Service
Code
Listed
Cash
Negotiated
Rates
Checks
0202U - Nfct ds 22 trgt sars-cov-2
$1,301
$325
$436
11
clean
0241U - Nfct ds vir resp rna 4 trgt
$445
$111
—
0
clean
0690T - QUANTITATIVE US TISS CHARAC IANDR W-DX US SM ANAT
$260
$65
$6,256
1
clean
0707T - NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT
$596
$149
$4,624
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
$2,069
$517
$867
20
clean
10006 - FINE NEEDLE ASPIRATION BX W-US GDN EA ADDL
$1,382
$346
$3,487
3
clean
10060 - INCISION AND DRAINAGE ABSCESS SIMPLE-SINGLE
$989
$247
$306
20
clean
10061 - INCISION AND DRAINAGE ABSCESS COMPLICATED-MULTIPLE
$10,992
$2,748
$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
$5,093
$1,273
$498
20
clean
10121 - INCISION AND REMOVAL FOREIGN BODY SUBQ TISS COMP
$12,877
$3,219
$1,652
19
clean
10140 - IANDD HEMATOMA SEROMA-FLUID COLLECTION
$6,256
$1,564
$1,622
19
clean
11010 - DBRDMT W-RMVL FM FXAND-DISLC SKINANDSUBQ TISSUS
$6,422
$1,605
$867
20
clean
11012 - DBRDMT FXAND-DISLC SUBQ T-M-F BONE
$8,476
$2,119
$2,837
20
clean
11042 - DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM-LESS THAN
$10,000
$2,500
$498
20
clean
11043 - DEBRIDEMENT MUSCLE AND-FASCIA 1ST 20 SQ CM-LESS THAN
$10,926
$2,731
$733
20
clean
11044 - DEBRIDEMENT BONE 1ST 20 SQ CM-LESS THAN
$10,412
$2,603
$1,637
20
clean
11045 - DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM
$5,945
$1,486
$3,487
3
clean
11102 - TANGENTIAL BIOPSY SKIN SINGLE LESION
$8,008
$2,002
$392
20
clean
11401 - EXC B9 LESION MRGN XCP SK TG T-A-L 0.6-1.0 CM
$4,753
$1,188
$498
20
clean
11402 - EXC B9 LESION MRGN XCP SK TG T-A-L 1.1-2.0 CM
$6,064
$1,516
$867
20
clean
11403 - EXC B9 LESION MRGN XCP SK TG T-A-L 2.1-3.0 CM
$4,429
$1,107
$867
20
clean
11404 - EXC B9 LESION MRGN XCP SK TG T-A-L 3.1-4.0 CM
$5,676
$1,419
$1,652
19
clean
11406 - EXC B9 LESION MRGN XCP SK TG T-A-L GREATER THAN 4.0 CM
$11,322
$2,831
$1,652
19
clean
11420 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 0.5 CM-LESS THAN
$16,478
$4,119
$1,637
20
clean
11421 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 0.6-1.0CM
$8,721
$2,180
$867
20
clean
11422 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 1.1-2.0CM
$8,266
$2,066
$1,637
20
clean
11423 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 2.1-3.0CM
$5,776
$1,444
$1,652
19
clean
11424 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 3.1-4.0CM
$9,420
$2,355
$1,652
19
clean
11426 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G GREATER THAN 4.0CM
$7,051
$1,763
$2,879
20
clean
11441 - EXC B9 LES MRGN XCP SK TG F-E-E-N-L-M 0.6-1.0CM
$7,852
$1,963
$867
20
clean
11443 - EXC B9 LES MRGN XCP SK TG F-E-E-N-L-M 2.1-3.0CM
$13,044
$3,261
$1,637
20
clean
11444 - EXC B9 LES MRGN XCP SK TG F-E-E-N-L-M 3.1-4.0CM
$10,841
$2,710
$1,637
20
clean
11450 - EXCISION HIDRADENITIS AXILLARY SMPL-INTRM RPR
$14,785
$3,696
$2,879
20
clean
11603 - EXCISION MAL LESION TRUNK-ARM-LEG 2.1-3.0 CM
$4,914
$1,229
$867
20
clean
11606 - EXCISION MALIGNANT LESION TRUNK-ARM-LEG GREATER THAN 4.0 CM
$7,074
$1,769
$1,652
19
clean
11730 - AVULSION NAIL PLATE PARTIAL-COMPLETE SIMPLE 1
$2,272
$568
$302
19
clean
11740 - EVACUATION SUBUNGUAL HEMATOMA
$862
$216
$200
19
clean
11750 - EXCISION NAILANDNAIL MATRIX PRTL-COMPL PERM RMVL
$6,632
$1,658
$498
20
clean
11760 - REPAIR NAIL BED
$6,542
$1,636
$733
20
clean
11770 - EXCISION PILONIDAL CYST-SINUS SIMPLE
$24,636
$6,159
$3,133
20
clean
11771 - EXCISION PILONIDAL CYST-SINUS EXTENSIVE
$13,902
$3,476
$3,133
20
clean
11772 - EXCISION PILONIDAL CYST-SINUS COMPLICATED
$13,861
$3,465
$3,133
20
clean
11900 - INJECTION INTRALESIONAL UP TO AND INCLUD 7 LESIONS
$7,777
$1,944
$293
15
clean
11982 - REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT
$12,957
$3,239
$447
19
clean
12001 - SIMPLE REPAIR SCALP-NECK-AX-GENIT-TRUNK 2.5CM-LESS THAN
$810
$203
$302
19
clean
12002 - SMPL REPAIR SCALP-NECK-AX-GENIT-TRUNK 2.6-7.5CM
$911
$228
$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
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
12020 - TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE
$2,003
$501
$733
20
clean
12031 - REPAIR INTERMEDIATE S-A-T-E 2.5 CM-LESS THAN
$862
$216
$508
20
clean
12032 - REPAIR INTERMEDIATE S-A-T-E 2.6-7.5 CM
$4,672
$1,168
$498
20
clean
12034 - REPAIR INTERMEDIATE S-A-T-E 7.6-12.5 CM
$6,106
$1,527
$508
20
clean
12041 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 2.5CM-LESS THAN
$3,088
$772
$498
20
clean
12042 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 2.6-7.5 CM
$3,105
$776
$498
20
clean
12044 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 7.6-12.5CM
$8,239
$2,060
$733
20
clean
12051 - REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 2.5 CM-LESS THAN
$862
$216
$498
20
clean
13120 - REPAIR COMPLEX SCALP-ARM-LEG 1.1-2.5 CM
$2,581
$645
$536
20
clean
13121 - REPAIR COMPLEX SCALP-ARM-LEG 2.6-7.5 CM
$10,919
$2,730
$509
20
clean
13122 - REPAIR COMPLEX SCALP-ARM-LEG EA ADDL 5 CM-LESS THAN
$863
$216
$6,256
3
clean
