-wide pattern, counted once at the file level
CPT 26608/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $9,287 — part of a file-wide pattern, counted once at the file level
CPT 46221/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,769 exceeds the gross charge $1,419 — part of a file-wide pattern, counted once at the file level
CPT 83001/o
info
mrf_negotiated_above_gross
highest negotiated rate $41 exceeds the gross charge $9 — part of a file-wide pattern, counted once at the file level
CPT 26670/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $807 — part of a file-wide pattern, counted once at the file level
CPT 46606/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,370 — part of a file-wide pattern, counted once at the file level
CPT 83718/o
info
mrf_negotiated_above_gross
highest negotiated rate $18 exceeds the gross charge $4 — part of a file-wide pattern, counted once at the file level
CPT 26700/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $862 — part of a file-wide pattern, counted once at the file level
CPT 46707/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,528 exceeds the gross charge $5,724 — part of a file-wide pattern, counted once at the file level
CPT 83721/o
info
mrf_negotiated_above_gross
highest negotiated rate $23 exceeds the gross charge $6 — part of a file-wide pattern, counted once at the file level
CPT 26735/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $7,835 — part of a file-wide pattern, counted once at the file level
CPT 47000/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,604 — part of a file-wide pattern, counted once at the file level
CPT 84144/o
info
mrf_negotiated_above_gross
highest negotiated rate $46 exceeds the gross charge $11 — part of a file-wide pattern, counted once at the file level
CPT 26765/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $10,626 — part of a file-wide pattern, counted once at the file level
CPT 47490/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,237 exceeds the gross charge $6,395 — part of a file-wide pattern, counted once at the file level
CPT 84146/o
info
mrf_negotiated_above_gross
highest negotiated rate $42 exceeds the gross charge $9 — part of a file-wide pattern, counted once at the file level
CPT 26770/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $862 — part of a file-wide pattern, counted once at the file level
CPT 47531/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,237 exceeds the gross charge $5,463 — part of a file-wide pattern, counted once at the file level
CPT 84153/o
info
mrf_negotiated_above_gross
highest negotiated rate $40 exceeds the gross charge $17 — part of a file-wide pattern, counted once at the file level
CPT 27093/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 47534/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $10,035 — part of a file-wide pattern, counted once at the file level
CPT 84393/o
info
mrf_negotiated_above_gross
highest negotiated rate $282 exceeds the gross charge $265 — part of a file-wide pattern, counted once at the file level
CPT 27096/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 47536/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $10,035 — 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 $260 — part of a file-wide pattern, counted once at the file level
CPT 27216/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $8,778 — part of a file-wide pattern, counted once at the file level
CPT 47537/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $1,923 — part of a file-wide pattern, counted once at the file level
CPT 84443/o
info
mrf_negotiated_above_gross
highest negotiated rate $37 exceeds the gross charge $33 — part of a file-wide pattern, counted once at the file level
CPT 27250/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 47538/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $10,304 — part of a file-wide pattern, counted once at the file level
CPT 84478/o
info
mrf_negotiated_above_gross
highest negotiated rate $13 exceeds the gross charge $11 — part of a file-wide pattern, counted once at the file level
CPT 27256/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $848 — part of a file-wide pattern, counted once at the file level
CPT 47543/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $4,776 — part of a file-wide pattern, counted once at the file level
CPT 84480/o
info
mrf_negotiated_above_gross
highest negotiated rate $31 exceeds the gross charge $24 — part of a file-wide pattern, counted once at the file level
CPT 27265/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 47544/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $4,776 — part of a file-wide pattern, counted once at the file level
CPT 84481/o
info
mrf_negotiated_above_gross
highest negotiated rate $37 exceeds the gross charge $13 — part of a file-wide pattern, counted once at the file level
CPT 27279/o
info
mrf_negotiated_above_gross
highest negotiated rate $35,522 exceeds the gross charge $11,852 — part of a file-wide pattern, counted once at the file level
CPT 47553/o
info
mrf_negotiated_above_gross
highest negotiated rate $13,085 exceeds the gross charge $10,971 — part of a file-wide pattern, counted once at the file level
CPT 85055/o
info
mrf_negotiated_above_gross
highest negotiated rate $78 exceeds the gross charge $40 — part of a file-wide pattern, counted once at the file level
CPT 27280/o
info
mrf_negotiated_above_gross
highest negotiated rate $35,440 exceeds the gross charge $12,654 — part of a file-wide pattern, counted once at the file level
CPT 47999/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $3,639 — 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 27386/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $10,792 — part of a file-wide pattern, counted once at the file level
CPT 48102/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,526 — 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 27418/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $7,043 — part of a file-wide pattern, counted once at the file level
CPT 49000/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $9,647 — part of a file-wide pattern, counted once at the file level
CPT 86060/o
info
mrf_negotiated_above_gross
highest negotiated rate $16 exceeds the gross charge $4 — part of a file-wide pattern, counted once at the file level
CPT 27422/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $7,648 — part of a file-wide pattern, counted once at the file level
CPT 49020/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $2,556 — part of a file-wide pattern, counted once at the file level
CPT 86140/o
info
mrf_negotiated_above_gross
highest negotiated rate $11 exceeds the gross charge $6 — part of a file-wide pattern, counted once at the file level
CPT 27427/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $7,757 — part of a file-wide pattern, counted once at the file level
CPT 49083/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,764 — part of a file-wide pattern, counted once at the file level
CPT 86317/o
info
mrf_negotiated_above_gross
highest negotiated rate $33 exceeds the gross charge $31 — part of a file-wide pattern, counted once at the file level
CPT 27446/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $19,418 — part of a file-wide pattern, counted once at the file level
CPT 49180/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,895 — part of a file-wide pattern, counted once at the file level
CPT 86430/o
info
mrf_negotiated_above_gross
highest negotiated rate $13 exceeds the gross charge $7 — part of a file-wide pattern, counted once at the file level
CPT 27447/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $23,115 — part of a file-wide pattern, counted once at the file level
