Service
Code
Listed
Cash
Negotiated
Rates
Checks
0202U - Nfct ds 22 trgt sars-cov-2
$1,092
$273
$667
5
clean
0241U - Nfct ds vir resp rna 4 trgt
$374
$94
—
0
clean
0866T - QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI
$555
$139
$359
9
clean
10060 - INCISION AND DRAINAGE ABSCESS SIMPLE-SINGLE
$436
$109
$429
14
clean
10061 - INCISION AND DRAINAGE ABSCESS COMPLICATED-MULTIPLE
$453
$113
$608
14
clean
10080 - INCISION AND DRAINAGE PILONIDAL CYST SIMPLE
$1,035
$259
$1,053
14
clean
10120 - INCISION AND REMOVAL FOREIGN BODY SUBQ TISS SIMPLE
$646
$161
$608
14
clean
11012 - DBRDMT FXAND-DISLC SUBQ T-M-F BONE
$2,768
$692
$3,785
14
clean
11042 - DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM-LESS THAN
$3,979
$995
$608
14
clean
11400 - EXC B9 LESION MRGN XCP SK TG T-A-L 0.5 CM-LESS THAN
$5,214
$1,304
$1,059
14
clean
11401 - EXC B9 LESION MRGN XCP SK TG T-A-L 0.6-1.0 CM
$1,655
$414
$608
14
clean
11402 - EXC B9 LESION MRGN XCP SK TG T-A-L 1.1-2.0 CM
$1,655
$414
$1,059
14
clean
11403 - EXC B9 LESION MRGN XCP SK TG T-A-L 2.1-3.0 CM
$5,307
$1,327
$1,059
14
clean
11420 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 0.5 CM-LESS THAN
$7,663
$1,916
$2,401
14
clean
11730 - AVULSION NAIL PLATE PARTIAL-COMPLETE SIMPLE 1
$1,522
$381
$406
13
clean
11740 - EVACUATION SUBUNGUAL HEMATOMA
$181
$45
$269
13
clean
12001 - SIMPLE REPAIR SCALP-NECK-AX-GENIT-TRUNK 2.5CM-LESS THAN
$591
$148
$406
13
clean
12002 - SMPL REPAIR SCALP-NECK-AX-GENIT-TRUNK 2.6-7.5CM
$549
$137
$406
13
clean
12004 - SIMPLE RPR SCALP-NECK-AX-GENIT-TRUNK 7.6-12.5CM
$560
$140
$429
14
clean
12005 - SMPL RPR SCALP-NECK-AX-GENIT-TRUNK 12.6-20.0CM
$569
$142
$608
14
clean
12011 - SIMPLE REPAIR F-E-E-N-L-M 2.5CM-LESS THAN
$509
$127
$406
13
clean
12013 - SIMPLE REPAIR F-E-E-N-L-M 2.6CM-5.0 CM
$540
$135
$406
13
clean
12014 - SIMPLE REPAIR F-E-E-N-L-M 5.1CM-7.5 CM
$172
$43
$429
14
clean
12031 - REPAIR INTERMEDIATE S-A-T-E 2.5 CM-LESS THAN
$546
$137
$608
14
clean
12032 - REPAIR INTERMEDIATE S-A-T-E 2.6-7.5 CM
$565
$141
$608
14
clean
12034 - REPAIR INTERMEDIATE S-A-T-E 7.6-12.5 CM
$573
$143
$608
14
clean
12035 - REPAIR INTERMEDIATE S-A-T-E 12.6-20.0CM
$577
$144
$608
14
clean
12042 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 2.6-7.5 CM
$502
$126
$608
14
clean
12044 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 7.6-12.5CM
$546
$137
$942
14
clean
12052 - REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 2.6-5.0 CM
$555
$139
$608
14
clean
12053 - REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 5.1-7.5 CM
$588
$147
$608
14
clean
13132 - REPAIR COMPLEX F-C-C-M-N-AX-G-H-F 2.6-7.5 CM
$1,284
$321
$671
14
clean
13151 - REPAIR COMPLEX EYELID-NOSE-EAR-LIP 1.1-2.5 CM
$10,529
$2,632
$942
14
clean
16025 - DRSAND-DBRDMT PRTL-THKNS BURNS 1ST-SBSQ MEDIUM
$410
$102
$370
14
clean
20552 - INJECTION SINGLE-MLT TRIGGER POINT 1-2 MUSCLES
$308
$77
$456
14
clean
20605 - ARTHROCENTESIS ASPIRAND-INJ INTERM JT-BURS W-O US
$467
$117
$456
14
clean
20610 - ARTHROCENTESIS ASPIRAND-INJ MAJOR JT-BURSA W-O US
$2,004
$501
$456
14
clean
20670 - REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE
$6,265
$1,566
$2,433
13
clean
21552 - EXC TUMOR SOFT TIS NECK-ANT THORAX SUBQ 3 CM-GREATER THAN
$5,520
$1,380
$4,137
14
clean
23412 - OPEN REPAIR OF ROTATOR CUFF CHRONIC
$8,005
$2,001
$8,706
14
clean
23650 - CLSD TX SHOULDER DISLC W-MANIPULATION W-O ANES
$446
$112
$452
14
clean
24071 - EXC TUMOR SOFT TISSUE UPPER ARM-ELBOW SUBQ 3CM-GREATER THAN
$5,364
$1,341
$4,190
14
clean
24105 - EXCISION OLECRANON BURSA
$7,197
$1,799
$4,737
14
clean
24200 - RMVL FOREIGN BODY UPPER ARM-ELBOW SUBCUTANEOUS
$2,643
$661
$2,370
13
clean
24358 - TNOT ELBOW LATERAL-MEDIAL DEBRIDE OPEN
$6,065
$1,516
$4,829
14
clean
24640 - CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W-MNPJ
$473
$118
$452
13
clean
25000 - INCISION EXTENSOR TENDON SHEATH WRIST
$5,078
$1,270
$2,372
14
clean
25071 - EXC TUMOR SOFT TISS FOREARM AND-WRIST SUBQ 3CM-GREATER THAN
$4,735
$1,184
$2,458
14
clean
25248 - EXPL W-REMOVAL DEEP FOREIGN BODY FOREARM-WRIST
$4,850
$1,212
$2,327
14
clean
25565 - CLOSED TX RADIALANDULNAR SHAFT FRACTURES W-MNPJ
$2,387
$597
$2,297
14
clean
25605 - CLTX DSTL RDL FX-EPIPHYSL SEP W-MNPJ
$2,059
$515
$2,327
14
clean
26010 - DRAINAGE FINGER ABSCESS SIMPLE
$1,869
$467
$406
13
clean
26055 - TENDON SHEATH INCISION
$3,917
$979
$2,327
13
clean
26727 - PRQ SKEL FIXJ PHLNGL SHFT FX PROX-MIDDLE PX-F-T
$3,888
$972
$4,829
14
clean
26765 - OPEN TX DISTAL PHALANGEAL FRACTURE EACH
$2,768
$692
$4,829
14
clean
26770 - CLTX IPHAL JT DISLC W-MANJ W-O ANES
$395
$99
$452
14
clean
26952 - AMP F-TH 1-2 JT-PHALANX W-NEURECT LOCAL FLAP
$2,958
$739
$4,829
13
clean
27041 - BIOPSY SOFT TISSUE PELVISANDHIP DEEP-SUBFSCAL-IM
$5,932
$1,483
$2,401
14
clean
27339 - EXC TUMOR SOFT TISSUE THIGH-KNEE SUBFASC 5 CM-GREATER THAN
$5,536
$1,384
$4,190
14
clean
27650 - REPAIR PRIMARY OPEN-PRQ RUPTURED ACHILLES TENDON
$6,931
$1,733
$8,706
14
clean
27752 - CLTX TIBIAL SHAFT FX W-MANJ W-WO SKEL TRACJ
$2,234
$558
$2,327
13
clean
27788 - CLTX DSTL FIBULAR FX LAT MALLS W-MANJ
$592
$148
$538
14
clean
27818 - CLTX TRIMALLEOLAR ANKLE FX W-MANIPULATION
$2,059
$515
$2,297
14
clean
28820 - AMPUTATION TOE METATARSOPHALANGEAL JOINT
$6,931
$1,733
$4,096
14
clean
29105 - APPLICATION LONG ARM SPLINT SHOULDER TO HAND
$379
$95
$328
13
clean
