Service
Code
Listed
Cash
Negotiated
Rates
Checks
COMPUTED TOMOGRAPHY (CT) OF BRAIN BLOOD FLOW; VOLUME; AND TIMING OF FLOW ANALYSIS WITH CONTRAST
$4,000
$4,000
$647
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
$687
$687
$438
38
clean
TRLUML PERIP ATHRC BRCHIOCPH
$63,401
$63,401
$14,923
22
clean
TRLUML PERIP ATHRC ILIAC ART
$100,390
$100,390
$23,697
22
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
$294
$294
$292
3
clean
TMVI PERCUTANEOUS APPROACH
$35,000
$35,000
$2,765
3
clean
TTVR PERQ APPR 1ST PROSTH
$45,000
$45,000
$1,220
3
clean
TTVR PERQ EA ADDL PROSTH
$25,000
$25,000
$844
3
clean
INSJ/RPLCMT ICDS SS ELTRD
$179,245
$179,245
$40,575
22
clean
TTVI/RPLCMT W/PRSTC VLV PERQ
$35,000
$35,000
$2,585
4
clean
FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE; FIRST GROWTH
$3,227
$3,227
$952
42
clean
FNA BX W/US GDN EA ADDL
$536
$536
$49
40
clean
FNA BX W/CT GDN 1ST LES
$3,934
$3,934
$943
20
clean
FNA BX W/CT GDN EA ADDL
$500
$500
$77
21
clean
IMG GID FLU COLL DRG SFT TIS
$3,934
$3,934
$943
40
clean
SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS
$1,175
$1,175
$270
96
clean
COMPLICATED OR MULTIPLE DRAINAGE OF SKIN ABSCESS
$2,198
$2,198
$546
59
clean
SIMPLE DRAINAGE OF CYST OF TAILBONE
$4,016
$4,016
$934
39
clean
REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE
$2,198
$2,198
$546
59
clean
INC&RMVL FB SUBQ TISS COMP
$7,097
$7,097
$2,198
20
clean
I&D HMTMA SEROMA/FLUID COLLJ
$9,058
$9,058
$2,177
41
clean
ASPIRATION OF ABSCESS; BLOOD; OR CYST
$2,308
$2,308
$546
39
clean
COMPLEX DRAINAGE OF WOUND INFECTION AFTER SURGERY
$11,990
$11,990
$3,811
80
clean
DBRDMT ECZ/INFECTED SKIN<10%
$3,422
$3,422
$548
20
clean
DBRDMT ECZ/INFCT SKN EA ADDL
$358
$358
$14
19
clean
REMOVAL OF FOREIGN MATERIAL FROM SKIN AND TISSUE AT OPEN BROKEN AND/OR DISLOCATED BONE
$1,632
$1,632
$943
20
clean
DEB SKIN BONE AT FX SITE
$16,001
$16,001
$3,811
20
clean
REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS
$2,256
$2,256
$546
194
clean
REMOVAL OF MUSCLE AND/OR TISSUE; 20.0 SQ CM OR LESS
$19,890
$19,890
$974
99
clean
REMOVAL OF BONE; 20.0 SQ CM OR LESS
$4,968
$4,968
$2,177
59
clean
DBRDMT SUBQ TISS EACH ADDL
$2,142
$2,142
$24
57
clean
DBRDMT MUSC&/FSCA EA ADDL
$2,142
$2,142
$51
57
clean
DBRDMT BONE EACH ADDL
$2,188
$2,188
$91
57
clean
REMOVAL OF NONCANCER THICKENED SKIN GROWTH; 1 GROWTH
$925
$925
$270
39
clean
PARNG/CUTG B9 HYPRKR LES 2-4
$925
$925
$282
20
clean
PARNG/CUTG B9 HYPRKR LES >4
$925
$925
$282
20
clean
TANGNTL BX SKIN SINGLE LES
$1,111
$1,111
$541
20
clean
TANGNTL BX SKIN EA SEP/ADDL
$100
$100
$19
19
clean
PUNCH BIOPSY; FIRST SKIN GROWTH
$925
$925
$536
39
clean
PUNCH BX SKIN EA SEP/ADDL
$100
$100
$23
19
clean
INCISION BIOPSY; FIRST SKIN GROWTH
$1,652
$1,652
$970
20
clean
INCISION BIOPSY; EACH ADDITIONAL SKIN GROWTH
$200
$200
$27
19
clean
RMVL SKIN TAGS UP TO&INC 15
$1,111
$1,111
$282
20
clean
RMVL SKIN TAGS EA ADDL 10
$358
$358
$14
18
clean
EXC TR-EXT B9+MARG 0.5 CM<
$3,934
$3,934
$952
61
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.6-1.0 CM
$8,874
$8,874
$550
21
clean
EXC TR-EXT B9+MARG 1.1-2 CM
$3,934
$3,934
$952
41
clean
EXC TR-EXT B9+MARG 2.1-3CM
$3,934
$3,934
$952
41
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 3.1-4.0 CM
$5,100
$5,100
$2,167
20
clean
EXC TR-EXT B9+MARG >4.0 CM
$9,058
$9,058
$2,220
41
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 0.5 CM OR LESS
$5,100
$5,100
$2,220
81
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 0.6-1.0 CM
$2,816
$2,816
$952
61
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 1.1-2.0 CM
$2,816
$2,816
$2,167
40
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 2.1-3.0 CM
$3,570
$3,570
$2,177
21
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 3.1-4.0 CM
$10,710
$10,710
$2,220
41
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; MORE THAN 4.0 CM
$9,065
$9,065
$3,829
41
clean
EXC FACE-MM B9+MARG 0.5 CM/<
$3,934
$3,934
$943
20
clean
EXC FACE-MM B9+MARG 0.6-1 CM
$3,934
$3,934
$943
20
clean
EXC FACE-MM B9+MARG 1.1-2 CM
$3,934
$3,934
$943
20
clean
EXC FACE-MM B9+MARG 3.1-4 CM
$9,058
$9,058
$2,167
20
clean
REMOVAL OF SKIN AND TISSUE OF UNDERARMS FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR
$8,874
$8,874
$3,829
41
clean
REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS
$8,874
$8,874
$952
41
clean
REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 2.1-3.0 CM
$6,120
$6,120
$952
21
clean
TRIM NAIL(S) ANY NUMBER
$332
$332
$79
20
clean
REMOVAL OF FINGERNAILS OR TOENAILS; 1-5 NAILS
$292
$292
$79
58
clean
DEBRIDE NAIL 6 OR MORE
$292
$292
$83
20
clean
SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL
$1,064
$1,064
$270
249
clean
SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; EACH ADDITIONAL NAIL
$385
$385
$16
38
clean
REMOVAL OF BLOOD ACCUMULATION UNDER FINGERNAIL OR TOENAIL
$719
$719
$179
58
clean
REMOVAL OF NAIL BED
$2,308
$2,308
$548
40
clean
BIOPSY NAIL UNIT
$3,154
$3,154
$943
20
clean
REPAIR OF FINGERNAIL OR TOENAIL BED
$2,761
$2,761
$974
39
clean
REMOVAL OF SKIN OF FINGERNAIL OR TOENAIL
$1,775
$1,775
$546
77
clean
EXTENSIVE REMOVAL OF CYST OF TAILBONE
$7,956
$7,956
$3,904
21
clean
COMPLICATED REMOVAL OF CYST OF TAILBONE
$5,355
$5,355
$3,904
41
clean
REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT IMPLANT
$20,095
$20,095
$9,380
20
clean
INSERTION DRUG DLVR IMPLANT
$731
$731
$179
39
clean