13131 - REPAIR COMPLEX F-C-C-M-N-AX-G-H-F 1.1-2.5 CM
$2,581
$645
$498
20
clean
13132 - REPAIR COMPLEX F-C-C-M-N-AX-G-H-F 2.6-7.5 CM
$10,529
$2,632
$519
20
clean
13133 - REPAIR COMPLEX F-C-C-M-N-AX-G-H-F EA ADDL 5 CM-LESS THAN
$863
$216
$6,256
3
clean
13151 - REPAIR COMPLEX EYELID-NOSE-EAR-LIP 1.1-2.5 CM
$10,529
$2,632
$733
20
clean
14020 - ADJT TIS TRNSFR-REARGMT SCALP-ARM-LEG 10 SQ CM-LESS THAN
$29,623
$7,406
$2,064
19
clean
14040 - ADJT TIS TRNS-REARGMT F-C-C-M-N-A-G-H-F 10SQCM-LESS THAN
$6,490
$1,622
$2,064
19
clean
14041 - ADJT-REARGMT F-C-C-M-N-AX-G-H-F 10.1-30.0 SQ CM
$7,315
$1,829
$2,064
19
clean
14350 - FILLETED FINGER-TOE FLAP W-PREPJ RECIPIENT SITE
$6,561
$1,640
$2,064
19
clean
15220 - FTH-GFT FREE W-DIRECT CLOSURE S-A-L 20 SQ CM-LESS THAN
$5,636
$1,409
$2,064
19
clean
15240 - FTH-GFT FR DIR CLSR F-C-C-M-N-AX-G-H-F 20SQCM-LESS THAN
$5,636
$1,409
$2,064
19
clean
15275 - SUB GRFT F-S-N-H-F-G-M-D LESS THAN 100SQ CM 1ST 25 SQ CM
$9,067
$2,267
$739
19
clean
15769 - GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC
$11,546
$2,887
$4,343
20
clean
15853 - REMOVAL SUTURES-STAPLES NOT REQUIRING ANESTHESIA
$252
$63
$3,477
2
clean
16020 - DRSAND-DBRDMT PRTL-THKNS BURNS 1ST-SBSQ SMALL
$2,003
$501
$201
19
clean
17999 - UNLISTED PX SKIN MUC MEMBRANE AND SUBQ TISSUE
$7,968
$1,992
$293
15
clean
20103 - EXPLORATION PENETRATING WOUND SPX EXTREMITY
$7,388
$1,847
$1,637
20
clean
20205 - BIOPSY MUSCLE DEEP
$13,913
$3,478
$2,879
18
clean
20240 - BIOPSY BONE OPEN SUPERFICIAL
$7,170
$1,792
$2,879
20
clean
20525 - RMVL FOREIGN BODY MUSCLE-TENDON SHEATH DEEP-COMP
$12,784
$3,196
$3,133
20
clean
20526 - INJECTION THERAPEUTIC CARPAL TUNNEL
$5,700
$1,425
$395
20
clean
20550 - INJECTION 1 TENDON SHEATH-LIGAMENT APONEUROSIS
$8,703
$2,176
$395
20
clean
20552 - INJECTION SINGLE-MLT TRIGGER POINT 1-2 MUSCLES
$2,003
$501
$395
20
clean
20600 - ARTHROCENTESIS ASPIRAND-INJ SMALL JT-BURSA W-O US
$6,930
$1,733
$395
20
clean
20605 - ARTHROCENTESIS ASPIRAND-INJ INTERM JT-BURS W-O US
$6,964
$1,741
$395
20
clean
20610 - ARTHROCENTESIS ASPIRAND-INJ MAJOR JT-BURSA W-O US
$3,366
$842
$395
20
clean
20670 - REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE
$8,026
$2,006
$1,652
19
clean
20680 - REMOVAL IMPLANT DEEP
$11,345
$2,836
$3,133
20
clean
20690 - APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM
$10,602
$2,650
$7,003
20
clean
20694 - REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES
$8,933
$2,233
$1,609
19
clean
20900 - BONE GRAFT ANY DONOR AREA MINOR-SMALL
$7,153
$1,788
$7,003
20
clean
20931 - ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL
$6,544
$1,636
$6,256
3
clean
20937 - AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION
$5,395
$1,349
$6,256
3
clean
20985 - CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS
$20,014
$5,004
$6,256
3
clean
20999 - UNLISTED PROCEDURE MUSCSKELETAL SYSTEM GENERAL
$6,006
$1,501
$336
15
clean
21013 - EXC TUMOR SOFT TISS FACEANDSCALP SUBFASCIAL LESS THAN 2CM
$26,636
$6,659
$1,637
20
clean
21320 - CLOSED TX NASAL BONE FX W-MNPJ W-STABILIZATION
$8,234
$2,058
$3,255
19
clean
21335 - OPEN TX NASAL FX W-CONCOMITANT OPTX FXD SEPTUM
$18,220
$4,555
$3,338
20
clean
21552 - EXC TUMOR SOFT TIS NECK-ANT THORAX SUBQ 3 CM-GREATER THAN
$13,885
$3,471
$3,133
20
clean
21554 - EXC TUMOR SOFT TISSUE NECK-THORAX SUBFASC 5 CM-GREATER THAN
$16,728
$4,182
$3,133
20
clean
21555 - EXC TUMOR SOFT TISSUE NECK-ANT THORAX SUBQ LESS THAN 3CM
$15,684
$3,921
$1,652
19
clean
21556 - EXC TUMOR SOFT TISS NECK-THORAX SUBFASCIAL LESS THAN 5CM
$24,097
$6,024
$2,879
20
clean
21685 - HYOID MYOTOMY AND SUSPENSION
$14,062
$3,515
$5,713
20
clean
21930 - EXCISION TUMOR SOFT TISSUE BACK-FLANK SUBQ LESS THAN 3CM
$11,628
$2,907
$1,652
19
clean
21931 - EXCISION TUMOR SOFT TIS BACK-FLANK SUBQ 3 CM-GREATER THAN
$11,894
$2,973
$2,011
20
clean
22551 - ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2
$6,711
$1,678
$12,390
20
clean
22552 - ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC
$5,906
$1,476
$6,256
3
clean
22600 - ARTHRD PST-PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT
$4,056
$1,014
$16,722
16
clean
22612 - ARTHRODESIS POSTERIOR-PSTLAT TQ 1NTRSPC LUMBAR
$5,831
$1,458
$17,540
15
clean
22614 - ARTHRODESIS PST-PSTLAT TQ 1NTRSPC EA ADDL NTRSPC
$4,736
$1,184
$3,477
2
clean
22630 - ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR
$4,880
$1,220
$26,187
20
clean
22633 - ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR
$5,791
$1,448
$26,187
20
clean
22634 - ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL
$5,190
$1,297
$5,571
3
clean
22830 - EXPLORATION SPINAL FUSION
$5,938
$1,485
$7,003
16
clean
22840 - POSTERIOR NON-SEGMENTAL INSTRUMENTATION
$5,558
$1,390
$5,571
3
clean
22842 - POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG
$6,828
$1,707
$3,477
2
clean
22845 - ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS
$6,247
$1,562
$6,256
3
clean
22853 - INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W-ARTHRD
$6,092
$1,523
$6,256