29125 - APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC
$379
$95
$269
13
clean
29130 - APPLICATION FINGER SPLINT STATIC
$361
$90
$269
13
clean
29515 - APPLICATION SHORT LEG SPLINT CALF TO FOOT
$238
$60
$328
13
clean
29822 - SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1-2
$3,569
$892
$4,799
14
clean
29823 - SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+
$6,515
$1,629
$4,799
14
clean
29826 - SURGICAL ARTHROSCOPY SHO W-CORACOACRM LIGM RLS
$3,569
$892
$3,384
3
clean
29827 - SURGICAL ARTHROSCOPY SHOULDER W-ROTATOR CUFF RPR
$11,457
$2,864
$10,730
14
clean
29875 - ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX
$6,065
$1,516
$4,874
14
clean
29877 - ARTHRS KNEE SURG DEBRIDEMENT-SHVG ARTCLR CRTLG
$6,465
$1,616
$4,874
14
clean
29881 - ARTHRS KNEE SURG W-MENISCECTOMY MED-LAT W-SHVG
$4,774
$1,193
$4,874
14
clean
30300 - REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE
$100
$25
$269
13
clean
31500 - INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE
$942
$236
$567
14
clean
32551 - TUBE THORACOSTOMY INCLUDES WATER SEAL
$1,794
$449
$2,359
14
clean
36410 - VNPNXR 3 YEARS-GREATER THAN PHYS-QHP SKILL DX-THER PURPOSES
$73
$18
$452
5
clean
36415 - COLLECTION VENOUS BLOOD VENIPUNCTURE
$32
$8
$15
6
clean
36430 - TRANSFUSION BLOOD-BLOOD COMPONENTS
$1,390
$348
$662
14
clean
36556 - INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR-GREATER THAN
$1,253
$313
$4,727
14
clean
36558 - INSJ TUNNELED CVC W-O SUBQ PORT-PMP AGE 5 YR-GREATER THAN
$3,769
$942
$4,727
14
clean
36561 - INSJ TUNNELED CTR VAD W-SUBQ PORT AGE 5 YR-GREATER THAN
$7,130
$1,783
$4,758
14
clean
36591 - COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE
$211
$53
$206
9
clean
36592 - COLLECT BLOOD FROM CATHETER VENOUS NOS
$251
$63
$206
9
clean
36600 - ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX
$169
$42
$206
9
clean
43235 - ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC
$998
$250
$1,339
13
clean
43239 - EGD TRANSORAL BIOPSY SINGLE-MULTIPLE
$2,609
$652
$1,339
13
clean
43762 - PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC
$448
$112
$521
14
clean
44970 - LAPAROSCOPIC APPENDECTOMY
$11,368
$2,842
$8,346
14
clean
45378 - COLONOSCOPY FLX DX W-COLLJ SPEC WHEN PFRMD
$1,856
$464
$1,348
13
clean
45380 - COLONOSCOPY W-BIOPSY SINGLE-MULTIPLE
$2,276
$569
$1,757
13
clean
45381 - COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST
$1,378
$345
$1,757
13
clean
45384 - COLSC FLX W-REMOVAL LESION BY HOT BX FORCEPS
$2,276
$569
$1,757
13
clean
45385 - COLSC FLX W-RMVL OF TUMOR POLYP LESION SNARE TQ
$2,276
$569
$1,757
13
clean
45388 - COLONOSCOPY FLX ABLATION TUMOR POLYP-OTHER LES
$1,893
$473
$1,757
13
clean
46040 - IANDD ISCHIORECTALAND-PERIRECTAL ABSCESS SPX
$6,834
$1,708
$1,757
13
clean
46060 - IANDD ISCHIORECTAL-INTRAMURAL ABSC W-WO SETON
$5,599
$1,400
$4,061
13
clean
46221 - HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS
$3,604
$901
$1,373
14
clean
46255 - HEMORRHOIDECTOMY NTRNL AND XTRNL 1 COLUMN-GROUP
$4,690
$1,172
$4,115
14
clean
46270 - SURG TX ANAL FISTULA SUBQ
$5,565
$1,391
$4,115
14
clean
47562 - LAPAROSCOPY SURG CHOLECYSTECTOMY
$9,455
$2,364
$8,455
14
clean
49083 - ABDOM PARACENTESIS DX-THER W-IMAGING GUIDANCE
$2,582
$646
$1,339
13
clean
49320 - LAPS ABD PRTMANDOMENTUM DX W-WO SPEC BR-WA SPX
$4,241
$1,060
$7,597
14
clean
49321 - LAPAROSCOPY SURG W-BX SINGLE-MULTIPLE
$4,840
$1,210
$8,346
14
clean
49329 - UNLISTED LAPAROSCOPY PX ABD PERTONEUM AND OMENTUM
$3,369
$842
$8,455
9
clean
49465 - CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE
$337
$84
$509
14
clean
49505 - RPR 1ST INGUN HRNA AGE 5 YRS-GREATER THAN REDUCIBLE
$9,075
$2,269
$5,625
14
clean
49507 - RPR 1ST INGUN HRNA AGE 5 YRS-GREATER THAN INCARCERATED
$10,316
$2,579
$5,625
14
clean
49591 - RPR AA HERNIA 1ST LESS THAN 3 CM REDUCIBLE
$8,388
$2,097
$5,625
14
clean
49592 - RPR AA HERNIA 1ST LESS THAN 3 CM NCRC8-STRANGULATED
$7,501
$1,875
$8,455
14
clean
49593 - RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
$7,727
$1,932
$5,746
14
clean
51701 - INSJ NON-NDWELLG BLADDER CATHETER
$347
$87
$269
13
clean
51702 - INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE
$249
$62
$269
13
clean
51703 - INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED
$296
$74
$356
14
clean
51705 - CHANGE CYSTOSTOMY TUBE SIMPLE
$375
$94
$452
14
clean
51798 - MEAS POST-VOIDING RESIDUAL URINEAND-BLADDER CAP
$185
$46
$119
13
clean
54150 - CIRCUMCISION W-CLAMP-OTH DEV W-BLOCK
$3,820
$955
$3,009
14
clean
56405 - IANDD VULVA-PERINEAL ABSCESS
$1,888
$472
$473
14
clean
57454 - COLPOSCOPY CERVIX BX CERVIX AND ENDOCRV CURRETAGE
$4,013
$1,003
$473
14
clean
57460 - COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
$4,768
$1,192
$4,587
14
clean
57461 - COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
$5,221
$1,305
$4,528
14
clean
57520 - CONIZATION CERVIX W-WO DANDC RPR KNIFE-LASER
$7,513
$1,878
$3,978
14
clean
58120 - DILATION AND CURETTAGE DXAND-THER NONOBSTETRIC
$4,176
$1,044
$3,978
14
clean
58260 - VAGINAL HYSTERECTOMY UTERUS 250 GM-LESS THAN
$12,688
$3,172
$7,519
14
clean
58262 - VAG HYST 250 GM-LESS THAN W-RMVL TUBEAND-OVARY
$12,882
$3,221
$7,519
14
clean
58301 - REMOVAL INTRAUTERINE DEVICE IUD
$3,369
$842
$473
14
clean
58350 - CHROMOTUBATION OVIDUCT W-MATERIALS
$4,747
$1,187
$6,489
14
clean