REMOVAL OF DRUG DELIVERY IMPLANT FROM TISSUE
$6,120
$6,120
$600
41
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS
$1,175
$1,175
$270
172
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM
$1,175
$1,175
$267
128
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 7.6-12.5 CM
$1,118
$1,118
$270
96
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 12.6-20.0 CM
$2,308
$2,308
$546
39
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 20.1-30.0 CM
$2,308
$2,308
$546
39
clean
RPR S/N/AX/GEN/TRNK >30.0 CM
$1,118
$1,118
$270
39
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS
$1,175
$1,175
$267
92
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM
$1,175
$1,175
$267
130
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 5.1-7.5 CM
$1,118
$1,118
$270
96
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 7.6-12.5 CM
$1,118
$1,118
$270
96
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 12.6-20.0 CM
$2,234
$2,234
$546
39
clean
RPR FE/E/EN/L/M 20.1-30.0 CM
$2,234
$2,234
$548
20
clean
RPR F/E/E/N/L/M >30.0 CM
$1,111
$1,111
$282
20
clean
TX SUPFC WND DEHSN SMPL CLSR
$3,422
$3,422
$970
20
clean
TX SUPFC WND DEHSN W/PACKING
$2,234
$2,234
$548
20
clean
INTMD RPR S/A/T/EXT 2.5 CM/<
$2,234
$2,234
$548
20
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM
$1,690
$1,690
$546
59
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 7.6-12.5 CM
$2,198
$2,198
$546
39
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 12.6-20.0 CM
$2,198
$2,198
$546
39
clean
INTMD RPR S/A/T/EXT 20.1-30
$3,422
$3,422
$970
40
clean
INTMD RPR S/TR/EXT >30.0 CM
$10,227
$10,227
$2,746
20
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 2.5 CM OR LESS
$2,308
$2,308
$548
20
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 2.6-7.5 CM
$1,775
$1,775
$546
78
clean
INTMD RPR N-HF/GENIT7.6-12.5
$3,422
$3,422
$970
20
clean
INTMD RPR N-HF/GENIT12.6-20
$3,422
$3,422
$970
20
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS
$1,690
$1,690
$548
40
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM
$1,690
$1,690
$546
58
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 5.1-7.5 CM
$2,198
$2,198
$548
40
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 7.6-12.5 CM
$1,775
$1,775
$548
40
clean
INTMD RPR FACE/MM 12.6-20 CM
$2,234
$2,234
$548
20
clean
INTMD RPR FACE/MM 20.1-30.0
$2,234
$2,234
$548
20
clean
INTMD RPR FACE/MM >30.0 CM
$2,234
$2,234
$548
20
clean
CMPLX RPR TRUNK 2.6-7.5 CM
$3,422
$3,422
$974
40
clean
CMPLX RPR TRUNK ADDL 5CM/<
$1,258
$1,258
$65
19
clean
CMPLX RPR S/A/L 2.6-7.5 CM
$3,423
$3,423
$548
20
clean
CMPLX RPR S/A/L ADDL 5 CM/>
$429
$429
$73
19
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$2,234
$2,234
$548
20
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$3,422
$3,422
$548
20
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$1,287
$1,287
$111
19
clean
CMPLX RPR E/N/E/L 1.1-2.5 CM
$3,422
$3,422
$970
20
clean
COMPLICATED REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIP; 2.6-7.5 CM
$2,629
$2,629
$974
39
clean
CMPLX RPR E/N/E/L ADDL 5CM/<
$1,258
$1,258
$123
19
clean
EXTENSIVE OR COMPLICATED REPAIR OF SURFACE WOUND REOPENING
$11,391
$11,391
$4,626
21
clean
REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$612
$612
$2,773
41
clean
TIS TRNFR TRUNK 10.1-30SQCM
$10,227
$10,227
$2,773
21
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
$10,227
$10,227
$2,773
41
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
$8,391
$8,391
$2,746
20
clean
TIS TRNFR E/N/E/L 10 SQ CM/<
$10,227
$10,227
$2,773
41
clean
TIS TRNFR E/N/E/L10.1-30SQCM
$10,227
$10,227
$2,746
20
clean
TIS TRNFR ANY 30.1-60 SQ CM
$20,467
$20,467
$4,717
20
clean
WOUND PREP TRK/ARM/LEG
$8,391
$8,391
$993
61
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
$3,137
$3,137
$42
39
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
$4,182
$4,182
$550
61
clean
WND PREP F/N/HF/G ADDL CM
$1,968
$1,968
$83
19
clean
PINCH GRAFT UP TO 2 CM DIAM
$2,570
$2,570
$970
20
clean
SPLT AGRFT T/A/L 1ST 100SQCM
$8,391
$8,391
$2,746
20
clean
SPLT AGRFT T/A/L EA ADDL 100
$7,555
$7,555
$110
19
clean
EPIDRM AGRFT T/A/L 1ST 100
$8,391
$8,391
$2,746
20
clean
EPIDRM AGRFT T/A/L EA ADDL
$1,968
$1,968
$96
19
clean
EPDRM AGRFT F/S/N/H/F/G/M 1
$8,391
$8,391
$2,746
20
clean
EPDRM AGRFT F/S/N/H/F/G/M EA
$1,258
$1,258
$130
19
clean
SPLT AGRFT F/S/N/H/F/G/M 1ST
$15,394
$15,394
$4,649
20
clean
SPLT AGRFT F/S/N/H/F/G/M EA
$7,555
$7,555
$131
19
clean
DRM AGRFT T/A/L 1ST 100 SQCM
$8,391
$8,391
$2,746
20
clean
DRM AGRFT T/A/L EA ADDL
$5,561
$5,561
$81
19
clean
DRM AGRFT F/S/N/H/F/G/M 1ST
$15,394
$15,394
$4,649
20
clean
TIS CLTR AGRFT F/S/N/H/F/G 1
$15,394
$15,394
$4,649
20
clean
FTH/GFT FR TRNK 20 SQ CM/<
$8,391
$8,391
$2,746
20
clean
FTH/GFT FR TRNK EACH ADDL
$5,561
$5,561
$70
19
clean
FTH/GFT FR S/A/L 20 SQ CM/<
$8,391
$8,391
$2,746
20
clean
FTH/GFT FR S/A/L EACH ADDL
$1,968
$1,968
$62
19
clean
FTH/GFT F/C/C/M/N/AX/G/H/F20
$10,227
$10,227
$2,746
20
clean
FTH/GFT F/C/C/M/N/A/G/H/F EA
$1,258
$1,258
$97
19
clean
FTH/GFT FR N/E/E/L 20 SQCM/<
$10,227
$10,227
$2,746
20
clean
FTH/GFT FR N/E/E/L EACH ADDL
$5,561
$5,561
$124
19
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
$5,874
$5,874
$974
59
clean
SKIN SUB GRAFT T/A/L ADD-ON
$439
$439
$16
38
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
$3,137
$3,137
$2,773
61
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
