Service
Code
Listed
Cash
Negotiated
Rates
Checks
RBC DNA HEA 35 AG 11 BLD GRP
$324
$291
$720
4
clean
NFCT DS DNA UNTRGT NGNRJ SEQ
$2,788
$2,509
$2,126
4
clean
TEST FOR DETECTION OF RESPIRATORY DISEASE-CAUSING ORGANISMS FROM BACK OF NOSE AND THROAT (NASOPHARYNX) SPECIMEN; 22 TARGET ORGANISMS INCLUDING SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2
$877
$789
$417
9
clean
NJX PLATELET PLASMA
$741
$667
$420
7
clean
RESPIRATORY INFECTIOUS AGENT DETECTION BY RNA FOR SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID 19); INFLUENZA A; INFLUENZA B; AND RESPIRATORY SYNCYTIAL VIRUS; UPPER RESPIRATORY SPECIMEN; EACH REPORTED AS DETECT
$224
$202
$228
8
clean
KLHL11 ANTB SR/CSF ASY QUAL
$205
$185
$37
3
clean
NEURFLMNT LT CHN ULTRSENS IA
$250
$225
$116
3
clean
LASER DESTRUCTION OF SCAR TISSUE; FIRST 100 CM2; OR 1% OF BODY SURFACE AREA OF INFANTS AND CHILDREN
$0
$0
$1,056
40
clean
LASER DESTRUCTION OF SCAR TISSUE; EACH ADDITIONAL 100 CM2; OR 1% OF BODY SURFACE AREA OF INFANTS AND CHILDREN
$0
$0
$1,525
8
clean
TMVI PERCUTANEOUS APPROACH
$795
$716
—
0
clean
CAR-T CLL ADMN AUTOLOGOUS
$4,590
$4,131
—
0
clean
INSJ/RPLCMT ICDS SS ELTRD
$54,859
$49,373
$29,348
4
clean
TTVI/RPLCMT W/PRSTC VLV PERQ
$1,823
$1,641
$1,525
4
clean
INSTLJ FECAL MICROBIOTA SSP
$1,079
$971
$602
8
clean
FNA BX W/US GDN 1ST LES
$1,033
$930
$665
30
clean
FNA BX W/US GDN EA ADDL
$267
$240
$616
12
clean
FNA BX W/FLUOR GDN 1ST LES
$745
$670
$705
8
clean
FNA BX W/CT GDN 1ST LES
$1,892
$1,702
$929
8
clean
FNA BX W/CT GDN EA ADDL
$868
$782
$627
6
clean
FNA BX W/MR GDN 1ST LES
$3,568
$3,211
$929
8
clean
FNA BX W/MR GDN EA ADDL
$1,638
$1,474
$1,375
3
clean
IMG GID FLU COLL DRG SFT TIS
$1,033
$930
$665
15
clean
PLMT SFT TISS LOCLZJ DEV 1ST
$1,041
$937
$665
15
clean
SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS
$1,678
$1,510
$189
55
clean
I&D ABSCESS COMP/MULTIPLE
$525
$472
$453
16
clean
SIMPLE DRAINAGE OF CYST OF TAILBONE
$6,137
$5,523
$929
8
clean
REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE
$5,630
$5,067
$380
32
clean
INC&RMVL FB SUBQ TISS COMP
$2,355
$2,120
$1,544
24
clean
I&D HMTMA SEROMA/FLUID COLLJ
$2,471
$2,224
$1,511
16
clean
ASPIRATION OF ABSCESS; BLOOD; OR CYST
$2,784
$2,506
$382
30
clean
COMPLEX DRAINAGE OF WOUND INFECTION AFTER SURGERY
$10,579
$9,521
$2,097
8
clean
REMOVAL OF FOREIGN MATERIAL FROM SKIN AND TISSUE AT OPEN BROKEN AND/OR DISLOCATED BONE
$17,620
$15,858
$929
24
clean
REMOVAL OF FOREIGN MATERIAL FROM SKIN; TISSUE; AND MUSCLE AT OPEN BROKEN AND/OR DISLOCATED BONE
$944
$849
$805
8
clean
REMOVAL OF FOREIGN MATERIAL FROM SKIN; TISSUE; MUSCLE; AND BONE AT OPEN BROKEN AND/OR DISLOCATED BONE
$3,852
$3,467
$2,236
16
clean
REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS
$10,431
$9,388
$787
40
clean
REMOVAL OF MUSCLE AND/OR TISSUE; 20.0 SQ CM OR LESS
$10,481
$9,433
$944
24
clean
REMOVAL OF BONE; 20.0 SQ CM OR LESS
$6,105
$5,494
$1,544
48
clean
TANGNTL BX SKIN SINGLE LES
$670
$603
$526
24
clean
PUNCH BIOPSY; FIRST SKIN GROWTH
$4,003
$3,603
$787
24
clean
INCISION BIOPSY; FIRST SKIN GROWTH
$2,258
$2,032
$944
16
clean
REMOVAL OF SKIN TAG; 1-15 SKIN TAGS
$5,255
$4,730
$691
48
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS
$2,192
$1,972
$929
40
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.6-1.0 CM
$6,249
$5,624
$787
32
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 1.1-2.0 CM
$7
$7
$929
32
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 2.1-3.0 CM
$3,834
$3,450
$852
40
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 3.1-4.0 CM
$3,919
$3,527
$1,544
16
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; MORE THAN 4.0 CM
$4,940
$4,446
$1,544
24
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 0.5 CM OR LESS
$6,729
$6,056
$1,544
32
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 0.6-1.0 CM
$5,949
$5,354
$929
24
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 1.1-2.0 CM
$15,994
$14,395
$1,511
8
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 2.1-3.0 CM
$5,136
$4,623
$1,544
16
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 3.1-4.0 CM
$8,214
$7,392
$1,544
16
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; MORE THAN 4.0 CM
$7,622
$6,860
$2,236
16
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS
$1,598
$1,438
$1,041
72
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.6-1.0 CM
$3,996
$3,597
$929
24
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 1.1-2.0 CM
$5,394
$4,855
$929
40
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.1-3.0 CM
$8,184
$7,365
$1,544
32
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 3.1-4.0 CM
$5,696
$5,126
$1,544
16
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; MORE THAN 4.0 CM
$5,116
$4,604
$2,236
24
clean
REMOVAL OF SKIN AND TISSUE OF UNDERARMS FOR INFLAMED SWEAT GLANDS WITH COMPLEX REPAIR
$4,180
$3,762
$2,236