3
clean
22856 - TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL
$21,009
$5,252
$17,040
19
clean
22858 - TOTAL DISC ARTHRP ANT 2ND LEVEL CERVICAL
$14,121
$3,530
$3,477
2
clean
22859 - INSJ BIOMCHN DEV NTRVRT DISC SPACE W-O ARTHRD
$5,810
$1,453
$6,256
3
clean
23020 - CAPSULAR CONTRACTURE RELEASE
$8,548
$2,137
$3,243
20
clean
23075 - EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ LESS THAN 3CM
$14,323
$3,581
$1,652
19
clean
23076 - EXC TUMOR SOFT TISS SHOULDER SUBFASC LESS THAN 5CM
$13,023
$3,256
$2,852
19
clean
23120 - CLAVICULECTOMY PARTIAL
$5,005
$1,251
$3,989
20
clean
23140 - EXC-CURTG BONE CYST-BENIGN TUMOR CLAV-SCAPULA
$7,545
$1,886
$3,317
20
clean
23350 - INJECTION SHOULDER ARTHROGRAPHY- CT-MRI ARTHG
$754
$189
$360
6
clean
23410 - OPEN REPAIR OF ROTATOR CUFF ACUTE
$10,675
$2,669
$7,088
20
clean
23420 - RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC
$6,294
$1,574
$7,004
20
clean
23430 - TENODESIS LONG TENDON BICEPS
$6,970
$1,743
$7,088
20
clean
23440 - RESECTION-TRANSPLANTATION LONG TENDON BICEPS
$14,025
$3,506
$8,857
16
clean
23470 - ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY
$34,744
$8,686
$12,541
20
clean
23472 - ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER
$19,348
$4,837
$16,922
20
clean
23474 - REVIS SHOULDER ARTHRPLSTY HUMERALANDGLENOID COMPNT
$20,598
$5,150
$12,184
17
clean
23480 - OSTEOTOMY CLAVICLE W-WO INTERNAL FIXATION
$12,472
$3,118
$8,857
16
clean
23515 - OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION
$22,849
$5,712
$7,088
20
clean
23550 - OPEN TX ACROMIOCLAVICULAR DISLC ACUTE-CHRONIC
$22,266
$5,566
$7,088
20
clean
23552 - OPTX ACROMCLAV DISLC ACUTE-CHRONIC W-FASCIAL GRF
$22,325
$5,581
$7,192
20
clean
23585 - OPEN TX SCAPULAR FX W-INT FIXATION WHEN PFRMD
$13,604
$3,401
$8,857
16
clean
23615 - OPTX PROX HUMERAL FX W-INT FIXJ RPR TUBEROSITY
$13,335
$3,334
$12,390
20
clean
23630 - OPTX GREATER HUMERAL TUBEROSITY FX W-INT FIXJ
$15,384
$3,846
$7,192
20
clean
23650 - CLSD TX SHOULDER DISLC W-MANIPULATION W-O ANES
$2,003
$501
$360
20
clean
23655 - CLSD TX SHOULDER DISLC W-MANIPULATION REQ ANES
$3,704
$926
$1,609
19
clean
23670 - OPTX SHO DISLC W-FX GR HUMERAL TUBRST INT FIXJ
$7,699
$1,925
$7,088
20
clean
23700 - MNPJ W-ANES SHOULDER JT APPL FIXATION APPARATUS
$6,006
$1,502
$1,609
19
clean
23931 - INCISIONANDDRAINAGE UPPER ARM-ELBOW BURSA
$3,402
$850
$1,652
19
clean
24075 - EXC TUMOR SOFT TISS UPPER ARM-ELBOW SUBQ LESS THAN 3CM
$4,530
$1,133
$1,652
19
clean
24076 - EXC TUMOR SOFT TISS UPR ARM-ELBOW SUBFASC LESS THAN 5CM
$13,050
$3,262
$2,852
19
clean
24105 - EXCISION OLECRANON BURSA
$16,147
$4,037
$3,317
20
clean
24147 - PARTIAL EXCISION BONE OLECRANON PROCESS
$8,932
$2,233
$3,243
20
clean
24149 - RAD RESCJ CAPSL TISSANDHTRTPC B1 ELBW CONTRCT RLS
$34,665
$8,666
$8,857
16
clean
24200 - RMVL FOREIGN BODY UPPER ARM-ELBOW SUBCUTANEOUS
$2,693
$673
$1,622
19
clean
24220 - INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY
$807
$202
$427
6
clean
24301 - MUSCLE-TENDON TRANSFER UPPER ARM-ELBOW SINGLE
$14,570
$3,643
$7,088
20
clean
24340 - TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE
$15,338
$3,835
$7,004
20
clean
24341 - REPAIR TENDON-MUSCLE UPPER ARM-ELBOW EA TDN-MUSC
$17,299
$4,325
$7,004
20
clean
24342 - RINSJ RPTD BICEPS-TRICEPS TDN DSTL W-WO TDN GRF
$17,920
$4,480
$7,004
20
clean
24343 - REPAIR LATERAL COLLATERAL LIGAMENT ELBOW
$20,937
$5,234
$3,329
20
clean
24359 - TNOT ELBOW LATERAL-MEDIAL DEBRIDE OPEN TDN RPR
$12,457
$3,114
$3,989
20
clean
24435 - REPAIR NON-MALUNION HUMERUS W-ILIAC-OTH AGRFT
$16,440
$4,110
$12,390
20
clean
24515 - OPTX HUMERAL SHFT FX PLATE-SCREWS W-WO CERCLAGE
$26,431
$6,608
$12,390
20
clean
24535 - CLTX SPRCNDYLR-TRANSCNDYLR HUMERAL FX W-MNPJ
$2,374
$594
$1,594
20
clean
24575 - OPEN TX HUMERAL EPICONDYLAR FRACTURE
$11,670
$2,917
$12,390
20
clean
24600 - TREATMENT CLOSED ELBOW DISLOCATION W-O ANES
$2,003
$501
$360
20
clean
24640 - CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W-MNPJ
$2,003
$501
$360
19
clean
24665 - OPEN TX RADIAL HEAD-NECK FRACTURE
$20,352
$5,088
$7,192
20
clean
24685 - OPEN TREATMENT ULNAR FRACTURE PROXIMAL END W-FIX
$12,241
$3,060
$7,088
20
clean
25000 - INCISION EXTENSOR TENDON SHEATH WRIST
$9,796
$2,449
$1,938
20
clean
25025 - DCMPRN FASCT F-ARMAND-WRST FLXRANDXTNSR DBRDMT
$31,562
$7,890
$1,938
20
clean
25040 - ARTHRT RDCRPL-MIDCARPL JT W-EXPL DRG-RMVL FB
$7,458
$1,864
$3,989
20
clean
25071 - EXC TUMOR SOFT TISS FOREARM AND-WRIST SUBQ 3CM-GREATER THAN
$11,725
$2,931
$2,011
20
clean
25075 - EXC TUMOR SOFT TISSUE FOREARM AND-WRIST SUBQ LESS THAN 3CM
$10,721
$2,680
$1,652
19
clean
25085 - CAPSULOTOMY WRIST
$3,392
$848
$3,317
20
clean
25111 - EXCISION GANGLION WRIST DORSAL-VOLAR PRIMARY
$11,502
$2,876
$1,938
20
clean
25112 - EXCISION GANGLION WRIST DORSAL-VOLAR RECURRENT
$11,637
$2,909
$1,938
20
clean
25115 - RAD EXC BURSA SYNVA WRST-F-ARM TDN SHTHS FLXRS
$3,608
$902
$1,938
20
clean
25116 - RAD EXC BURSA SYNVA WRST-F-ARM TDN SHTHS XTNSRS
$7,164