58550 - LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM-LESS THAN
$18,374
$4,593
$8,491
14
clean
58552 - LAPS W-VAG HYSTERECT 250 GM-ANDRMVL TUBEAND-OVARIES
$17,292
$4,323
$14,552
14
clean
58555 - HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE
$4,239
$1,060
$4,528
14
clean
58558 - HYSTEROSCOPY BX ENDOMETRIUMAND-POLYPC W-WO DANDC
$3,988
$997
$4,528
14
clean
58562 - HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY
$3,725
$931
$4,528
14
clean
58571 - LAPS TOTAL HYSTERECT 250 GM-LESS THAN W-RMVL TUBE-OVARY
$17,762
$4,441
$14,552
14
clean
58660 - LAPAROSCOPY W-LYSIS OF ADHESIONS
$11,102
$2,776
$8,455
14
clean
58661 - LAPAROSCOPY W-RMVL ADNEXAL STRUCTURES
$9,775
$2,444
$8,455
14
clean
58662 - LAPS FULG-EXC OVARY VISCERA-PERITONEAL SURFACE
$7,120
$1,780
$8,455
14
clean
58670 - LAPAROSCOPY FULGURATION OVIDUCTS
$9,355
$2,339
$8,346
14
clean
59025 - FETAL NONSTRESS TEST
$464
$116
$409
13
clean
59151 - LAPS TX ECTOPIC PREG W-SALPINGAND-OOPHORECTOMY
$8,930
$2,233
$8,455
14
clean
59430 - POSTPARTUM CARE ONLY SEPARATE PROCEDURE
$3,781
$945
$6,256
1
clean
59812 - TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL
$4,266
$1,066
$4,587
14
clean
59820 - TX MISSED ABORTION FIRST TRIMESTER SURGICAL
$3,788
$947
$4,587
14
clean
62270 - DIAGNOSTIC LUMBAR SPINAL PUNCTURE
$692
$173
$1,053
14
clean
62272 - THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF
$939
$235
$1,053
14
clean
64415 - INJECTION AAAND-STRD BRACHIAL PLEXUS W-IMG GDN
$5,247
$1,312
$1,375
14
clean
64450 - INJECTION AAAND-STRD OTHER PERIPHERAL NERVE-BRANCH
$2,201
$550
$1,053
14
clean
64721 - NEUROPLASTY AND-TRANSPOS MEDIAN NRV CARPAL TUNNE
$5,279
$1,320
$2,916
14
clean
65205 - REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL
$112
$28
$269
13
clean
65220 - RMVL FB XTRNL EYE CORNEAL W-O SLIT LAMP
$148
$37
$612
13
clean
66982 - XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP
$4,935
$1,234
$3,486
14
clean
66984 - XCAPSL CTRC RMVL INSJ IO LENS PROSTH W-O ECP
$4,726
$1,181
$3,486
14
clean
69200 - RMVL FB XTRNL AUDITORY CANAL W-O ANES
$227
$57
$269
13
clean
69210 - REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT
$227
$57
$119
13
clean
70110 - RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS
$346
$87
$121
13
clean
70130 - RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE
$312
$78
$121
13
clean
70140 - RADEX FACIAL BONES LESS THAN 3 VIEWS
$301
$75
$86
13
clean
70150 - RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS
$278
$69
$121
13
clean
70160 - RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS
$278
$69
$86
13
clean
70200 - RADEX ORBITS COMPLETE MINIMUM 4 VIEWS
$402
$101
$121
13
clean
70210 - RADEX SINUSES PARANASAL LESS THAN 3 VIEWS
$233
$58
$86
13
clean
70220 - RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS
$278
$69
$86
13
clean
70250 - RADIOLOGIC EXAMINATION SKULL 4LESS THAN VIEWS
$324
$81
$121
13
clean
70260 - RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS
$467
$117
$121
13
clean
70360 - RADIOLOGIC EXAMINATION NECK SOFT TISSUE
$165
$41
$86
13
clean
70450 - CT HEAD-BRAIN W-O CONTRAST MATERIAL
$1,774
$444
$164
12
clean
70460 - CT HEAD-BRAIN W-CONTRAST MATERIAL
$1,983
$496
$275
12
clean
70470 - CT HEAD-BRAIN W-O AND W-CONTRAST MATERIAL
$2,193
$548
$275
12
clean
70480 - CT ORBIT SELLA-POST FOSSA-EAR W-O CONTRAST MATRL
$3,271
$818
$164
12
clean
70481 - CT ORBIT SELLA-POST FOSSA-EAR W-CONTRAST MATRL
$2,765
$691
$275
12
clean
70482 - CT ORBIT SELLA-POST FOSSA-EAR W-O AND W-CONTR MATR
$3,317
$829
$275
12
clean
70486 - CT MAXILLOFACIAL W-O CONTRAST MATERIAL
$1,774
$444
$164
12
clean
70487 - CT MAXILLOFACIAL W-CONTRAST MATERIAL
$2,064
$516
$275
12
clean
70488 - CT MAXILLOFACIAL W-O AND W-CONTRAST MATERIAL
$3,579
$895
$275
12
clean
70490 - CT SOFT TISSUE NECK W-O CONTRAST MATERIAL
$1,774
$444
$164
12
clean
70491 - CT SOFT TISSUE NECK W-CONTRAST MATERIAL
$1,983
$496
$275
12
clean
70492 - CT SOFT TISSUE NECK W-O AND W-CONTRAST MATERIAL
$2,193
$548
$256
12
clean
70496 - CT ANGIOGRAPHY HEAD W-CONTRAST-NONCONTRAST
$2,076
$519
$275
12
clean
70498 - CT ANGIOGRAPHY NECK W-CONTRAST-NONCONTRAST
$2,076
$519
$275
12
clean
70540 - MRI ORBIT FACE AND-NECK W-O CONTRAST
$2,352
$588
$374
12
clean
70543 - MRI ORBIT FACE AND NECK W-O AND W-CONTRAST MATRL
$3,372
$843
$546
12
clean
70544 - MRA HEAD W-O CONTRST MATERIAL
$2,418
$605
$374
12
clean
70546 - MRA HEAD W-O AND W-CONTRAST MATERIAL
$3,372
$843
$546
12
clean
70549 - MRA NECK W-O ANDW-CONTRAST MATERIAL
$3,372
$843
$546
12
clean
70551 - MRI BRAIN BRAIN STEM W-O CONTRAST MATERIAL
$3,543
$886
$374
12
clean
70553 - MRI BRAIN BRAIN STEM W-O W-CONTRAST MATERIAL
$4,035
$1,009
$546
12
clean
71045 - RADIOLOGIC EXAM CHEST SINGLE VIEW
$118
$29
$86
13
clean
71046 - RADIOLOGIC EXAM CHEST 2 VIEWS
$145
$36
$86
13
clean
71047 - RADIOLOGIC EXAM CHEST 3 VIEWS
$160
$40
$86
13
clean
71100 - RADEX RIBS UNILATERAL 2 VIEWS
$254
$63
$86
13
clean
71101 - RADEX RIBS UNI W-POSTEROANT CH MINIMUM 3 VIEWS
$274
$68
$121
13
clean
71110 - RADEX RIBS BILATERAL 3 VIEWS
$410
$102
$121
13
clean
71111 - RADEX RIBS BI W-POSTEROANT CH MINIMUM 4 VIEWS
$298
$75
$121
13
clean
71120 - RADEX STERNUM MINIMUM 2 VIEWS
$254
$63
$86
13
clean
71250 - DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W-O CNTRST
$1,925
$481
$164
12
clean
71260 - DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W-CONTRAST
$2,221
$555