8
clean
REMOVAL OF SKIN AND TISSUE OF GROIN FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR
$0
$0
$2,236
8
clean
SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL
$3,365
$3,028
$803
8
clean
PERMANENT REMOVAL FINGERNAIL OR TOENAIL
$3,510
$3,159
$899
72
clean
BIOPSY OF FINGERNAIL OR TOENAIL
$3,519
$3,167
$1,041
8
clean
REMOVAL OF SKIN OF FINGERNAIL OR TOENAIL
$5,141
$4,627
$899
8
clean
SIMPLE REMOVAL OF CYST OF TAILBONE
$7,498
$6,748
$2,097
8
clean
EXTENSIVE REMOVAL OF CYST OF TAILBONE
$8,061
$7,255
$2,304
8
clean
INJECT SKIN LESIONS </W 7
$298
$268
$189
127
clean
INSERTION OF TISSUE EXPANDER
$3,286
$2,958
$2,602
24
clean
REMOVAL OF TISSUE EXPANDER
$15,472
$13,925
$2,236
16
clean
INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE
$1,599
$1,439
$125
20
clean
REMOVAL OF DRUG DELIVERY IMPLANT FROM TISSUE
$7,885
$7,097
$918
16
clean
REMOVAL WITH REINSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE
$3,052
$2,747
$806
16
clean
RPR S/N/AX/GEN/TRNK 2.5CM/<
$287
$258
$188
24
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM
$5,587
$5,029
$188
16
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 7.6-12.5 CM
$263
$236
$226
8
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS
$185
$167
$189
56
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM
$177
$159
$188
32
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 5.1-7.5 CM
$1,909
$1,718
$803
16
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 7.6-12.5 CM
$10,037
$9,033
$691
8
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 20.1-30.0 CM
$7,870
$7,083
$899
8
clean
TX SUPFC WND DEHSN SMPL CLSR
$967
$870
$831
8
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS
$0
$0
$899
40
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM
$3,834
$3,450
$382
56
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 7.6-12.5 CM
$0
$0
$380
16
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 12.6-20.0 CM
$4,578
$4,120
$899
8
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 20.1-30.0 CM
$4,193
$3,774
$1,056
8
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; MORE THAN 30.0 CM
$16,439
$14,795
$1,703
8
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 2.5 CM OR LESS
$5,639
$5,075
$380
24
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 2.6-7.5 CM
$7,217
$6,495
$787
24
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS
$0
$0
$787
56
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM
$3,625
$3,263
$462
32
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 7.6-12.5 CM
$0
$0
$899
8
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 12.6-20.0 CM
$22,348
$20,113
$787
32
clean
COMPLICATED REPAIR OF WOUND OF TRUNK; 2.6-7.5 CM
$16,260
$14,634
$944
8
clean
COMPLICATED REPAIR OF WOUND OF SCALP; ARMS; OR LEGS; 1.1-2.5 CM
$3,849
$3,464
$899
8
clean
COMPLICATED REPAIR OF WOUND OF SCALP; ARMS; OR LEGS; 2.6-7.5 CM
$8,623
$7,760
$787
16
clean
COMPLICATED REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 1.1-2.5 CM
$0
$0
$899
8
clean
COMPLICATED REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 2.6-7.5 CM
$11,767
$10,590
$899
24
clean
COMPLICATED REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIP; 2.6-7.5 CM
$14,849
$13,364
$1,110
8
clean
EXTENSIVE OR COMPLICATED REPAIR OF SURFACE WOUND REOPENING
$6,916
$6,224
$2,534
16
clean
REPAIR OF WOUND OF SCALP; ARMS; OR LEGS BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$7,211
$6,490
$1,910
8
clean
REPAIR OF WOUND OF SCALP; ARMS; OR LEGS BY TRANSFERRING SKIN; 10.1-30.0 SQ CM
$11,678
$10,510
$1,842
16
clean
REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$8,141
$7,327
$1,755
40
clean
REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET BY TRANSFERRING SKIN; 10.1-30.0 SQ CM
$8,229
$7,406
$1,910
32
clean
REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIPS BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$6,714
$6,043
$1,910
24
clean
REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIPS BY TRANSFERRING SKIN; 10.1-30.0 SQ CM
$4,882
$4,394
$1,842
24
clean
REPAIR OF WOUND BY TRANSFERRING SKIN; 30.1-60.0 SQ CM
$15,677
$14,109
$2,534
24
clean
REPAIR OF WOUND BY TRANSFERRING SKIN; EACH ADDITIONAL 30.0 SQ CM
$0
$0
$1,417
7
clean
PREPARATION OF SKIN GRAFT SITE OF TRUNK; ARMS; OR LEGS; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS
$9,401
$8,461
$1,056
32
clean
PREPARATION OF SKIN GRAFT SITE OF TRUNK; ARMS; OR LEGS; EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS
$0
$0
$1,417
7
clean
PREPARATION OF SKIN GRAFT SITE OF FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS
$8,868
$7,981
$899
32
clean
PARTIAL THICKNESS SELF SKIN GRAFT TO TRUNK; ARMS; OR LEGS; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS
$9,019
$8,117
$1,842
24
clean
PARTIAL THICKNESS SELF SKIN GRAFT TO FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS
$4,731