$1,791
$3,317
20
clean
25118 - SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT
$6,184
$1,546
$1,896
20
clean
25210 - CARPECTOMY 1 BONE
$7,113
$1,778
$3,329
20
clean
25215 - CARPECTOMY ALL BONES PROXIMAL ROW
$7,902
$1,975
$3,989
20
clean
25230 - RADICAL STYLOIDECTOMY SEPARATE PROCEDURE
$2,003
$501
$3,989
20
clean
25246 - INJECTION WRIST ARTHROGRAPHY
$1,614
$404
$427
6
clean
25259 - MANIPULATION WRIST UNDER ANESTHESIA
$819
$205
$1,609
19
clean
25274 - RPR TDN-MUSC XTNSR F-ARMAND-WRST SEC FR GRF EA TDN
$6,481
$1,620
$3,989
20
clean
25295 - TNOLS FLXR-XTNSR TENDON FOREARMAND-WRIST 1 EA
$4,706
$1,176
$3,317
20
clean
25320 - CAPSL-RHPHY-RCNSTJ WRST OPN CARPL INS
$7,609
$1,902
$7,004
20
clean
25337 - RCNSTJ STABLJ DSTL U-DSTL JT 2 SOFT TISS STABLJ
$668
$167
$7,088
20
clean
25360 - OSTEOTOMY ULNA
$9,584
$2,396
$7,192
16
clean
25390 - OSTEOPLASTY RADIUS-ULNA SHORTENING
$8,513
$2,128
$7,004
20
clean
25400 - RPR NONUNION-MALUNION RADIUS-ULNA W-O AUTOGRAFT
$9,584
$2,396
$7,004
20
clean
25405 - RPR NONUNION-MALUNION RADIUS-ULNA W-AUTOGRAFT
$1,002
$250
$7,192
20
clean
25430 - INSERTION VASCULAR PEDICLE CARPAL BONE
$8,896
$2,224
$3,273
19
clean
25440 - RPR NONUNION SCAPHOID CARPAL B1 W-WO RDL STYLODC
$8,896
$2,224
$7,088
20
clean
25447 - ARTHRP INTERCARPAL-CARP-MTCRPL JT INTERPOSITION
$9,744
$2,436
$3,989
20
clean
25515 - OPEN TREATMENT RADIAL SHAFT FRACTURE W-INT FIXJ
$16,157
$4,039
$7,088
20
clean
25526 - OPTX RDL SHAFT FXANDOPTX DSTL RAD-ULN JT DISLC
$23,581
$5,895
$7,192
20
clean
Showing the first 200 of 2,363 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
554 of 1,964 comparable items (28%) 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 $6,256 exceeds the gross charge $260
warn
mrf_rate_without_estimate
16,984 of 16,984 percentage/algorithm rates across 2,363 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
MS-DRG 481/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $10,101; the same hospital's average submitted charge to Medicare for this DRG is $68,777 (0.1×)
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 24575/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $11,670 — 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 $2,003 — 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 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 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 50387/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,225 exceeds the gross charge $1,755 — 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 $12,241 — 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 $7,666 — part of a file-wide pattern, counted once at the file level
CPT 25040/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $7,458 — 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 $3,438 — part of a file-wide pattern, counted once at the file level
CPT 25085/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $3,392 — 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
CPT 25115/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $3,608 — part of a file-wide pattern, counted once at the file level
CPT 50695/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $10,239 — part of a file-wide pattern, counted once at the file level
CPT 25116/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $7,164 — part of a file-wide pattern, counted once at the file level
CPT 51050/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $4,466 — part of a file-wide pattern, counted once at the file level
CPT 25215/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $7,902 — part of a file-wide pattern, counted once at the file level
CPT 51101/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $4,214 — part of a file-wide pattern, counted once at the file level
CPT 25230/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 51102/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $4,704 — 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 $1,614 — part of a file-wide pattern, counted once at the file level
CPT 51600/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 25259/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $819 — part of a file-wide pattern, counted once at the file level
CPT 51610/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 25274/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $6,481 — part of a file-wide pattern, counted once at the file level
CPT 51700/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $862 — part of a file-wide pattern, counted once at the file level
CPT 25295/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $4,706 — part of a file-wide pattern, counted once at the file level
CPT 51703/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 25320/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $7,609 — part of a file-wide pattern, counted once at the file level
CPT 51705/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,984 — part of a file-wide pattern, counted once at the file level
