Service
Code
Listed
Cash
Negotiated
Rates
Checks
MUSCULOSKELETAL SURGICAL NAVIGATIONAL ORTHOPEDIC OPERATION USING IMAGING GUIDANCE
$525
$525
$557
2
clean
HARVEST AND INJECTIONS OF PLATELET RICH PLASMA USING IMAGING GUIDANCE
$1,473
$1,473
$469
45
clean
IMPLANTATION OF DRUG-RELEASING DEVICE IN FRONT CHAMBER OF EYE
$15,678
$15,678
$4,339
11
clean
INSERTION OF DRAINAGE DEVICE INTO DRAINAGE TISSUE WITHIN EYE (TRABECULAR MESHWORK)
$15,678
$15,678
$5,586
11
clean
DGTZ GLS MCRSCP SLD LEVEL II
$3
$3
—
0
clean
DGTZ GLS MCRSCP SLD LVL III
$3
$3
—
0
clean
DGTZ GLS MCRSCP SLD LEVEL IV
$3
$3
—
0
clean
DGTZ GLS MCRSCP SLD LEVEL V
$3
$3
—
0
clean
DGTZ GLS MCRSCP SLD SPC GRPI
$3
$3
—
0
clean
DGTZ GLS MCRSCP SL SPC GRPII
$3
$3
—
0
clean
FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE; FIRST GROWTH
$3,404
$3,404
$743
22
clean
FNA BX W/US GDN EA ADDL
$1,790
$1,790
$43
11
clean
FNA BX W/O IMG GDN 1ST LES
$649
$649
$427
11
clean
IMG GID FLU COLL DRG SFT TIS
$3,367
$3,367
$743
11
clean
I&D ABSCESS SIMPLE/SINGLE
$768
$768
$211
56
clean
I&D ABSCESS COMP/MULTIPLE
$516
$516
$427
11
clean
I&D PILONIDAL CYST SIMPLE
$702
$702
$743
24
clean
I&D PILONIDAL CYST COMP
$5,434
$5,434
$743
11
clean
REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE
$936
$936
$427
55
clean
REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; COMPLEX
$6,986
$6,986
$1,734
35
clean
I&D HMTMA SEROMA/FLUID COLLJ
$3,136
$3,136
$1,734
22
clean
ASPIRATION OF ABSCESS; BLOOD; OR CYST
$1,815
$1,815
$427
22
clean
I&D COMPLEX PO WOUND INFCTJ
$4,629
$4,629
$3,049
25
clean
DBRDMT ECZ/INFECTED SKIN<10%
$2,268
$2,268
$427
11
clean
DEBRIDE SKIN AT FX SITE
$1,835
$1,835
$743
11
clean
DEBRIDE SKIN MUSC AT FX SITE
$1,491
$1,491
$743
13
clean
REMOVAL OF FOREIGN MATERIAL FROM SKIN; TISSUE; MUSCLE; AND BONE AT OPEN BROKEN AND/OR DISLOCATED BONE
$6,256
$6,256
$3,049
35
clean
DBRDMT SUBQ TIS 1ST 20SQCM/<
$1,179
$1,179
$427
11
clean
DBRDMT MUSC&/FSCA 1ST 20/<
$642
$642
$776
36
clean
DBRDMT BONE 1ST 20 SQ CM/<
$5,968
$5,968
$1,734
23
clean
PARING/CUTG B9 HYPRKER LES 1
$359
$359
$211
11
clean
INCAL BX SKN SINGLE LES
$828
$828
$776
12
clean
REMOVAL OF SKIN TAG; 1-15 SKIN TAGS
$366
$366
$211
22
clean
EXC TR-EXT B9+MARG 1.1-2 CM
$3,027
$3,027
$743
11
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; MORE THAN 4.0 CM
$2,811
$2,811
$1,734
13
clean
EXC H-F-NK-SP B9+MARG 0.5/<
$914
$914
$1,734
13
clean
EXC H-F-NK-SP B9+MARG 0.6-1
$3,442
$3,442
$743
11
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 1.1-2.0 CM
$750
$750
$1,734
13
clean
EXC H-F-NK-SP B9+MARG 3.1-4
$2,732
$2,732
$1,734
13
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; MORE THAN 4.0 CM
$4,843
$4,843
$3,049
26
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS
$788
$788
$743
36
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.6-1.0 CM
$870
$870
$743
13
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.1-3.0 CM
$788
$788