$4,258
$2,602
8
clean
FULL THICKNESS SKIN GRAFT TO SCALP; ARMS; OR LEGS; 20.0 SQ CM OR LESS
$5,719
$5,147
$1,910
8
clean
FULL THICKNESS SKIN GRAFT TO FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 20.0 SQ CM OR LESS
$4,357
$3,921
$1,910
24
clean
FULL THICKNESS SKIN GRAFT TO NOSE; EARS; EYELIDS; OR LIPS; 20.0 SQ CM OR LESS
$0
$0
$965
8
clean
APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF TRUNK; ARMS; OR LEGS; 25.0 SQ CM OR LESS OF WOUND 100.0 SQ CM OR LESS
$0
$0
$346
8
clean
APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF TRUNK; ARMS; OR LEGS; EACH ADDITIONAL 25.0 SQ CM OF WOUND 100.0 SQ CM OR LESS
$0
$0
$1,417
7
clean
SKIN SUBSTITUTE GRAFT TO WOUND 100.0 SQ CM OR MORE OF TRUNK; ARMS; OR LEGS; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS
$5,124
$4,611
$1,929
8
clean
SKIN SUBSTITUTE GRAFT TO WOUND 100.0 SQ CM OR MORE OF TRUNK; ARMS; OR LEGS; EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS
$0
$0
$1,417
7
clean
APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; 25.0 SQ CM OR LESS OF WOUND 100.0 SQ CM OR LESS
$12,080
$10,872
$1,056
16
clean
TRANSFER OF SKIN FLAP TO FOREHEAD; CHEEKS; CHIN; NECK; UNDERARMS; GENITALS; HANDS; OR FEET
$2,510
$2,259
$1,929
8
clean
TRANSFER OF SKIN FLAP
$5,416
$4,875
$1,929
16
clean
CREATION OF FLAP GRAFT TO HEAD AND/OR NECK
$1
$1
$2,534
16
clean
CREATION OF MUSCLE GRAFT TO TRUNK
$7,772
$6,995
$2,534
8
clean
CREATION OF SKIN AND TISSUE GRAFT
$16,105
$14,495
$1,910
8
clean
CREATION OF NERVE AND BLOOD VESSEL SKIN GRAFT
$11,368
$10,231
$2,729
8
clean
SELF SOFT TISSUE GRAFT
$4,207
$3,786
$2,534
64
clean
CREATION OF SKIN; FAT AND MUSCLE GRAFT
$12,587
$11,328
$2,395
8
clean
GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO TRUNK; BREASTS; SCALP; ARMS; OR LEGS; 50.0 CC OR LESS
$8,180
$7,362
$1,755
14
clean
GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO FACE; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; OR FEET; 25.0 CC OR LESS
$17,143
$15,428
$1,842
8
clean
IMPLANTATION OF BIOLOGIC IMPLANT TO SOFT TISSUE
$14,639
$13,175
$1,417
7
clean
REMOVAL OF EXCESSIVE SKIN OF UPPER EYELID
$7,117
$6,405
$1,842
8
clean
REMOVAL OF EXTRA SKIN AND TISSUE OF OTHER AREA
$5,762
$5,186
$2,236
8
clean
REMOVAL OF SUTURES UNDER ANESTHESIA BY OTHER SURGEON
$1,599
$1,439
$1,842
32
clean
DRESSING CHANGE UNDER ANESTHESIA
$2,568
$2,312
$1,056
32
clean
SUCTION ASSISTED REMOVAL OF FAT OF LEG
$7,137
$6,423
$2,534
8
clean
DRESSING CHANGE OR REMOVAL OF BURN TISSUE; LESS THAN 5% OF TOTAL BODY SURFACE
$386
$348
$287
24
clean
DRESSING CHANGE OR REMOVAL OF BURN TISSUE; 5-10% OF TOTAL BODY SURFACE
$552
$496
$370
24
clean
DRESSING CHANGE OR REMOVAL OF BURN TISSUE; MORE THAN 10% OF TOTAL BODY SURFACE
$938
$844
$660
8
clean
DESTRUCTION OF BIRTHMARK; LESS THAN 10.0 SQ CM
$58
$52
$382
96
clean
DSTR CUT VSC PRLF LES10-50SQ
$781
$703
$695
96
clean
DSTR CUT VSC PRLF LES>50SQCM
$2,016
$1,815
$1,842
64
clean
DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS
$263
$236
$691
64
clean
DESTRUCTION B9 LESIONS 15/>
$320
$288
$254
8
clean
APPLICATION OF CHEMICAL TO STOP TISSUE REGROWTH IN WOUND
$7,538
$6,784
$189
45
clean
UNLISTD PX SKN MUC MEMB SUBQ
$1,172
$1,055
$188
12
clean
REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE
$10,018
$9,017
$2,708
8
clean
REMOVAL OF EXTRA BREAST TISSUE IN MALE
$8,080
$7,272
$2,708
8
clean
BREAST REDUCTION
$9,878
$8,890
$1,755
28
clean
INSERTION OF BREAST IMPLANT
$16,981
$15,283
$1,755
7
clean
EXPLORATION OF WOUND OF ABDOMEN; BACK; OR FLANK
$6,344
$5,710
$1,703
8
clean
EXPLORATION OF WOUND OF ARM OR LEG
$8,409
$7,568
$1,544
16
clean
DEEP BIOPSY OF MUSCLE
$7,103
$6,393
$2,097
8
clean
NEEDLE BIOPSY OF MUSCLE
$3,634
$3,271
$1,544
23
clean
BIOPSY OF BONE USING NEEDLE OR TROCAR
$10,457
$9,411
$1,544
31
clean
BONE BIOPSY TROCAR/NDL DEEP
$2,545
$2,291
$1,544
15
clean
BIOPSY OF SURFACE BONE
$10,674
$9,607
$2,236
8
clean
BIOPSY OF DEEP BONE
$6,829
$6,146
$2,304
16
clean
NJX 1 TENDON SHEATH/LIGAMENT
$461
$415
$375
8
clean
NJX 1/MLT TRIGGER POINT 1/2
$461
$415
$375
8
clean
INJECTION OF TRIGGER POINTS; 3 OR MORE MUSCLES
$931
$838
$610
8
clean
ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT
$1,307
$1,176
$288
12
clean
ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT USING ULTRASOUND GUIDANCE
$431
$388
$288
26
clean
ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT
$464
$418
$288
151
clean
ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT USING ULTRASOUND GUIDANCE
$2,990
$2,691
$663
130
clean
ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT
$611
$550
$288
95
clean
ASPIRATION AND/OR INJECTION OF FLUID LARGE JOINT USING ULTRASOUND GUIDANCE
$431
$388
$288
87
clean
TREATMENT OF BONE CYST
$789
$710
$727
8
clean
PLACEMENT OF STABILIZING DEVICE TO SKULL
$5,283
$4,755
$1,503
7
clean
REMOVAL OF SURFACE IMPLANT FROM BONE
$3,617
$3,255
$1,544
32
clean