$275
12
clean
71270 - DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C--C+
$3,114
$778
$275
12
clean
71275 - CT ANGIOGRAPHY CHEST W-CONTRAST-NONCONTRAST
$2,330
$582
$275
12
clean
71550 - MRI CHEST W-O CONTRAST MATERIAL
$1,390
$347
$374
12
clean
Showing the first 200 of 1,137 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
235 of 998 comparable items (24%) 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 $555
warn
mrf_rate_without_estimate
14,139 of 14,139 percentage/algorithm rates across 1,137 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 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 86870/o
info
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $406 — 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 $243 — 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 $199 — part of a file-wide pattern, counted once at the file level
CPT 86901/o
info
mrf_negotiated_above_gross
highest negotiated rate $75 exceeds the gross charge $48 — 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 $406 — 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 $406 — 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 $119 — part of a file-wide pattern, counted once at the file level
CPT 87420/o
info
mrf_negotiated_above_gross
highest negotiated rate $30 exceeds the gross charge $27 — part of a file-wide pattern, counted once at the file level
CPT 87530/o
info
mrf_negotiated_above_gross
highest negotiated rate $110 exceeds the gross charge $109 — part of a file-wide pattern, counted once at the file level
CPT 87808/o
info
mrf_negotiated_above_gross
highest negotiated rate $33 exceeds the gross charge $19 — 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 $690 — 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 $686 — part of a file-wide pattern, counted once at the file level
CPT 88360/o
info
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $279 — part of a file-wide pattern, counted once at the file level
CPT 90384/o
info
mrf_negotiated_above_gross
highest negotiated rate $119 exceeds the gross charge $33 — part of a file-wide pattern, counted once at the file level
CPT 90471/o
info
mrf_negotiated_above_gross
highest negotiated rate $146 exceeds the gross charge $82 — part of a file-wide pattern, counted once at the file level
CPT 92523/o
info
mrf_negotiated_above_gross
highest negotiated rate $464 exceeds the gross charge $296 — part of a file-wide pattern, counted once at the file level
CPT 94060/o
info
mrf_negotiated_above_gross
highest negotiated rate $754 exceeds the gross charge $693 — part of a file-wide pattern, counted once at the file level
CPT 94375/o
info
mrf_negotiated_above_gross
highest negotiated rate $436 exceeds the gross charge $387 — part of a file-wide pattern, counted once at the file level
CPT 94618/o
info
mrf_negotiated_above_gross
highest negotiated rate $269 exceeds the gross charge $199 — part of a file-wide pattern, counted once at the file level
CPT 94640/o
info
mrf_negotiated_above_gross
highest negotiated rate $443 exceeds the gross charge $170 — part of a file-wide pattern, counted once at the file level
CPT 94664/o
info
mrf_negotiated_above_gross
highest negotiated rate $443 exceeds the gross charge $350 — part of a file-wide pattern, counted once at the file level
CPT 94668/o
info
mrf_negotiated_above_gross
highest negotiated rate $269 exceeds the gross charge $90 — part of a file-wide pattern, counted once at the file level
CPT 94669/o
info
mrf_negotiated_above_gross
highest negotiated rate $443 exceeds the gross charge $369 — part of a file-wide pattern, counted once at the file level
CPT 94762/o
info
mrf_negotiated_above_gross
highest negotiated rate $260 exceeds the gross charge $245 — part of a file-wide pattern, counted once at the file level
CPT 96374/o
info
mrf_negotiated_above_gross
highest negotiated rate $430 exceeds the gross charge $423 — part of a file-wide pattern, counted once at the file level
CPT 96523/o
info
mrf_negotiated_above_gross
highest negotiated rate $119 exceeds the gross charge $70 — part of a file-wide pattern, counted once at the file level
CPT 97162/o
info
mrf_negotiated_above_gross
highest negotiated rate $268 exceeds the gross charge $209 — part of a file-wide pattern, counted once at the file level
CPT 97163/o
info
mrf_negotiated_above_gross
highest negotiated rate $357 exceeds the gross charge $209 — part of a file-wide pattern, counted once at the file level
CPT 97164/o
info
mrf_negotiated_above_gross
highest negotiated rate $179 exceeds the gross charge $122 — part of a file-wide pattern, counted once at the file level
CPT 97165/o
info
mrf_negotiated_above_gross
highest negotiated rate $204 exceeds the gross charge $185 — part of a file-wide pattern, counted once at the file level
CPT 97166/o
info
mrf_negotiated_above_gross
highest negotiated rate $268 exceeds the gross charge $194 — part of a file-wide pattern, counted once at the file level
CPT 97167/o
info
mrf_negotiated_above_gross
highest negotiated rate $357 exceeds the gross charge $194 — part of a file-wide pattern, counted once at the file level
CPT 97168/o
info
mrf_negotiated_above_gross
highest negotiated rate $179 exceeds the gross charge $107 — part of a file-wide pattern, counted once at the file level
CPT 97763/o
info
