Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST 1 VIEW
$609
$457
$358
32
clean
HC X-RAY SHOULDER 1 VW - XR SHOULDER 1 VIEW RIGHT
$545
$409
$304
23
clean
HC HANDLIMITED
$563
$422
$314
21
clean
HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS RIGHT
$558
$419
$293
22
clean
HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS RIGHT
$505
$379
$343
22
clean
HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS LEFT
$719
$539
$471
17
clean
HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS RIGHT
$563
$422
$318
19
clean
HC RADIOLOGIC EXAM ABDOMEN 1 VIEW - XR ABDOMEN 1 VIEW
$461
$346
$286
19
clean
HC DRUG SCREEN URINE MULT
$528
$396
$211
23
clean
HC ASSAY OF URINE CREATININE - CREATININE RANDOM URINE
$81
$61
$41
21
clean
HC GLUCOSE POC
$112
$84
$62
22
clean
HC TREP PALLIDUM AB
$70
$53
$35
27
clean
HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML (5 ML) INTRAMUSCULAR SOLUTION
$1,300
$975
$632
41
clean
RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION
$4,665
$3,498
$2,312
114
clean
HC IMMUNIZ ADMIN1 SINGLE/COMB VAC/TOXOID
$90
$68
$56
28
clean
HEPATITIS A VACCINE (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE
$207
$155
$130
43
clean
FLU VACCINE QS2023-24(65YR UP)(PF)240 MCG/0.7 ML INTRAMUSCULAR SYRINGE
$45
$34
$29
47
clean
PNEUMOCOCCAL 13-VAL CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE
$2,124
$1,593
$1,134
78
clean
FLU VAC QS 2023(6 MOS UP)C.DER.(PF) 60 MCG(15 MCGX4)/0.5 ML IM SYRINGE
$59
$44
$32
22
clean
RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP
$1,432
$1,074
$925
77
clean
PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE
$2,348
$1,761
$1,491
63
clean
FLU VACCINE QS 2023-24(6MOS UP)(PF) 60 MCG(15 MCGX4)/0.5 ML IM SYRINGE
$20
$15
$12
44
clean
TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION
$212
$159
$143
90
clean
DIPHTHERIAPERTUSSIS(ACEL)TETANUS(PF) 0.5 ML IM SUSP (WRAPPER)
$341
$256
$215
117
clean
PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION (WRAPPER)
$1,046
$784
$690
66
clean
HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP
$206
$154
$121
68
clean
HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE
$165
$124
$93
45
clean
HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES
$360
$270
$229
23
clean
HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES
$471
$353
$323
28
clean
HC PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES
$1,106
$830
$734
27
clean
HC MULTIP FAMILY-GROUP PSYCHOTHERAPY
$360
$270
$229
29
clean
HC PHP GROUP THERAPY
$459
$344
$312
45
clean
HC ELECTROCONVULSIVE THERAPY1 SEIZ
$2,721
$2,041
$1,728
28
clean
COVID VAC 2023-24 (12 YR UP)(ANDUSOMERAN)(PF) 50 MCG/0.5 ML IM SYRINGE
$1,295
$971
$732
47
clean
HC PT THERAPEUTIC EXERCISES
$218
$164
$105
24
clean
HC PT NEUROMUSC REEDUCAT1+ AREAS EA 15 MIN
$225
$169
$143
25
clean
HC PT GAIT TRAINING THERAPY
$181
$136
$102
19
clean
HC PT MANUAL THER TECH1+REGIONSEA 15 MIN
$222
$167
$143
24
clean
HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS
$329
$247
$216
15
clean
HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS
$480
$360
$318
27
clean
HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS
$577
$433
$392
28
clean
HC PT KENETIC ACTVTY 15MIN
$229
$172
$154
24
clean
BLOOD SUGAR DIAGNOSTIC STRIPS
$1
$1
$1
21
clean
GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION
$20
$15
$12
24
clean
HEXAMINOLEVULINATE 100 MG INTRAVESICAL SOLUTION
$11,639
$8,729
$6,896
18
clean
CAPLACIZUMAB-YHDP 11 MG INJECTION KIT
$8,242
$6,182
$5,151
22
clean
PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION
$18
$14
$13
381
clean
AMISULPRIDE 10 MG/4 ML (2.5 MG/ML) INTRAVENOUS SOLUTION
$143
$107
$87
21
clean
EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION
$154,540
$115,905
$9,199
40
clean
LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION
$3
$2
$8
123
clean
BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION
$178
$133
$113
107
clean
GLUCARPIDASE 1000 UNIT INTRAVENOUS SOLUTION
$250,120
$187,590
$168,831
29
clean
CANGRELOR 50 MG INTRAVENOUS SOLUTION
$7,890
$5,918
$4,458
47
clean
BLOOD-GLUCOSE METER
$17
$13
$12
26
clean
HC ADMIN INFLUENZA VIRUS VAC
$90
$68
$44
22
clean
HC ADMIN PNEUMOCOCCAL VACCINE
$90
$68
$45
25
clean
HC PHP NUTRITION GRP ED
$525
$394
$357
22
clean
HC PHP REC GROUP 60MIN RESDT
$110
$83
$75
12
clean
HC PHP ACTIVITY GRP/15MIN
$194
$146
$102
34
clean
ERAVACYCLINE 50 MG INTRAVENOUS SOLUTION
$738
$554
$423
68
clean
ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION
$3,847
$2,885
$2,173
22
clean
ACETAMINOPHEN 1000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION
$1
$1
$0
97
clean
ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION
$11
$9
$7
130
clean
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION
$3
$2
$2
166
clean
ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS PEN KIT
$33,748
$25,311
$22,139
21
clean
ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION
$12
$9
$6
209
clean
EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION
$129
$97
$44
447
clean
LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION
$1,274
$956
$612
39
clean
AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION
$39,403
$29,552
$7,753
43
clean
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION
$119
$90
$73
28
clean
ALEMTUZUMAB 12 MG/1.2 ML INTRAVENOUS SOLUTION
$143,991
$107,993
$1,218
66
clean
ALFENTANIL 500 MCG/ML INJECTION SOLUTION
$30
$23
$20
15
clean
PATISIRAN (LIPID COMPLEX) 2 MG/ML INTRAVENOUS SOLUTION
$17,427
$13,070
$5,176
21
clean
REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION
$5,715
$4,286
$3,857
19
clean
ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1000 MG (+/-)/20 ML IV SOLUTION
$1,738
$1,303
$779
78
clean
AMIKACIN 500 MG/2 ML INJECTION SOLUTION
$11
$8
$8
158
clean
AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION
$3
$3
$3
113
clean
AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION
$10
$8
$2
197
clean
AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION
$353
$265
$215
21
clean
AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION
$876
$657
$594
18
clean
AMPICILLIN 1 GRAM SOLUTION FOR INJECTION