$3,137
$3,137
$42
58
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
$5,874
$5,874
$993
61
clean
SKIN SUB GRAFT F/N/HF/G ADDL
$429
$429
$24
19
clean
SKN SUB GRFT F/N/HF/G CHILD
$8,391
$8,391
$2,746
40
clean
SKN SUB GRFT F/N/HF/G CH ADD
$1,258
$1,258
$52
19
clean
CREATION OF FLAP GRAFT TO HEAD AND/OR NECK
$7,956
$7,956
$4,762
21
clean
CREATION OF MUSCLE GRAFT TO TRUNK
$13,281
$13,281
$4,762
121
clean
CREATION OF MUSCLE GRAFT TO LEG
$12,546
$12,546
$4,762
21
clean
SELF SOFT TISSUE GRAFT
$8,109
$8,109
$4,762
21
clean
IMPLANTATION OF BIOLOGIC IMPLANT TO SOFT TISSUE
$8,160
$8,160
$206
40
clean
REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN
$34,170
$34,170
$8,668
21
clean
EXTENSIVE REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN
$19,329
$19,329
$4,896
3
clean
REMOVAL SUTR/STAPL XREQ ANES
$54
$54
$1,125
8
clean
REMOVAL OF SUTURES AND STAPLES NOT REQUIRING ANESTHESIA (LIST SEPARATELY IN ADDITION TO E/M CODE)
$53
$53
$1,125
4
clean
INITIAL TREATMENT OF BURN(S)
$1,118
$1,118
$267
20
clean
DRESSING CHANGE OR REMOVAL OF BURN TISSUE; LESS THAN 5% OF TOTAL BODY SURFACE
$1,118
$1,118
$270
58
clean
DRESSING CHANGE OR REMOVAL OF BURN TISSUE; 5-10% OF TOTAL BODY SURFACE
$972
$972
$270
39
clean
DRESSING CHANGE OR REMOVAL OF BURN TISSUE; MORE THAN 10% OF TOTAL BODY SURFACE
$1,775
$1,775
$546
39
clean
INITIAL INCISION OF DEAD BURN TISSUE
$1,652
$1,652
$546
39
clean
ESCHAROTOMY ADDL INCISION
$1,652
$1,652
$77
37
clean
DESTRUCT PREMALG LESION
$1,111
$1,111
$282
20
clean
DESTRUCT PREMALG LES 2-14
$143
$143
$2
19
clean
DESTROY PREMAL LESIONS 15/>
$1,652
$1,652
$548
20
clean
DESTRUCTION OF SKIN LESIONS
$1,652
$1,652
$548
20
clean
DESTRUCTION OF SKIN LESIONS
$2,570
$2,570
$970
20
clean
DESTRUCTION OF SKIN LESIONS
$8,391
$8,391
$2,707
20
clean
DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS
$5,355
$5,355
$295
41
clean
APPLICATION OF CHEMICAL TO STOP TISSUE REGROWTH IN WOUND
$925
$925
$270
58
clean
UNLISTD PX SKN MUC MEMB SUBQ
$1,111
$1,111
$282
20
clean
PUNCTURE ASPIR CYST BREAST
$3,934
$3,934
$952
21
clean
PUNCTURE ASPIR CYST BRST EA
$614
$614
$20
20
clean
MASTOTOMY EXPL DRG ABSC DP
$9,058
$9,058
$2,198
20
clean
BIOPSY OF BREAST OPEN
$16,265
$16,265
$5,137
20
clean
REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE
$10,200
$10,200
$5,162
81
clean
REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER; FIRST GROWTH
$17,950
$17,950
$5,162
81
clean
PERQ DEV BREAST 1ST US IMAG
$3,934
$3,934
$952
21
clean
REMOVAL OF EXTRA BREAST TISSUE IN MALE
$14,280
$14,280
$5,212
20
clean
PARTIAL REMOVAL OF BREAST
$11,220
$11,220
$5,512
100
clean
PARTIAL REMOVAL OF BREAST AND UNDERARM LYMPH NODES
$37,026
$37,026
$8,711
20
clean
SIMPLE COMPLETE REMOVAL OF BREAST
$15,640
$15,640
$8,584
60
clean
REMOVAL OF BREAST AND UNDERARM LYMPH NODES
$18,360
$18,360
$8,711
40
clean
REPAIR FOR SAGGING OF THE BREAST
$28,560
$28,560
$8,584
20
clean
BREAST REDUCTION
$32,640
$32,640
$8,584
60
clean
REMOVAL OF RUPTURED BREAST IMPLANT AND IMPLANT MATERIAL
$7,956
$7,956
$5,061
20
clean
Showing the first 200 of 3,885 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
735 of 1,795 comparable items (41%) 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 $1,005 exceeds the gross charge $687
warn
mrf_rate_without_estimate
323,148 of 323,148 percentage/algorithm rates across 3,885 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 21480/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 64483/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 81374/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 88368/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 J0592/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 J9206/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 64484/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 81377/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 J9208/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 36556/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 J0601/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 J9209/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 21932/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 36558/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 64490/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 86141/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 J0602/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 J9211/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 21933/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 36561/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 64491/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 86146/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 J9217/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 22511/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 64492/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 86147/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 J0607/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 J9260/o
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 22512/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 36581/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 64493/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 J0612/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 differ, so no cross-line comparison was made for this item