CPT 25337/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $668 — part of a file-wide pattern, counted once at the file level
CPT 51715/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,125 exceeds the gross charge $6,310 — part of a file-wide pattern, counted once at the file level
CPT 25360/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $9,584 — part of a file-wide pattern, counted once at the file level
CPT 52000/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $7,230 — part of a file-wide pattern, counted once at the file level
CPT 25390/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $8,513 — part of a file-wide pattern, counted once at the file level
CPT 52001/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,125 exceeds the gross charge $6,706 — part of a file-wide pattern, counted once at the file level
CPT 25400/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $9,584 — part of a file-wide pattern, counted once at the file level
CPT 52214/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,125 exceeds the gross charge $4,010 — part of a file-wide pattern, counted once at the file level
CPT 25405/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $1,002 — part of a file-wide pattern, counted once at the file level
CPT 52224/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,125 exceeds the gross charge $5,819 — part of a file-wide pattern, counted once at the file level
CPT 25440/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $8,896 — part of a file-wide pattern, counted once at the file level
CPT 52234/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,125 exceeds the gross charge $6,828 — part of a file-wide pattern, counted once at the file level
CPT 25447/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $9,744 — part of a file-wide pattern, counted once at the file level
CPT 52276/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,769 exceeds the gross charge $3,869 — part of a file-wide pattern, counted once at the file level
CPT 25535/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $9,287 — part of a file-wide pattern, counted once at the file level
CPT 52287/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,082 exceeds the gross charge $7,130 — 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 52300/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,125 exceeds the gross charge $3,288 — part of a file-wide pattern, counted once at the file level
CPT 25575/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $8,586 — part of a file-wide pattern, counted once at the file level
CPT 52317/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $5,547 — part of a file-wide pattern, counted once at the file level
CPT 25607/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $14,278 — part of a file-wide pattern, counted once at the file level
CPT 52320/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $8,026 — part of a file-wide pattern, counted once at the file level
CPT 25608/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $10,410 — part of a file-wide pattern, counted once at the file level
CPT 52344/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,125 exceeds the gross charge $4,084 — part of a file-wide pattern, counted once at the file level
CPT 25609/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $12,320 — part of a file-wide pattern, counted once at the file level
CPT 52346/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,837 exceeds the gross charge $4,809 — part of a file-wide pattern, counted once at the file level
CPT 25628/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $5,840 — part of a file-wide pattern, counted once at the file level
CPT 52351/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,125 exceeds the gross charge $5,411 — part of a file-wide pattern, counted once at the file level
CPT 25652/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $7,542 — part of a file-wide pattern, counted once at the file level
CPT 52352/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $5,536 — part of a file-wide pattern, counted once at the file level
CPT 25825/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $8,059 — part of a file-wide pattern, counted once at the file level
CPT 52353/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $9,037 — part of a file-wide pattern, counted once at the file level
CPT 26040/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $5,062 — part of a file-wide pattern, counted once at the file level
CPT 52354/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $4,649 — part of a file-wide pattern, counted once at the file level
CPT 26080/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $10,858 — part of a file-wide pattern, counted once at the file level
CPT 52356/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $11,020 — part of a file-wide pattern, counted once at the file level