$0
$0
$7
680
clean
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION
$33
$25
$21
358
clean
SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE
$41
$31
$3
247
clean
ANIDULAFUNGIN 50 MG INTRAVENOUS SOLUTION
$1,145
$859
$551
43
clean
HYDRALAZINE 20 MG/ML INJECTION SOLUTION
$31
$23
$22
172
clean
ARTESUNATE 110 MG INTRAVENOUS SOLUTION
$49,800
$37,350
$32,619
55
clean
ARIPIPRAZOLE ER 300 MG SUSPENSION EXTENDED REL. INTRAMUSCULAR SYRINGE
$9,420
$7,065
$6,406
48
clean
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION
$27
$20
$12
183
clean
AZTREONAM 1 GRAM SOLUTION FOR INJECTION
$262
$197
$149
214
clean
ATROPINE 0.25 MG/5 ML (0.05 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SYRINGE
$12
$9
$8
212
clean
DIMERCAPROL 100 MG/ML INTRAMUSCULAR SOLUTION
$518
$389
$311
24
clean
BACLOFEN 40000 MCG/20 ML (2000 MCG/ML) INTRATHECAL SYRINGE
$321
$241
$161
94
clean
BACLOFEN 50 MCG/ML (1 ML) INTRATHECAL SYRINGE
$879
$659
$497
27
clean
BASILIXIMAB 20 MG INTRAVENOUS SOLUTION
$18,547
$13,910
$11,499
18
clean
BELATACEPT 250 MG INTRAVENOUS SOLUTION
$6,865
$5,149
$4,634
23
clean
BELIMUMAB 400 MG INTRAVENOUS SOLUTION
$16,212
$12,159
$4,125
53
clean
ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION
$23,003
$17,252
$10,111
20
clean
DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION
$52
$39
$58
140
clean
BENZTROPINE 1 MG/ML INJECTION SOLUTION
$115
$86
$68
129
clean
BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE
$23,839
$17,880
$13,469
21
clean
PENICILLIN G BENZATHINE 1200000 UNIT/2 ML INTRAMUSCULAR SYRINGE
$957
$718
$451
166
clean
BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION
$950
$713
$630
41
clean
BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION
$689
$516
$272
203
clean
ONABOTULINUMTOXINA 200 UNIT SOLUTION FOR INJECTION
$2,536
$1,902
$870
72
clean
ABOBOTULINUMTOXINA 300 UNIT INTRAMUSCULAR SOLUTION
$5,155
$3,866
$2,892
24
clean
BUTORPHANOL 2 MG/ML INJECTION SOLUTION
$49
$37
$29
41
clean
C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT
$29,462
$22,097
$17,162
18
clean
CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION
$4
$3
$1
219
clean
CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION
$5,054
$3,790
$2,836
67
clean
CALCITRIOL 1 MCG/ML INTRAVENOUS SOLUTION
$66
$49
$59
67
clean
LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION
$101
$76
$51
238
clean
LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION
$970
$727
$388
65
clean
BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION
$1
$1
$0
1,354
clean
MEPIVACAINE 1 % (10 MG/ML) INJECTION SOLUTION
$0
$0
$0
72
clean
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION
$14
$11
$5
497
clean
CEFEPIME 40 MG/ML INJECTION (NEO/PED)
$0
$0
$12
191
clean
CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION
$64
$48
$22
179
clean
CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION
$1,177
$883
$494
23
clean
CEFTRIAXONE 500 MG SOLUTION FOR INJECTION
$6
$5
$8
707
clean
CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION
$17
$13
$12
189
clean
CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION
$1,886
$1,414
$952
45
clean
BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION
$67
$50
$35
95
clean
CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION
$20
$15
$8
108
clean
CEFTAROLINE FOSAMIL 400 MG INTRAVENOUS SOLUTION
$1,739
$1,304
$870
111
clean
CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION
$44
$33
$24
75
clean
CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION
$3,358
$2,519
$1,847
47
clean
CHLORAMPHENICOL SODIUM SUCCINATE 1 GRAM INTRAVENOUS SOLUTION
$584
$438
$391
21
clean
CLONIDINE (PF) 1000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION
$19
$14
$9
69
clean
CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK
$1
$1
$1
329
clean
CLINDAMYCIN 600 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK
$2
$1
$1
77
clean
CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION
$699
$524
$524
53
clean
IMIPENEM-CILASTATIN-RELEBACTAM 1.25 GRAM INTRAVENOUS SOLUTION
$2,597
$1,948
$1,457
46
clean
IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION
$98
$74
$55
209
clean
CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK
$0
$0
$0
139
clean
COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION
$94
$71
$60
78
clean
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION
$86
$65
$10
265
clean
CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLUTION
$2,453
$1,840
$1,668
28
clean
COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION
$983
$737
$113
60
clean
CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION
$17,589
$13,192
$12,312
21
clean
ANTIVENIN CROTALIDAE (EQUINE) SOLUTION FOR INJECTION
$5,676
$4,257
$3,164
42
clean
DALBAVANCIN 500 MG INTRAVENOUS SOLUTION
$9,285
$6,964
$6,160
29
clean
DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION
$175
$131
$115
243
clean
DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE
$7,245
$5,433
$4,963
110
clean
ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION
$759
$569
$226
217
clean
EPOETIN ALFA 10000 UNIT/ML INJECTION SOLUTION
$1,297
$973
$511
202
clean
DECITABINE 50 MG INTRAVENOUS SOLUTION
$363
$272
$254
47
clean
DEFEROXAMINE 500 MG SOLUTION FOR INJECTION
$95
$71
$55
148
clean
DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION
$12,477
$9,358
$8,485
44
clean
ESTRADIOL CYPIONATE 5 MG/ML INTRAMUSCULAR OIL
$286
$215
$117
26
clean
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION
$78
$59
$32
202
clean
MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION(WRAPPER)
$505
$379
$178
158
clean
TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL
$61
$46
$36
185
clean
DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION
$25
$19
$2
504
clean
DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION
$688
$516
$371
90
clean
ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION
$226
$170
$128
91
clean
DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION
$14
$11
$11
111
clean
DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION
$40,547
$30,410
$25,747
25
clean
PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION
$5
$4
$2
192
clean
HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE
$40
$30
$8
692
clean
DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION
$1,803
$1,353
$1,346
64
clean
DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION
$15
$11
$6
154
clean
CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION
$394
$295
$177
59
clean
DIMETHYL SULFOXIDE 50 % INTRAVESICAL SOLUTION
$123
$92
$75
21
clean
METHADONE 10 MG/ML INJECTION SOLUTION
$180
$135
$88
45
clean
DIPYRIDAMOLE 5 MG/ML INTRAVENOUS SOLUTION
$17
$13
$10
45
clean
DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION
$2
$2
$1
118
clean
DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION
$5
$4
$1
314
clean
ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION
$1,413
$1,060
$938
27
clean
EDARAVONE 30 MG/100 ML INTRAVENOUS SOLUTION
$75
$56
$42
53
clean
RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION
$21,347
$16,010
$13,235
22
clean
ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION
$44,647
$33,485
$26,230
40
clean
EPOPROSTENOL (GLYCINE) 0.5 MG INTRAVENOUS SOLUTION
$224
$168
$124
45
clean
EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION
$54
$41
$12
194
clean
ERTAPENEM 1 GRAM SOLUTION FOR INJECTION
$325
$244
$132
187
clean
ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION
$748
$561
$509
61
clean
ESTRADIOL VALERATE 20 MG/ML INTRAMUSCULAR OIL
$117
$87
$84
72
clean
CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION
$3,140
$2,355
$1,939
24
clean
ETHANOLAMINE OLEATE 5 % INTRAVENOUS SOLUTION
$2,027
$1,520
$992
22
clean
ETANERCEPT 25 MG (1 ML) SUBCUTANEOUS POWDER FOR SOLUTION
$316
$237
$5,842
100
clean
FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION
$449
$337
$224
25
clean
FILGRASTIM 300 MCG/ML INJECTION SOLUTION
$3,067
$2,300
$1,546
110
clean
TBO-FILGRASTIM 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE
$1,852
$1,389
$1,250
64
clean
FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK
$1
$0
$0
196
clean
FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION
$3,661
$2,746
$2,299
64
clean
FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION
$414
$311
$120
200
clean
FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION
$16
$12
$9
77
clean
IMMUNE GLOBGAMMA(IGG) 15 %-18 % RANGE-GLYCINE INTRAMUSCULAR SOLUTION
$461
$346
$302
23
clean
IMMUNE GLOB G (GAMUNEX-C) 10 % INTRAVENOUS SOLN (WRAPPER)
$10
$7
$4
48
clean
IMMUNE GLOB G (GAMMAGARD S/D) 5 % INTRAVENOUS SOLN (WRAPPER)
$1,334
$1,001
$1,102
82
clean
IMMUNE GLOBGAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION
$57
$42
$37
165
clean
GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION
$356
$267
$132
62
clean
HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML INJECTION SOLUTION
$2,034
$1,525
$1,130
45
clean
IMMUNE GLOBGAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION
$55
$42
$28
171
clean
GENTAMICIN 40 MG/ML INJECTION SOLUTION
$16
$12
$5
272
clean
GLATIRAMER 40 MG/ML SUBCUTANEOUS SYRINGE
$1,093
$819
$1
49
clean
GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION
$22
$16
$6
456
clean
GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION
$1,091
$818
$693
28
clean
GLUCAGON 1 MG SOLUTION KIT FOR INJECTION(WRAPPER)
$1,057
$792
$713
255
clean
GRANISETRON 1 MG/ML (1 ML) INTRAVENOUS SOLUTION (WRAPPER)
$27
$20
$13
73
clean
HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION
$7
$5
$4
104
clean
Showing the first 200 of 544 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
46 of 204 comparable items (23%) 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 $626 exceeds the gross charge $545
CPT J1455/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q0166/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 J1561/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 Q0167/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 J1566/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q0169/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, max differ, so no cross-line comparison was made for this item
CPT J1569/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q2009/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1570/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 Q2050/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1571/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 Q5101/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 J1572/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 Q5104/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1580/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q5106/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1595/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 Q5107/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 J1596/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, min, max differ, so no cross-line comparison was made for this item
CPT J1610/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 Q5113/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1626/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 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, max differ, so no cross-line comparison was made for this item
CPT J1630/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 Q5117/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 J1631/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, min, max differ, so no cross-line comparison was made for this item
CPT Q5118/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 J1642/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, max 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, max differ, so no cross-line comparison was made for this item
CPT J1644/o
info
mrf_item_fields_vary
this code and setting cover at least 35 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 J1645/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 Q9957/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1650/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, min, max differ, so no cross-line comparison was made for this item