mrf_negotiated_above_gross
highest negotiated rate $99 exceeds the gross charge $70 — part of a file-wide pattern, counted once at the file level
CPT 99195/o
info
mrf_negotiated_above_gross
highest negotiated rate $269 exceeds the gross charge $225 — part of a file-wide pattern, counted once at the file level
CPT 99282/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,600 exceeds the gross charge $504 — part of a file-wide pattern, counted once at the file level
CPT 99283/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,745 exceeds the gross charge $811 — part of a file-wide pattern, counted once at the file level
CPT 99284/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,021 exceeds the gross charge $1,238 — part of a file-wide pattern, counted once at the file level
CPT 99285/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,721 exceeds the gross charge $1,726 — part of a file-wide pattern, counted once at the file level
CPT 99291/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,907 exceeds the gross charge $1,882 — part of a file-wide pattern, counted once at the file level
CPT 99292/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,340 exceeds the gross charge $702 — part of a file-wide pattern, counted once at the file level
CPT G0008/o
info
mrf_negotiated_above_gross
highest negotiated rate $95 exceeds the gross charge $68 — part of a file-wide pattern, counted once at the file level
CPT G0105/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $1,856 — part of a file-wide pattern, counted once at the file level
CPT G0121/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,276 — part of a file-wide pattern, counted once at the file level
CPT G0379/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,204 exceeds the gross charge $347 — part of a file-wide pattern, counted once at the file level
CPT G0463/o
info
mrf_negotiated_above_gross
highest negotiated rate $269 exceeds the gross charge $174 — part of a file-wide pattern, counted once at the file level
CPT J0282/o
info
mrf_negotiated_above_gross
highest negotiated rate $10 exceeds the gross charge $2 — part of a file-wide pattern, counted once at the file level
CPT J0456/o
info
mrf_negotiated_above_gross
highest negotiated rate $44 exceeds the gross charge $32 — part of a file-wide pattern, counted once at the file level
CPT J0561/o
info
mrf_negotiated_above_gross
highest negotiated rate $70 exceeds the gross charge $63 — part of a file-wide pattern, counted once at the file level
CPT J0690/o
info
mrf_negotiated_above_gross
highest negotiated rate $8 exceeds the gross charge $3 — part of a file-wide pattern, counted once at the file level
CPT J0694/o
info
mrf_negotiated_above_gross
highest negotiated rate $20 exceeds the gross charge $15 — part of a file-wide pattern, counted once at the file level
CPT J0696/o
info
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $4 — part of a file-wide pattern, counted once at the file level
CPT J0713/o
info
mrf_negotiated_above_gross
highest negotiated rate $11 exceeds the gross charge $7 — part of a file-wide pattern, counted once at the file level
CPT J0744/o
info
mrf_negotiated_above_gross
highest negotiated rate $22 exceeds the gross charge $9 — part of a file-wide pattern, counted once at the file level
CPT J1100/o
info
mrf_negotiated_above_gross
highest negotiated rate $13 exceeds the gross charge $1 — part of a file-wide pattern, counted once at the file level
CPT J1165/o
info
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $1 — part of a file-wide pattern, counted once at the file level
CPT J1630/o
info
mrf_negotiated_above_gross
highest negotiated rate $12 exceeds the gross charge $9 — part of a file-wide pattern, counted once at the file level
CPT J1644/o
info
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $1 — part of a file-wide pattern, counted once at the file level
CPT J1650/o
info
mrf_negotiated_above_gross
highest negotiated rate $32 exceeds the gross charge $6 — part of a file-wide pattern, counted once at the file level
CPT J1815/o
info
mrf_negotiated_above_gross
highest negotiated rate $6 exceeds the gross charge $3 — part of a file-wide pattern, counted once at the file level
CPT J1885/o
info
mrf_negotiated_above_gross
highest negotiated rate $18 exceeds the gross charge $8 — part of a file-wide pattern, counted once at the file level
CPT J1956/o
info
mrf_negotiated_above_gross
highest negotiated rate $34 exceeds the gross charge $5 — part of a file-wide pattern, counted once at the file level
CPT J2060/o
info
mrf_negotiated_above_gross
highest negotiated rate $8 exceeds the gross charge $7 — part of a file-wide pattern, counted once at the file level
CPT J2175/o
info
mrf_negotiated_above_gross
highest negotiated rate $10 exceeds the gross charge $8 — part of a file-wide pattern, counted once at the file level
CPT J2185/o
info
mrf_negotiated_above_gross
highest negotiated rate $8 exceeds the gross charge $5 — part of a file-wide pattern, counted once at the file level
CPT J2250/o
info
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $4 — part of a file-wide pattern, counted once at the file level
CPT J2272/o
info
mrf_negotiated_above_gross
highest negotiated rate $13 exceeds the gross charge $9 — part of a file-wide pattern, counted once at the file level