CPT 26121/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $9,393 — part of a file-wide pattern, counted once at the file level
CPT 52500/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,125 exceeds the gross charge $4,183 — part of a file-wide pattern, counted once at the file level
CPT 26125/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $10,711 — part of a file-wide pattern, counted once at the file level
CPT 52601/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $11,016 — part of a file-wide pattern, counted once at the file level
CPT 26340/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $1,400 — part of a file-wide pattern, counted once at the file level
CPT 52640/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,125 exceeds the gross charge $6,129 — part of a file-wide pattern, counted once at the file level
CPT 26350/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $7,630 — part of a file-wide pattern, counted once at the file level
CPT 52648/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,082 exceeds the gross charge $14,626 — part of a file-wide pattern, counted once at the file level
CPT 26415/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $7,442 — part of a file-wide pattern, counted once at the file level
CPT 53440/o
info
mrf_negotiated_above_gross
highest negotiated rate $26,667 exceeds the gross charge $4,915 — part of a file-wide pattern, counted once at the file level
CPT 26418/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $6,940 — part of a file-wide pattern, counted once at the file level
CPT 54150/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $3,893 — part of a file-wide pattern, counted once at the file level
CPT 26426/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $4,124 — part of a file-wide pattern, counted once at the file level
CPT 54405/o
info
mrf_negotiated_above_gross
highest negotiated rate $41,892 exceeds the gross charge $26,343 — part of a file-wide pattern, counted once at the file level
CPT 26434/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $2,288 — part of a file-wide pattern, counted once at the file level
CPT 54410/o
info
mrf_negotiated_above_gross
highest negotiated rate $41,892 exceeds the gross charge $27,724 — part of a file-wide pattern, counted once at the file level
CPT 26437/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $5,924 — part of a file-wide pattern, counted once at the file level
CPT 54640/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $6,315 — part of a file-wide pattern, counted once at the file level
CPT 26480/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $1,002 — part of a file-wide pattern, counted once at the file level
CPT 55100/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 26516/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $4,814 — part of a file-wide pattern, counted once at the file level
CPT 56405/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,581 — part of a file-wide pattern, counted once at the file level
CPT 26531/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $3,165 — part of a file-wide pattern, counted once at the file level
CPT 56420/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 26535/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $5,674 — part of a file-wide pattern, counted once at the file level
CPT 56620/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $10,856 — part of a file-wide pattern, counted once at the file level
CPT 26536/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $7,718 — part of a file-wide pattern, counted once at the file level
CPT 57240/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $8,389 — part of a file-wide pattern, counted once at the file level
CPT 26541/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $6,070 — part of a file-wide pattern, counted once at the file level
CPT 57250/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $9,464 — part of a file-wide pattern, counted once at the file level
CPT 26545/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $10,237 — part of a file-wide pattern, counted once at the file level
CPT 57260/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $11,178 — 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 57282/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,988 exceeds the gross charge $6,950 — 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 $10,629 — part of a file-wide pattern, counted once at the file level
CPT 57425/o
info
mrf_negotiated_above_gross
highest negotiated rate $21,485 exceeds the gross charge $16,560 — part of a file-wide pattern, counted once at the file level
CPT 26725/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,769 exceeds the gross charge $4,580 — part of a file-wide pattern, counted once at the file level
CPT 57452/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $3,288 — 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 $7,201 — part of a file-wide pattern, counted once at the file level
