Service
Code
Listed
Cash
Negotiated
Rates
Checks
RBC DNA HEA 35 AG 11 BLD GRP
$396
$237
$900
54
clean
COMPUTED TOMOGRAPHY (CT) OF BRAIN BLOOD FLOW; VOLUME; AND TIMING OF FLOW ANALYSIS WITH CONTRAST
$9,500
$5,700
$5,614
6
clean
PERQ SACRAL AUGMT UNILAT INJ
$36,389
$21,833
$41,789
23
clean
INJECTIONS OF BOTH SIDES OF SACRUM FOR ENLARGEMENT; 2 OR MORE NEEDLES; ACCESSED THROUGH THE SKIN
$30,756
$18,454
$33,052
70
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
$620
$372
$392
10
clean
DESTRUCTION OF NERVES OF ARTERIES OF ONE KIDNEY ACCESSED THROUGH THE SKIN WITH FLUOROSCOPY AND RADIOLOGICAL SUPERVISION AND INTERPRETATION
$24,866
$14,920
$34,878
46
clean
ONC PRST8 CA ALYS ALL PSA
$325
$195
$2,330
21
clean
WATERJET DESTRUCTION OF PROSTRATE ACCESSED THROUGH THE URETHRA
$17,947
$10,768
$15,598
12
clean
MEASUREMENT FRACTIONAL FLOW RESERVE IN ARTERIES OF HEART WITH 3D FUNCTIONAL MAPPING DURING PROCEDURE
$13,542
$8,125
$99
10
clean
AUTO QUAN C PLAQ CPTR ALYS
$4,092
$2,455
$2,330
2
clean
TCAT INS 2CHMBR LDLS PM CMPL
$87,735
$52,641
$99,911
20
clean
TCAT INS 2CHMBR LDLS PM RA
$90,367
$54,220
$99,911
20
clean
TCAT INS 2CHMBR LDLS PM RV
$90,367
$54,220
$99,911
20
clean
FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE; FIRST GROWTH
$7,377
$4,426
$5,747
125
clean
FNA BX W/US GDN EA ADDL
$1,623
$974
$269
81
clean
FNA BX W/FLUOR GDN 1ST LES
$8,002
$4,801
$4,748
25
clean
FNA BX W/CT GDN 1ST LES
$6,707
$4,024
$4,748
25
clean
FNA BX W/CT GDN EA ADDL
$1,574
$944
$179
21
clean
FNA BX W/O IMG GDN 1ST LES
$1,698
$1,019
$2,528
24
clean
DRAINAGE OF FLUID COLLECTION IN SOFT TISSUE USING IMAGING GUIDANCE
$6,519
$3,911
$5,304
46
clean
PLMT SFT TISS LOCLZJ DEV 1ST
$6,306
$3,784
$4,748
25
clean
PLMT SFT TISS LOCLZJ DEV EA
$1,274
$764
$103
21
clean
SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS
$2,053
$1,232
$1,784
162
clean
COMPLICATED OR MULTIPLE DRAINAGE OF SKIN ABSCESS
$2,189
$1,313
$3,615
75
clean
SIMPLE DRAINAGE OF CYST OF TAILBONE
$3,455
$2,073
$5,304
46
clean
COMPLICATED DRAINAGE OF CYST OF TAILBONE
$4,554
$2,732
$4,748
47
clean
REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE
$2,561
$1,537
$3,403
184
clean
INC&RMVL FB SUBQ TISS COMP
$10,624
$6,375
$8,796
25
clean
DRAINAGE OF BLOOD OR FLUID ACCUMULATION
$6,841
$4,105
$8,430
139
clean
ASPIRATION OF ABSCESS; BLOOD; OR CYST
$2,420
$1,452
$3,403
92
clean
I&D COMPLEX PO WOUND INFCTJ
$14,139
$8,484
$10,660
25
clean
DBRDMT SKIN ABDOMINAL WALL
$3,151
$1,890
$1,865
23
clean
REMOVAL OF FOREIGN MATERIAL FROM SKIN AND TISSUE AT OPEN BROKEN AND/OR DISLOCATED BONE
$12,714
$7,628
$5,747
25
clean
REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS
$1,698
$1,019
$3,403
150
clean
REMOVAL OF MUSCLE AND/OR TISSUE; 20.0 SQ CM OR LESS
$4,348
$2,609
$5,998
50
clean
DBRDMT BONE 1ST 20 SQ CM/<
$7,936
$4,762
$8,796
25
clean
REMOVAL OF SKIN AND TISSUE; EACH ADDITIONAL 20.0 SQ CM OR LESS
$9,917
$5,950
$138
20
clean
BIOPSY OF RELATED SKIN GROWTH; FIRST GROWTH
$5,525
$3,315
$3,403
23
clean
PUNCH BIOPSY; FIRST SKIN GROWTH
$20,485
$12,291
$3,299
21
clean
REMOVAL OF SKIN TAG; 1-15 SKIN TAGS
$22,338
$13,403
$1,784
23
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 1.1-2.0 CM
$32,184
$19,310
$5,747
25
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 2.1-3.0 CM
$11,169
$6,701
$5,747
50
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 3.1-4.0 CM
$14,845
$8,907
$8,430
25
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; MORE THAN 4.0 CM
$18,371
$11,022
$9,492
50
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 0.5 CM OR LESS
$20,358
$12,215
$8,796
25
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 0.6-1.0 CM
$21,277
$12,766
$5,747
25
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 1.1-2.0 CM
$25,039
$15,023
$8,430
25
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 2.1-3.0 CM
$13,554
$8,132
$8,430
25
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 3.1-4.0 CM
$19,179
$11,507
$9,492
25
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; MORE THAN 4.0 CM
$26,062
$15,637
$17,999
25
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS
$11,120
$6,672
$5,747
25
clean
REMOVAL OF SKIN AND TISSUE OF ANUS OR NAVEL FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR
$10,868
$6,521
$17,999
25
clean
REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS
$21,260
$12,756
$5,747
25
clean
REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 3.1-4.0 CM
$22,366
$13,420
$5,747
25
clean
REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; MORE THAN 4.0 CM
$24,445
$14,667
$9,492
25
clean
REMOVAL OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 0.6-1.0 CM
$7,943
$4,766
$5,747
50
clean
REMOVAL OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; MORE THAN 4.0 CM
$24,886
$14,932
$17,999
25
clean
TRIMMING OF FINGERNAILS OR TOENAILS
$333
$200
$479
65
clean
DEBRIDE NAIL 1-5