CPT J2354/o
info
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $6 — part of a file-wide pattern, counted once at the file level
CPT J2405/o
info
mrf_negotiated_above_gross
highest negotiated rate $12 exceeds the gross charge $2 — part of a file-wide pattern, counted once at the file level
CPT J2550/o
info
mrf_negotiated_above_gross
highest negotiated rate $10 exceeds the gross charge $7 — part of a file-wide pattern, counted once at the file level
CPT J2597/o
info
mrf_negotiated_above_gross
highest negotiated rate $41 exceeds the gross charge $22 — part of a file-wide pattern, counted once at the file level
CPT J3010/o
info
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $5 — part of a file-wide pattern, counted once at the file level
CPT J3101/o
info
mrf_negotiated_above_gross
highest negotiated rate $408 exceeds the gross charge $295 — part of a file-wide pattern, counted once at the file level
CPT J3480/o
info
mrf_negotiated_above_gross
highest negotiated rate $3 exceeds the gross charge $2 — part of a file-wide pattern, counted once at the file level
CPT J3489/o
info
mrf_negotiated_above_gross
highest negotiated rate $190 exceeds the gross charge $59 — part of a file-wide pattern, counted once at the file level
CPT J3490/o
info
mrf_negotiated_above_gross
highest negotiated rate $39 exceeds the gross charge $2 — part of a file-wide pattern, counted once at the file level
CPT P9100/o
info
mrf_negotiated_above_gross
highest negotiated rate $119 exceeds the gross charge $104 — part of a file-wide pattern, counted once at the file level
CPT Q9968/o
info
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $11 — part of a file-wide pattern, counted once at the file level
CPT 0866T/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $555 — part of a file-wide pattern, counted once at the file level
CPT 10060/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $436 — part of a file-wide pattern, counted once at the file level
CPT 10061/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $453 — part of a file-wide pattern, counted once at the file level
CPT 10080/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $1,035 — part of a file-wide pattern, counted once at the file level
CPT 10120/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $646 — part of a file-wide pattern, counted once at the file level
CPT 11012/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,871 exceeds the gross charge $2,768 — part of a file-wide pattern, counted once at the file level
CPT 11401/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $1,655 — part of a file-wide pattern, counted once at the file level
CPT 11402/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $1,655 — part of a file-wide pattern, counted once at the file level
CPT 11403/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $5,307 — part of a file-wide pattern, counted once at the file level
CPT 11740/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $181 — part of a file-wide pattern, counted once at the file level
CPT 12001/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $591 — part of a file-wide pattern, counted once at the file level
CPT 12002/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $549 — part of a file-wide pattern, counted once at the file level
CPT 12004/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $560 — part of a file-wide pattern, counted once at the file level
CPT 12005/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $569 — part of a file-wide pattern, counted once at the file level
CPT 12011/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $509 — part of a file-wide pattern, counted once at the file level
CPT 12013/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $540 — part of a file-wide pattern, counted once at the file level
CPT 12014/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $172 — part of a file-wide pattern, counted once at the file level
CPT 12031/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $546 — part of a file-wide pattern, counted once at the file level
CPT 12032/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $565 — part of a file-wide pattern, counted once at the file level
CPT 12034/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $573 — part of a file-wide pattern, counted once at the file level
CPT 12035/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $577 — part of a file-wide pattern, counted once at the file level
CPT 12042/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $502 — part of a file-wide pattern, counted once at the file level
CPT 12044/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $546 — part of a file-wide pattern, counted once at the file level
CPT 12052/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $555 — part of a file-wide pattern, counted once at the file level
CPT 12053/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $588 — part of a file-wide pattern, counted once at the file level
CPT 13132/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,769 exceeds the gross charge $1,284 — part of a file-wide pattern, counted once at the file level
CPT 16025/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $410 — part of a file-wide pattern, counted once at the file level