CPT J1652/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 Q9961/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 J1670/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1720/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1740/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 Q9965/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 J1742/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 J1746/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 Q9967/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max 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 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT J1750/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1756/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 J1800/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 J1805/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, min, max differ, so no cross-line comparison was made for this item
CPT J1806/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 J1815/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, min, max differ, so no cross-line comparison was made for this item
CPT J1817/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 J1823/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 J1833/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 J1836/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 J1885/o
info
mrf_item_fields_vary
this code and setting cover at least 16 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 J1920/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, min, max differ, so no cross-line comparison was made for this item
CPT J1930/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 J1939/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, min, max differ, so no cross-line comparison was made for this item
CPT J1940/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, min, max differ, so no cross-line comparison was made for this item
CPT J1944/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1950/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 J1953/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, min, max differ, so no cross-line comparison was made for this item
CPT J1955/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 J1956/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2001/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 J2020/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 J2060/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, min, max differ, so no cross-line comparison was made for this item
CPT J2150/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 J2175/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, min, max differ, so no cross-line comparison was made for this item
CPT J2185/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, min, max differ, so no cross-line comparison was made for this item
CPT J2186/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J2210/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 J2212/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 J2248/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, min, max differ, so no cross-line comparison was made for this item
CPT J2250/o
info
mrf_item_fields_vary
this code and setting cover at least 21 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 J2260/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, min, max differ, so no cross-line comparison was made for this item
CPT J2265/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 J2270/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, max differ, so no cross-line comparison was made for this item
CPT J2274/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, min, max differ, so no cross-line comparison was made for this item
CPT J2300/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 J2305/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 J2310/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2315/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 J2353/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 J2354/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, min, 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 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 J2358/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 J2359/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 J2370/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, max 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 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2405/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max 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 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 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, min, max 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2469/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2501/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2506/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 J2515/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 J2540/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2543/o
info
mrf_item_fields_vary
this code and setting cover at least 26 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 J2545/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 J2547/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 J2550/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 J2560/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2590/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 J2597/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 J2598/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2675/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 J2680/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 J2690/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 J2700/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 J2704/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2710/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, min, max differ, so no cross-line comparison was made for this item