$308
$185
$437
24
clean
DEBRIDE NAIL 6 OR MORE
$340
$204
$437
24
clean
SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL
$1,052
$631
$1,784
115
clean
REMOVE NAIL PLATE ADD-ON
$385
$231
$42
21
clean
REMOVAL OF BLOOD ACCUMULATION UNDER FINGERNAIL OR TOENAIL
$794
$476
$1,114
93
clean
PERMANENT REMOVAL FINGERNAIL OR TOENAIL
$2,386
$1,432
$3,615
150
clean
REPAIR OF NAIL BED
$2,824
$1,694
$4,955
47
clean
REMOVAL OF SKIN OF FINGERNAIL OR TOENAIL
$4,156
$2,494
$3,299
70
clean
SIMPLE REMOVAL OF CYST OF TAILBONE
$20,485
$12,291
$17,999
50
clean
EXTENSIVE REMOVAL OF CYST OF TAILBONE
$23,455
$14,073
$17,999
25
clean
COMPLICATED REMOVAL OF CYST OF TAILBONE
$27,019
$16,211
$17,999
25
clean
INSERTION OF TISSUE EXPANDER
$37,920
$22,752
$17,999
25
clean
REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT IMPLANT
$35,396
$21,238
$33,052
125
clean
REMOVAL OF TISSUE EXPANDER
$40,416
$24,250
$17,999
25
clean
REMOVAL OF DRUG DELIVERY IMPLANT FROM TISSUE
$8,517
$5,110
$3,740
23
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS
$1,240
$744
$1,732
232
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM
$1,255
$753
$1,628
195
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 7.6-12.5 CM
$1,351
$811
$1,680
93
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 12.6-20.0 CM
$1,754
$1,052
$3,615
50
clean
RPR S/N/A/GEN/TRK20.1-30.0CM
$2,095
$1,257
$3,299
25
clean
RPR S/N/AX/GEN/TRNK >30.0 CM
$1,272
$763
$1,680
25
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS
$1,248
$749
$1,628
193
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM
$1,355
$813
$1,680
126
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 5.1-7.5 CM
$2,032
$1,219
$1,784
69
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 7.6-12.5 CM
$1,280
$768
$1,680
70
clean
RPR FE/E/EN/L/M 12.6-20.0 CM
$2,141
$1,285
$3,299
25
clean
RPR FE/E/EN/L/M 20.1-30.0 CM
$2,345
$1,407
$3,299
25
clean
RPR F/E/E/N/L/M >30.0 CM
$1,272
$763
$1,680
25
clean
SIMPLE CLOSURE OF SURFACE WOUND REOPENING
$2,866
$1,720
$5,304
75
clean
TX SUPFC WND DEHSN W/PACKING
$2,345
$1,407
$3,299
25
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS
$1,966
$1,180
$3,299
93
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM
$2,453
$1,472
$3,351
116
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 7.6-12.5 CM
$2,588
$1,553
$3,615
125
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 12.6-20.0 CM
$2,190
$1,314
$3,615
50
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 20.1-30.0 CM
$3,021
$1,813
$5,304
50
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; MORE THAN 30.0 CM
$10,720
$6,432
$9,144
50
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 2.5 CM OR LESS
$2,066
$1,240
$3,299
94
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 2.6-7.5 CM
$2,195
$1,317
$3,403
46
clean
INTMD RPR N-HF/GENIT7.6-12.5
$2,649
$1,589
$4,955
25
clean
INTMD RPR N-HF/GENIT12.6-20
$3,443
$2,066
$4,955
25
clean
INTMD RPR N-HF/GENIT20.1-30
$3,564
$2,138
$4,955
25
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; MORE THAN 30.0 CM
$10,720
$6,432
$9,144
50
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS
$2,388
$1,433
$3,299
94
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM
$2,550
$1,530
$3,403
69
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 5.1-7.5 CM
$1,733
$1,040
$3,299
70
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 7.6-12.5 CM
$2,444
$1,466
$3,615
25
clean
INTMD RPR FACE/MM 12.6-20 CM
$2,595
$1,557
$3,299
25
clean
INTMD RPR FACE/MM 20.1-30.0
$3,564
$2,138
$3,299
25
clean
INTMD RPR FACE/MM >30.0 CM
$3,764
$2,258
$3,299
25
clean
CMPLX RPR TRUNK 1.1-2.5 CM
$3,564
$2,138
$4,955
25
clean
CMPLX RPR TRUNK 2.6-7.5 CM
$3,137
$1,882
$5,304
50
clean
CMPLX RPR TRUNK ADDL 5CM/<
$549
$329
$169
21
clean
COMPLICATED REPAIR OF WOUND OF SCALP; ARMS; OR LEGS; 1.1-2.5 CM
$2,987
$1,792
$3,403
50
clean
COMPLICATED REPAIR OF WOUND OF SCALP; ARMS; OR LEGS; 2.6-7.5 CM
$3,017
$1,810
$3,615
100
clean
COMPLICATED REPAIR OF WOUND OF SCALP; ARMS; OR LEGS; EACH ADDITIONAL 5.0 CM OR LESS
$670
$402
$425
81
clean
COMPLICATED REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 1.1-2.5 CM
$1,951
$1,171
$3,615
25
clean
COMPLICATED REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 2.6-7.5 CM
$2,968
$1,781
$3,403
125
clean
COMPLICATED REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; EACH ADDITIONAL 5.0 CM OR LESS
$2,242
$1,345
$293
42
clean
COMPLICATED REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIP; 1.1-2.5 CM
$3,175
$1,905
$5,998
50
clean
COMPLICATED REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIP; 2.6-7.5 CM
$4,073
$2,444
$5,998
75
clean
CMPLX RPR E/N/E/L ADDL 5CM/<
$579
$347
$322
21
clean
EXTENSIVE OR COMPLICATED REPAIR OF SURFACE WOUND REOPENING
$42,706
$25,624
$13,005
25
clean
REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$9,808
$5,885
$9,492
25