CPT 49320/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $11,437 — 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 27560/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 49322/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $10,975 — part of a file-wide pattern, counted once at the file level
CPT 86581/o
info
mrf_negotiated_above_gross
highest negotiated rate $477 exceeds the gross charge $470 — part of a file-wide pattern, counted once at the file level
CPT 27570/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $7,094 — part of a file-wide pattern, counted once at the file level
CPT 49326/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,528 exceeds the gross charge $7,862 — part of a file-wide pattern, counted once at the file level
CPT 86704/o
info
mrf_negotiated_above_gross
highest negotiated rate $26 exceeds the gross charge $16 — part of a file-wide pattern, counted once at the file level
CPT 27650/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $9,938 — part of a file-wide pattern, counted once at the file level
CPT 49407/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $785 — part of a file-wide pattern, counted once at the file level
CPT 86705/o
info
mrf_negotiated_above_gross
highest negotiated rate $26 exceeds the gross charge $10 — part of a file-wide pattern, counted once at the file level
CPT 27654/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $5,127 — part of a file-wide pattern, counted once at the file level
CPT 49423/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $4,332 — 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 27695/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $7,696 — part of a file-wide pattern, counted once at the file level
CPT 49424/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $1,281 — 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 27698/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $6,200 — part of a file-wide pattern, counted once at the file level
CPT 49440/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,879 exceeds the gross charge $2,717 — 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 27702/o
info
mrf_negotiated_above_gross
highest negotiated rate $54,844 exceeds the gross charge $11,313 — part of a file-wide pattern, counted once at the file level
CPT 49446/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,879 exceeds the gross charge $2,768 — 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 27705/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $14,380 — part of a file-wide pattern, counted once at the file level
CPT 49450/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $1,991 — part of a file-wide pattern, counted once at the file level
CPT 86886/o
info
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $241 — part of a file-wide pattern, counted once at the file level
CPT 27709/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $16,711 — part of a file-wide pattern, counted once at the file level
CPT 49451/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,003 — 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 27781/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,390 — part of a file-wide pattern, counted once at the file level
CPT 49452/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,055 — 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 27788/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 49460/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 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 27810/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 49465/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 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 27818/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 49613/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $9,325 — 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 27827/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $23,426 — part of a file-wide pattern, counted once at the file level
CPT 50081/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,134 exceeds the gross charge $15,680 — 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 27828/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $22,401 — part of a file-wide pattern, counted once at the file level
CPT 50200/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,467 — 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 27829/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $11,789 — part of a file-wide pattern, counted once at the file level
CPT 50387/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,225 exceeds the gross charge $3,938 — part of a file-wide pattern, counted once at the file level
CPT 87081/o
info
mrf_negotiated_above_gross
highest negotiated rate $14 exceeds the gross charge $10 — part of a file-wide pattern, counted once at the file level
CPT 27840/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 50389/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 87086/o
info
mrf_negotiated_above_gross
highest negotiated rate $18 exceeds the gross charge $15 — part of a file-wide pattern, counted once at the file level
CPT 27871/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $7,415 — part of a file-wide pattern, counted once at the file level
CPT 50390/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $3,215 — part of a file-wide pattern, counted once at the file level
CPT 87250/o
info
mrf_negotiated_above_gross
highest negotiated rate $43 exceeds the gross charge $24 — part of a file-wide pattern, counted once at the file level
CPT 28010/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $7,388 — part of a file-wide pattern, counted once at the file level
CPT 50432/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $7,340 — part of a file-wide pattern, counted once at the file level
CPT 87340/o
info
mrf_negotiated_above_gross
highest negotiated rate $23 exceeds the gross charge $9 — part of a file-wide pattern, counted once at the file level
CPT 28035/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $6,904 — part of a file-wide pattern, counted once at the file level
CPT 50434/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,769 exceeds the gross charge $4,617 — part of a file-wide pattern, counted once at the file level
CPT 87389/o
info
mrf_negotiated_above_gross
highest negotiated rate $53 exceeds the gross charge $16 — part of a file-wide pattern, counted once at the file level
CPT 28118/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $8,669 — part of a file-wide pattern, counted once at the file level
CPT 50541/o
info
mrf_negotiated_above_gross
highest negotiated rate $21,485 exceeds the gross charge $13,926 — 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 28190/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 50544/o
info
mrf_negotiated_above_gross
highest negotiated rate $21,485 exceeds the gross charge $16,456 — 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 $622 — part of a file-wide pattern, counted once at the file level
CPT 28200/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $5,402 — part of a file-wide pattern, counted once at the file level
CPT 50593/o
info
mrf_negotiated_above_gross
highest negotiated rate $21,485 exceeds the gross charge $17,461 — 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 $689 — part of a file-wide pattern, counted once at the file level
CPT 28297/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $23,729 — part of a file-wide pattern, counted once at the file level
CPT 50688/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $3,280 — 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 28298/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $11,359 — part of a file-wide pattern, counted once at the file level
CPT 50690/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