CPT 20552/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $308 — part of a file-wide pattern, counted once at the file level
CPT 20605/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $467 — part of a file-wide pattern, counted once at the file level
CPT 20610/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,004 — part of a file-wide pattern, counted once at the file level
CPT 20670/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,265 — part of a file-wide pattern, counted once at the file level
CPT 21552/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,528 exceeds the gross charge $5,520 — part of a file-wide pattern, counted once at the file level
CPT 23412/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $8,005 — part of a file-wide pattern, counted once at the file level
CPT 23650/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $446 — part of a file-wide pattern, counted once at the file level
CPT 24071/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $5,364 — part of a file-wide pattern, counted once at the file level
CPT 24200/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,338 exceeds the gross charge $2,643 — part of a file-wide pattern, counted once at the file level
CPT 24358/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,528 exceeds the gross charge $6,065 — 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 $473 — part of a file-wide pattern, counted once at the file level
CPT 25071/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,528 exceeds the gross charge $4,735 — 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 $2,387 — part of a file-wide pattern, counted once at the file level
CPT 25605/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,769 exceeds the gross charge $2,059 — part of a file-wide pattern, counted once at the file level
CPT 26727/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $3,888 — 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 $2,768 — 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 $395 — 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 $2,958 — part of a file-wide pattern, counted once at the file level
CPT 27339/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,528 exceeds the gross charge $5,536 — 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 $6,931 — 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 $2,234 — 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 $592 — 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 $2,059 — part of a file-wide pattern, counted once at the file level
CPT 29105/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $379 — part of a file-wide pattern, counted once at the file level
CPT 29125/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $379 — part of a file-wide pattern, counted once at the file level
CPT 29130/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $361 — part of a file-wide pattern, counted once at the file level
CPT 29515/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $238 — part of a file-wide pattern, counted once at the file level
CPT 29822/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $3,569 — part of a file-wide pattern, counted once at the file level
CPT 29823/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,818 exceeds the gross charge $6,515 — part of a file-wide pattern, counted once at the file level
CPT 29826/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,769 exceeds the gross charge $3,569 — part of a file-wide pattern, counted once at the file level
CPT 29827/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $11,457 — part of a file-wide pattern, counted once at the file level
CPT 29875/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $6,065 — part of a file-wide pattern, counted once at the file level
CPT 29877/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $6,465 — part of a file-wide pattern, counted once at the file level
CPT 29881/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $4,774 — part of a file-wide pattern, counted once at the file level
CPT 30300/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $100 — part of a file-wide pattern, counted once at the file level
CPT 31500/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $942 — part of a file-wide pattern, counted once at the file level
CPT 32551/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $1,794 — part of a file-wide pattern, counted once at the file level
CPT 36410/o
info
mrf_negotiated_above_gross
highest negotiated rate $452 exceeds the gross charge $73 — part of a file-wide pattern, counted once at the file level
CPT 36430/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $1,390 — part of a file-wide pattern, counted once at the file level
CPT 36556/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $1,253 — part of a file-wide pattern, counted once at the file level
CPT 36558/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,382 exceeds the gross charge $3,769 — part of a file-wide pattern, counted once at the file level
CPT 36591/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $211 — part of a file-wide pattern, counted once at the file level
CPT 36592/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $251 — part of a file-wide pattern, counted once at the file level