clean
REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN; 10.1-30.0 SQ CM
$11,512
$6,907
$13,466
50
clean
REPAIR OF WOUND OF SCALP; ARMS; OR LEGS BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$11,537
$6,922
$13,466
25
clean
REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$10,439
$6,263
$9,492
100
clean
REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET BY TRANSFERRING SKIN; 10.1-30.0 SQ CM
$2,862
$1,717
$13,466
75
clean
REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIPS BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$2,242
$1,345
$13,466
125
clean
REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIPS BY TRANSFERRING SKIN; 10.1-30.0 SQ CM
$11,465
$6,879
$13,466
25
clean
REPAIR OF WOUND BY TRANSFERRING SKIN; 30.1-60.0 SQ CM
$39,194
$23,516
$19,495
50
clean
REPAIR OF WOUND BY TRANSFERRING SKIN; EACH ADDITIONAL 30.0 SQ CM
$19,597
$11,758
$1,154
40
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
$33,654
$20,192
$6,572
25
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
$6,504
$3,902
$3,615
25
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
$32,266
$19,360
$9,492
25
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
$5,803
$3,482
$17,999
25
clean
DEEP LAYER SELF SKIN GRAFT OF FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; 100.0 SQ CM OR 1% BODY AREA OF INFANTS AND CHILDREN; OR LESS
$14,254
$8,552
$17,999
25
clean
FULL THICKNESS SKIN GRAFT TO FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 20.0 SQ CM OR LESS
$41,445
$24,867
$13,466
25
clean
FULL THICKNESS SKIN GRAFT TO FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; EACH ADDITIONAL 20.0 SQ CM
$6,151
$3,691
$570
20
clean
FULL THICKNESS SKIN GRAFT TO NOSE; EARS; EYELIDS; OR LIPS; 20.0 SQ CM OR LESS
$11,465
$6,879
$9,492
25
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
$11,243
$6,746
$6,572
25
clean
CREATION OF FLAP GRAFT TO EYELIDS; NOSE; EARS; LIPS; OR MOUTH
$40,563
$24,338
$13,466
50
clean
TRANSFER OF SKIN FLAP TO EYELIDS; NOSE; EARS; OR LIPS
$24,200
$14,520
$13,466
25
clean
CREATION OF FLAP GRAFT TO NOSE; FOREHEAD; TEMPLE; OR SCALP
$11,465
$6,879
$17,999
25
clean
CREATION OF MUSCLE GRAFT TO TRUNK
$27,415
$16,449
$17,999
50
clean
CREATION OF SKIN AND TISSUE GRAFT
$3,288
$1,973
$9,492
25
clean
CREATION OF NERVE AND BLOOD VESSEL SKIN GRAFT
$7,684
$4,611
$17,999
25
clean
SELF SOFT TISSUE GRAFT
$18,411
$11,046
$22,569
50
clean
GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO TRUNK; BREASTS; SCALP; ARMS; OR LEGS; 50.0 CC OR LESS
$13,617
$8,170
$22,569
100
clean
GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO TRUNK; BREASTS; SCALP; ARMS; OR LEGS; EACH ADDITIONAL 50.0 CC
$13,617
$8,170
$803
80
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
$9,225
$5,535
$9,492
50
clean
GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO FACE; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; OR FEET; EACH ADDITIONAL 25.0 CC
$9,225
$5,535
$774
60
clean
IMPLANTATION OF BIOLOGIC IMPLANT TO SOFT TISSUE
$9,111
$5,467
$1,154
60
clean
REPAIR OF LOWER EYELID DEFECT
$8,139
$4,883
$13,466
25
clean
REMOVAL OF EXCESSIVE SKIN OF LOWER EYELID AND FAT AROUND EYE
$8,139
$4,883
$13,466
25
clean
REMOVAL OF EXCESSIVE SKIN OF UPPER EYELID
$32,556
$19,534
$13,466
25
clean
REMOVAL OF EXCESSIVE SKIN AND FAT OF UPPER EYELID
$15,589
$9,353
$16,754
25
clean
REMOVAL OF WRINKLES AND EXTRA SKIN OF FOREHEAD
$6,916
$4,150
$13,466
50
clean
REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN
$21,081
$12,649
$27,584
50
clean
REMOVAL OF EXTRA SKIN AND TISSUE OF THIGH
$32,922
$19,753
$17,999
25
clean
REMOVAL OF EXTRA SKIN AND TISSUE OF OTHER AREA
$20,577
$12,346
$17,999
50
clean
EXTENSIVE REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN
$21,081
$12,649
$15,623
3
clean
REMOVAL OF SUTURES UNDER ANESTHESIA BY OTHER SURGEON
$39,962
$23,977
$8,430
50
clean
SUCTION ASSISTED REMOVAL OF FAT OF BODY
$40,370
$24,222
$17,999
100
clean
SUCTION ASSISTED REMOVAL OF FAT OF LEG
$17,196
$10,318
$19,507
25
clean
FIRST DEGREE BURN TREATMENT
$1,398
$839
$1,628
65
clean
DRESSING CHANGE OR REMOVAL OF BURN TISSUE; LESS THAN 5% OF TOTAL BODY SURFACE
$1,408
$845
$1,866
75
clean
DRESS/DEBRID P-THICK BURN M
$1,059
$635
$1,680
25
clean
DRESS/DEBRID P-THICK BURN L
$2,040
$1,224
$3,299
25
clean
CHEM CAUT OF GRANLTJ TISSUE
$882
$529
$1,487
24
clean
REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF HEAD; NECK; HANDS; FEET; OR GENITALS; 1-5 TISSUE BLOCKS
$24,940
$14,964
$5,998
25
clean
UNLISTD PX SKN MUC MEMB SUBQ
$1,277
$766
$1,680
47
clean
ASPIRATION OF CYST OF BREAST; FIRST CYST
$3,477
$2,086
$5,304
75
clean
PUNCTURE ASPIR CYST BRST EA
$2,421
$1,452
$51
21
clean
BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH
$9,000
$5,400
$9,492
125
clean
BX BREAST ADD LESION STRTCTC
$7,014
$4,208
$434
81
clean
BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH
$9,000
$5,400
$9,492
175
clean
BX BREAST ADD LESION US IMAG
$5,796
$3,478
$406
101
clean
BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI; FIRST GROWTH
$10,732
$6,439
$13,404
75
clean
BX BREAST ADD LESION MR IMAG
$5,878
$3,527
$473
41
clean
BIOPSY OF BREAST THROUGH INCISION
$23,554
$14,132
$17,999
25
clean
EXPLORATION OF BREAST NIPPLE
$21,871
$13,123
$17,999
25
clean
REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE
$22,069
$13,241
$17,999
275
clean
REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER; FIRST GROWTH
$22,465
$13,479
$17,999
250
clean
REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER; EACH ADDITIONAL GROWTH
$11,084
$6,651
$869
40
clean
PERQ DEVICE BREAST 1ST IMAG
$7,969
$4,781
$6,940
50
clean
PERQ DEVICE BREAST EA IMAG
$3,623
$2,174
$118
21
clean
PLACEMENT OF LOCATING DEVICE IN BREAST USING X-RAY WITH NEEDLE GUIDANCE; FIRST GROWTH
$6,239
$3,744
$5,526
150
clean
PLACEMENT OF LOCATING DEVICE IN BREAST USING X-RAY WITH NEEDLE GUIDANCE; EACH ADDITIONAL GROWTH
$5,083
$3,050
$264
81
clean
PERQ DEV BREAST 1ST US IMAG
$7,969
$4,781
$5,747
175
clean
PERQ DEV BREAST ADD US IMAG
$3,969
$2,381
$225
101
clean
PERQ DEV BREAST 1ST MR GUIDE
$6,893
$4,136
$4,748
25
clean
PERQ DEV BREAST ADD MR GUIDE
$2,757
$1,654
$151
21
clean
PARTIAL REMOVAL OF BREAST
$48,463
$29,078
$17,999
275
clean
PARTIAL REMOVAL OF BREAST AND UNDERARM LYMPH NODES
$16,314
$9,788
$33,674
100
clean
SIMPLE COMPLETE REMOVAL OF BREAST
$9,111
$5,467
$27,584
150
clean
REMOVAL OF BREAST AND UNDERARM LYMPH NODES
$34,977
$20,986
$27,584
50
clean
REPAIR FOR SAGGING OF THE BREAST
$10,582
$6,349
$27,584
125
clean
BREAST REDUCTION
$8,509
$5,106
$27,584
200
clean
INSERTION OF BREAST IMPLANT
$48,499
$29,099
$34,071
125
clean
REMOVAL OF INTACT BREAST IMPLANT
$19,877
$11,926
$17,999
50
clean
REMOVAL OF RUPTURED BREAST IMPLANT AND IMPLANT MATERIAL
$32,260
$19,356
$17,999
100
clean
PLACEMENT OF IMPLANT ON SAME DAY OF BREAST RECONSTRUCTION
$15,479
$9,287
$29,994
125
clean
Showing the first 200 of 4,394 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,279 of 1,695 comparable items (75%) 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 $69,961 exceeds the gross charge $36,389
warn
mrf_rate_without_estimate
388,127 of 388,127 percentage/algorithm rates across 4,394 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 23575/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 29130/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 37248/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 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 min differ, so no cross-line comparison was made for this item
CPT 76642/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 82017/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 87149/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 Q5107/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 37252/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 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76700/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 87150/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 C1769/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 J2290/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 Q5108/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 10005/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 23600/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 52354/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 70200/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 82024/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 84591/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 C1788/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 J2305/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 Q5112/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 10006/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 23605/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 29260/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 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 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 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76705/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min 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 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 84597/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 87169/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 C1884/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 J2310/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 Q5115/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 23615/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 29280/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 37609/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 70210/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min 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 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 84630/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 93306/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 C1887/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 J2312/o