CPT 57454/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,053 — 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 58340/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $905 — part of a file-wide pattern, counted once at the file level
CPT 26852/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $10,237 — part of a file-wide pattern, counted once at the file level
CPT 58542/o
info
mrf_negotiated_above_gross
highest negotiated rate $21,485 exceeds the gross charge $18,049 — part of a file-wide pattern, counted once at the file level
CPT 26952/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $5,968 — part of a file-wide pattern, counted once at the file level
CPT 58561/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,111 exceeds the gross charge $9,962 — part of a file-wide pattern, counted once at the file level
CPT 27062/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $8,468 — part of a file-wide pattern, counted once at the file level
CPT 58563/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,082 exceeds the gross charge $11,265 — 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 58670/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $6,019 — 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 59820/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $9,827 — 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 $9,920 — part of a file-wide pattern, counted once at the file level
CPT 59899/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $1,740 — part of a file-wide pattern, counted once at the file level
CPT 27369/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 61782/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $5,505 — part of a file-wide pattern, counted once at the file level
CPT 27380/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $6,673 — part of a file-wide pattern, counted once at the file level
CPT 61783/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,282 — part of a file-wide pattern, counted once at the file level
CPT 27385/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $13,820 — part of a file-wide pattern, counted once at the file level
CPT 61885/o
info
mrf_negotiated_above_gross
highest negotiated rate $62,371 exceeds the gross charge $23,581 — part of a file-wide pattern, counted once at the file level
CPT 27403/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $11,476 — part of a file-wide pattern, counted once at the file level
CPT 62270/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,786 — part of a file-wide pattern, counted once at the file level
CPT 27405/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $9,950 — part of a file-wide pattern, counted once at the file level
CPT 62322/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $3,446 — 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 $8,231 — part of a file-wide pattern, counted once at the file level
CPT 62328/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 27422/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $7,669 — part of a file-wide pattern, counted once at the file level
CPT 62362/o
info
mrf_negotiated_above_gross
highest negotiated rate $36,430 exceeds the gross charge $17,193 — 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 $10,611 — part of a file-wide pattern, counted once at the file level
CPT 63048/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,082 exceeds the gross charge $12,462 — 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 $23,302 — part of a file-wide pattern, counted once at the file level
CPT 63052/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $4,173 — part of a file-wide pattern, counted once at the file level
CPT 27550/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 63650/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,881 exceeds the gross charge $10,856 — part of a file-wide pattern, counted once at the file level
CPT 27552/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,231 — part of a file-wide pattern, counted once at the file level
CPT 63655/o
info
mrf_negotiated_above_gross
highest negotiated rate $39,212 exceeds the gross charge $11,582 — 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 $7,815 — part of a file-wide pattern, counted once at the file level
CPT 63661/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $8,424 — part of a file-wide pattern, counted once at the file level
CPT 27605/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $4,989 — part of a file-wide pattern, counted once at the file level
CPT 63662/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $9,294 — part of a file-wide pattern, counted once at the file level
CPT 27606/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,879 — part of a file-wide pattern, counted once at the file level