CPT J2720/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 J2760/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 J2765/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 J2783/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2785/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2790/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 J2794/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 J2795/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, min, max differ, so no cross-line comparison was made for this item
CPT J2796/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 J2799/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 J2800/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 J2805/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 J2916/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2919/o
info
mrf_item_fields_vary
this code and setting cover at least 18 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 J2997/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 J3010/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, min, max differ, so no cross-line comparison was made for this item
CPT J3030/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 J3090/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 J3101/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 90371/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 J3105/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90375/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 J3230/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 90378/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3243/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 90380/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J3260/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, min, max differ, so no cross-line comparison was made for this item
CPT 90396/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 J3262/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 90662/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 J3301/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 90670/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 J3357/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 90675/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 J3360/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 90677/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 J3370/o
info
mrf_item_fields_vary
this code and setting cover at least 37 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 90686/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 90698/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 J3411/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 90700/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 J3415/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 90707/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J3420/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, min, max differ, so no cross-line comparison was made for this item
CPT 90714/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 J3424/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 90715/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 J3430/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, min, max differ, so no cross-line comparison was made for this item
CPT 90732/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 J3465/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90740/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 J3471/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 90744/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 J3473/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 J3475/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, min, max differ, so no cross-line comparison was made for this item
CPT J3480/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, min, max differ, so no cross-line comparison was made for this item
CPT 90853/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 J3485/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J3486/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3489/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3490/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, min, max differ, so no cross-line comparison was made for this item
CPT J3590/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 J7042/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 J7050/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 C9113/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, max differ, so no cross-line comparison was made for this item
CPT C9155/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 J7060/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 C9254/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 J7070/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C9290/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 J7100/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 C9460/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J7120/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 J7168/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7187/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 J7189/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7194/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 J0122/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 J7197/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 J0131/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7198/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0132/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 J7200/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0133/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7211/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 J0153/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 J0171/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item