REMOVAL OF DEEP IMPLANT FROM BONE
$0
$0
$2,236
80
clean
PLACEMENT OF SINGLE DIRECTION EXTERNAL BONE STABILIZING DEVICE TO ARM OR LEG
$17,573
$15,816
$4,465
8
clean
PLACEMENT OF MULTIPLE DIRECTION EXTERNAL BONE STABILIZING DEVICE TO ARM OR LEG
$47,088
$42,379
$6,880
8
clean
REMOVAL OF EXTERNAL BONE STABILIZING DEVICE UNDER ANESTHESIA
$15,761
$14,185
$1,503
16
clean
HARVEST OF GRAFT FROM SMALL BONE
$11,325
$10,192
$4,338
24
clean
GRAFT OF NOSE CARTILAGE
$4,505
$4,055
$2,395
8
clean
ABLATE BONE TUMOR(S) PERQ
$4,716
$4,244
$16,394
22
clean
ABLATE BONE TUMOR(S) PERQ
$11,226
$10,104
$6,784
15
clean
REMOVAL OF GROWTH UNDER SKIN OF FACE OR SCALP; LESS THAN 2.0 CM
$2,111
$1,900
$1,544
24
clean
REMOVAL OF GROWTH UNDER SKIN OF FACE OR SCALP; 2.0 CM OR MORE
$9,032
$8,129
$1,544
16
clean
REMOVAL OF GROWTH OF MUSCLE OF FACE OR SCALP; LESS THAN 2.0 CM
$5,747
$5,172
$1,544
8
clean
REMOVAL OF GROWTH OF MUSCLE OF FACE OR SCALP; 2.0 CM OR MORE
$6,175
$5,558
$2,304
16
clean
REMOVAL OF LOWER JAW BONE
$7,802
$7,022
$5,535
4
clean
REMOVAL OF GROWTH OF FACE BONE
$4,138
$3,724
$3,100
4
clean
REMOVAL OF GROWTH OR CYST OF JAW OR UPPER CHEEK
$14,280
$12,852
$3,713
8
clean
REMOVAL OF GROWTH OR CYST OF LOWER JAW BONE
$7,690
$6,921
$2,496
16
clean
REMOVAL OF GROWTH OR CYST OF LOWER JAW BONE THROUGH MOUTH
$5,893
$5,303
$3,713
8
clean
IMPRESSION AND CUSTOM PREPARATION OF ORAL SURGICAL SPLINT
$11,050
$9,945
$223
20
clean
UNLISTED MAXLFCL PROSTH PX
$1,006
$906
$221
4
clean
APPLICATION AND REMOVAL OF DENTAL FIXATION DEVICE
$3,307
$2,976
$1,451
8
clean
RECONSTRUCTION OF UPPER JAW AND MIDFACE BONES
$67,959
$61,163
$5,535
3
clean
RECONSTRUCTION OF MIDFACE BONES WITH BONE GRAFT; SINGLE PIECE (LEFORT I)
$13,025
$11,722
$5,535
3
clean
RECONSTRUCTION OF SKULL BONES WITH REMOVAL OF BONE GROWTH
$7,766
$6,989
$5,535
4
clean
REPAIR OF NASAL OR CHEEK BONE WITH BONE GRAFT
$22,940
$20,646
$3,840
8
clean
HARVEST OF RIB CARTILAGE FOR GRAFTING
$8,432
$7,588
$3,713
16
clean
OBTAINING EAR CARTILAGE FOR GRAFTING
$3,710
$3,339
$3,645
80
clean
CLOSED TREATMENT OF BROKEN NOSE BONE WITH MANIPULATION
$8,385
$7,546
$1,451
8
clean
CLOSED TREATMENT OF BROKEN NOSE BONE WITH PLACEMENT OF STABILIZING DEVICE
$3,112
$2,801
$2,428
16
clean
Showing the first 200 of 4,827 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
250 of 1,581 comparable items (16%) 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 $720 exceeds the gross charge $324
warn
mrf_rate_without_estimate
256,982 of 256,982 percentage/algorithm rates across 4,827 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 30520/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 73010/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80365/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82747/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86341/o
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 89050/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 96375/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0737/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 13132/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 30540/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 51726/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73020/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80367/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82775/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86343/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 89051/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 96376/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0740/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 13160/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 51728/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73030/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 80375/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82784/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86352/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 89055/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 96401/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0780/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 14021/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 30901/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 51741/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73040/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 80377/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82785/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86353/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 89060/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96405/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J0834/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 14040/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 