CPT 63663/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,881 exceeds the gross charge $8,510 — part of a file-wide pattern, counted once at the file level
CPT 27610/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $5,852 — part of a file-wide pattern, counted once at the file level
CPT 63664/o
info
mrf_negotiated_above_gross
highest negotiated rate $22,522 exceeds the gross charge $17,131 — part of a file-wide pattern, counted once at the file level
CPT 27630/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $5,531 — part of a file-wide pattern, counted once at the file level
CPT 63685/o
info
mrf_negotiated_above_gross
highest negotiated rate $62,371 exceeds the gross charge $13,069 — part of a file-wide pattern, counted once at the file level
CPT 27640/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $4,813 — part of a file-wide pattern, counted once at the file level
CPT 64400/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 27650/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $10,905 — part of a file-wide pattern, counted once at the file level
CPT 64417/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,152 — 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 $6,944 — part of a file-wide pattern, counted once at the file level
CPT 64445/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $8,292 — part of a file-wide pattern, counted once at the file level
CPT 27676/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $12,627 — part of a file-wide pattern, counted once at the file level
CPT 64450/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $3,854 — part of a file-wide pattern, counted once at the file level
CPT 27691/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $5,495 — part of a file-wide pattern, counted once at the file level
CPT 64568/o
info
mrf_negotiated_above_gross
highest negotiated rate $98,263 exceeds the gross charge $21,700 — 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 $7,483 — part of a file-wide pattern, counted once at the file level
CPT 64582/o
info
mrf_negotiated_above_gross
highest negotiated rate $62,371 exceeds the gross charge $24,276 — 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 $7,861 — part of a file-wide pattern, counted once at the file level
CPT 64585/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $7,485 — 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 $9,187 — part of a file-wide pattern, counted once at the file level
CPT 64590/o
info
mrf_negotiated_above_gross
highest negotiated rate $39,212 exceeds the gross charge $18,807 — part of a file-wide pattern, counted once at the file level
CPT 27752/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 64595/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,244 — part of a file-wide pattern, counted once at the file level
CPT 27759/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $16,886 — part of a file-wide pattern, counted once at the file level
CPT 64640/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $7,396 — part of a file-wide pattern, counted once at the file level
CPT 27766/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $12,512 — part of a file-wide pattern, counted once at the file level
CPT 64702/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $9,731 — 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 64727/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,076 — part of a file-wide pattern, counted once at the file level
CPT 27792/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $9,447 — part of a file-wide pattern, counted once at the file level
CPT 64778/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $4,868 — 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 64831/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $7,630 — part of a file-wide pattern, counted once at the file level
CPT 27814/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $10,095 — part of a file-wide pattern, counted once at the file level
CPT 64910/o
info
mrf_negotiated_above_gross
highest negotiated rate $17,738 exceeds the gross charge $5,450 — 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 64912/o
info
mrf_negotiated_above_gross
highest negotiated rate $17,738 exceeds the gross charge $6,948 — part of a file-wide pattern, counted once at the file level
CPT 27822/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $8,706 — part of a file-wide pattern, counted once at the file level
CPT 64999/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $5,786 — 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 $20,225 — part of a file-wide pattern, counted once at the file level
CPT 66984/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,082 exceeds the gross charge $9,103 — 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 $7,767 — part of a file-wide pattern, counted once at the file level
CPT 69205/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $9,613 — part of a file-wide pattern, counted once at the file level