CPT J9263/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 36589/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 64494/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 86160/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 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 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0613/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 J9267/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 36590/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 64495/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 90375/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 J0615/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 J9271/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 64708/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 82040/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 90378/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 J0616/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 J9280/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 22900/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 64718/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 82042/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 86171/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 90471/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 J0618/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 J9293/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 22902/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 36620/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 64721/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 82043/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 86200/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 J0630/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 J9305/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 23120/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 64727/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 90632/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 J0637/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 J9312/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 36680/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 82088/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 86225/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 differ, so no cross-line comparison was made for this item
CPT J0640/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 J9355/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 23410/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 36818/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 65205/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 82103/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 90648/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 J0665/o
info
mrf_item_fields_vary
this code and setting cover at least 38 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 23412/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 36821/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 65220/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 82105/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 86235/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 differ, so no cross-line comparison was made for this item
CPT 90656/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 J0675/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 J9370/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 23470/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 36830/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 65222/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 82107/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 86255/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 J0688/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 J9390/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 23472/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 36832/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 67700/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 82108/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 86256/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 90675/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 J0690/o
info
mrf_item_fields_vary
this code and setting cover at least 23 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9016/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 36901/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 82139/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 86258/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 J0692/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 69200/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 86300/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 J0694/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 P9045/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 differ, so no cross-line comparison was made for this item
CPT 69205/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 J0696/o
info
mrf_item_fields_vary