CPT 36600/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $169 — part of a file-wide pattern, counted once at the file level
CPT 37195/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,184 exceeds the gross charge $1,488 — part of a file-wide pattern, counted once at the file level
CPT 43235/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $998 — part of a file-wide pattern, counted once at the file level
CPT 43239/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,609 — part of a file-wide pattern, counted once at the file level
CPT 43762/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $448 — part of a file-wide pattern, counted once at the file level
CPT 44970/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $11,368 — part of a file-wide pattern, counted once at the file level
CPT 45378/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $1,856 — 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 $2,276 — 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 $1,378 — 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 $2,276 — 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 $2,276 — part of a file-wide pattern, counted once at the file level
CPT 45388/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $1,893 — 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 $3,604 — part of a file-wide pattern, counted once at the file level
CPT 46255/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,610 exceeds the gross charge $4,690 — part of a file-wide pattern, counted once at the file level
CPT 47562/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $9,455 — 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 $2,582 — 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 $4,241 — part of a file-wide pattern, counted once at the file level
CPT 49321/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $4,840 — part of a file-wide pattern, counted once at the file level
CPT 49329/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $3,369 — 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 $337 — part of a file-wide pattern, counted once at the file level
CPT 49505/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $9,075 — part of a file-wide pattern, counted once at the file level
CPT 49507/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,082 exceeds the gross charge $10,316 — part of a file-wide pattern, counted once at the file level
CPT 49591/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $8,388 — part of a file-wide pattern, counted once at the file level
CPT 49592/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $7,501 — part of a file-wide pattern, counted once at the file level
CPT 49593/o
info
mrf_negotiated_above_gross
highest negotiated rate $13,085 exceeds the gross charge $7,727 — part of a file-wide pattern, counted once at the file level
CPT 51701/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $347 — part of a file-wide pattern, counted once at the file level
CPT 51702/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $249 — 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 $296 — 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 $375 — part of a file-wide pattern, counted once at the file level
CPT 51798/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $185 — 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 $3,820 — 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 $1,888 — 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 $4,013 — part of a file-wide pattern, counted once at the file level
CPT 57460/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $4,768 — part of a file-wide pattern, counted once at the file level
CPT 57461/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $5,221 — part of a file-wide pattern, counted once at the file level
CPT 58120/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,543 exceeds the gross charge $4,176 — part of a file-wide pattern, counted once at the file level
CPT 58301/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,571 exceeds the gross charge $3,369 — part of a file-wide pattern, counted once at the file level
CPT 58350/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,111 exceeds the gross charge $4,747 — part of a file-wide pattern, counted once at the file level
CPT 58552/o
info
mrf_negotiated_above_gross
highest negotiated rate $21,485 exceeds the gross charge $17,292 — part of a file-wide pattern, counted once at the file level
CPT 58555/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $4,239 — part of a file-wide pattern, counted once at the file level
CPT 58558/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,543 exceeds the gross charge $3,988 — part of a file-wide pattern, counted once at the file level
CPT 58562/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,543 exceeds the gross charge $3,725 — part of a file-wide pattern, counted once at the file level
CPT 58571/o
info
mrf_negotiated_above_gross
highest negotiated rate $21,485 exceeds the gross charge $17,762 — part of a file-wide pattern, counted once at the file level
CPT 58600/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,543 exceeds the gross charge $4,353 — part of a file-wide pattern, counted once at the file level