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q5117/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 23620/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 29345/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 37700/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 52601/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 76706/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min 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 87176/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 93307/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 C1889/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 J2327/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 Q5136/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 23625/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 29405/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 37722/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 52630/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 70220/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 76770/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 82044/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 84681/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 87177/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 93308/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 J2353/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 4 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 37765/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 70250/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 84702/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 87181/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 93312/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 J2354/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 23655/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 29505/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 37766/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 52648/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 76800/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 82085/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 84703/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 87184/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 93320/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 C1894/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 J2356/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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29515/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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 52649/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 70260/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min 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 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 84999/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 87185/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 93321/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 J2357/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 Q9965/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 23665/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 29520/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 76801/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their 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, min differ, so no cross-line comparison was made for this item
CPT 85008/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 87186/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 93325/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 J2359/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 23670/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 29530/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 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 93350/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 Q9967/o
info
mrf_item_fields_vary
this code and setting cover at least 28 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 10060/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 29540/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 85014/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 87205/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 93351/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 J2371/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 Q9968/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 10061/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 70360/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 76805/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their 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 min differ, so no cross-line comparison was made for this item
CPT 85018/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 87206/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 93355/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 J2401/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 29580/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 38505/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 85025/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 87207/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 93356/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 J2404/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 S0090/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 10081/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 29581/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 38525/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 70450/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 76815/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 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 85027/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 J2405/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 S0191/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 10120/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 24071/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 70460/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 76816/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 87209/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 93451/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT C8908/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT J2426/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 S3620/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 24075/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 54150/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 70481/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 85045/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 93452/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 J2430/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 10140/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 24105/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 38572/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 70486/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 76817/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 82140/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 85048/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 87220/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 93454/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 J2440/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 S9449/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 24200/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 54161/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 70487/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 76818/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 82150/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 85049/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 93455/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 J2469/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 S9470/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 70491/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 76819/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 87254/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 93456/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 J2470/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 29807/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 38745/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 70540/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 76820/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 93457/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT J2471/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 24341/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 38760/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 70542/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 76821/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 82164/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 87255/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 93458/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 C9046/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