this code and setting cover at least 41 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9046/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 82164/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 86304/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 90707/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 J0697/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 P9047/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 23650/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 37191/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 69210/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 J0699/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 P9073/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 23675/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 37193/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 69436/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 82175/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 90715/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 J0702/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 37221/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 69631/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 86316/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 90734/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 J0706/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 Q0138/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 24341/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 37236/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 69660/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 86317/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 90743/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 J0712/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 Q0144/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 86331/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 90744/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 J0713/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 differ, so no cross-line comparison was made for this item
CPT Q2009/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 differ, so no cross-line comparison was made for this item
CPT 82247/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 86334/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 90746/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 J0714/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 Q2050/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 70100/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 86335/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 Q4148/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 70140/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 86336/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 J0736/o
info
mrf_item_fields_vary
this code and setting cover at least 25 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q5101/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 37607/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 70160/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 86337/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 J0743/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 Q5106/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 24600/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 37785/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 70190/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 82274/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 J0744/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 Q5115/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 37799/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 70210/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 86341/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 J0750/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 Q5119/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 24640/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 38222/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 82306/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 92920/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 J0770/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 Q5126/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 24666/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 38500/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 92924/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 J0834/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 Q9957/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 24685/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 38505/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 70330/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 82310/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 92928/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 J0878/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, min differ, so no cross-line comparison was made for this item
CPT Q9958/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 38510/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 82330/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 86359/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 J0883/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 Q9963/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 38525/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