30930/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 51784/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73050/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81001/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82787/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86355/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 89230/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96409/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0875/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 14041/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 31000/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 51798/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73060/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81002/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82803/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86356/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90371/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96411/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0885/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 14060/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 31231/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 52000/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73070/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81003/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82810/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86357/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90375/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 96413/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0897/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 14061/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 31237/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 52005/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 73080/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81005/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82820/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86359/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90376/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 96415/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1050/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 14301/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 31238/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 52310/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73085/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81025/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82941/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86360/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90380/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96417/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1071/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31240/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73090/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81050/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82943/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86362/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90381/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96420/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J1100/o
info
mrf_item_fields_vary
this code and setting cover at least 24 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 15002/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 31253/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 52332/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 73092/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81105/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82945/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86363/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90460/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1171/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31254/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 52352/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73100/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81106/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 82947/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86364/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90461/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96450/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1190/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 15004/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 31255/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 52353/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 73110/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81107/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 82948/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86376/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90471/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 96521/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1200/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 15100/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 31256/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 52356/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 73120/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81108/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 82951/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86381/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 90472/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96542/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1303/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 15240/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 31259/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 54150/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 73130/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81109/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82952/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86384/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 90473/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 97014/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1308/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31267/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 54161/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 73140/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81110/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 82955/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86403/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90474/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97022/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1322/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 54162/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 73200/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82962/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86406/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 97032/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1413/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 54163/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 73201/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81112/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 82977/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86431/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90619/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 97033/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1439/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 54300/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 73206/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81161/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 82978/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86480/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90620/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 97110/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1442/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 15275/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 31525/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73218/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81162/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 82985/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 86481/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90624/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97112/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1453/o
info
mrf_item_fields_vary
this code and setting cover at least 30 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 15650/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 31526/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 54505/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 73220/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81167/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 83001/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86580/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90632/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 97113/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1561/o
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 15733/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 54520/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73221/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81170/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83002/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item