$1,734
13
clean
EXC FACE-MM B9+MARG 3.1-4 CM
$2,869
$2,869
$1,734
13
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; MORE THAN 4.0 CM
$4,731
$4,731
$3,049
13
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
$1,533
$1,533
$743
13
clean
EXC TR-EXT MAL+MARG >4 CM
$2,869
$2,869
$1,734
13
clean
EXC S/N/H/F/G MAL+MRG 1.1-2
$870
$870
$743
13
clean
EXC S/N/H/F/G MAL+MRG 2.1-3
$750
$750
$1,734
13
clean
EXC S/N/H/F/G MAL+MRG >4 CM
$4,505
$4,505
$3,049
25
clean
REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 1.1-2.0 CM
$788
$788
$743
13
clean
EXC F/E/E/N/L MAL+MRG 2.1-3
$795
$795
$1,734
13
clean
REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 3.1-4.0 CM
$2,677
$2,677
$1,734
13
clean
REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; MORE THAN 4.0 CM
$4,731
$4,731
$3,049
13
clean
DEBRIDE NAIL 1-5
$374
$374
$62
11
clean
REMOVAL OF NAIL PLATE
$502
$502
$211
34
clean
REMOVAL OF BLOOD ACCUMULATION UNDER FINGERNAIL OR TOENAIL
$206
$206
$140
44
clean
REMOVAL OF NAIL BED
$1,794
$1,794
$427
47
clean
REPAIR OF FINGERNAIL OR TOENAIL BED
$828
$828
$776
75
clean
EXCISION OF NAIL FOLD TOE
$374
$374
$427
11
clean
REMOVE PILONIDAL CYST EXTEN
$4,505
$4,505
$3,049
13
clean
COMPLICATED REMOVAL OF CYST OF TAILBONE
$5,712
$5,712
$3,049
12
clean
RPLCMT TISS XPNDR PERM IMPLT
$17,789
$17,789
$7,617
25
clean
REMOVAL OF DRUG DELIVERY IMPLANT FROM TISSUE
$4,922
$4,922
$469
12
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS
$554
$554
$211
66
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM
$618
$618
$211
44
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 7.6-12.5 CM
$618
$618
$211
22
clean
RPR S/N/A/GEN/TRK12.6-20.0CM
$649
$649
$427
11
clean
RPR S/N/A/GEN/TRK20.1-30.0CM
$504
$504
$427
22
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS
$618
$618
$211
44
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM
$618
$618
$211
34
clean
RPR F/E/E/N/L/M 5.1-7.5 CM
$772
$772
$211
11
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 7.6-12.5 CM
$536
$536
$211
22
clean
TX SUPFC WND DEHSN SMPL CLSR
$1,886
$1,886
$776
11
clean
INTMD RPR S/A/T/EXT 2.5 CM/<
$479
$479
$427
11
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM
$1,055
$1,055
$427
44
clean
INTMD RPR S/TR/EXT 7.6-12.5
$479
$479
$427
11
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 12.6-20.0 CM
$456
$456
$427
22
clean
INTMD RPR N-HF/GENIT 2.5CM/<
$479
$479
$427
11
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 2.6-7.5 CM
$814
$814
$427
35
clean
INTMD RPR N-HF/GENIT7.6-12.5
$649
$649
$776
11
clean
INTMD RPR N-HF/GENIT12.6-20
$1,320
$1,320
$776
11
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS
$811
$811
$427
35
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM
$456
$456
$427
48
clean
INTMD RPR FACE/MM 5.1-7.5 CM
$870
$870
$427
24
clean
INTMD RPR FACE/MM 7.6-12.5CM
$576
$576
$427
11
clean
CMPLX RPR TRUNK 2.6-7.5 CM
$1,621
$1,621
$776
11
clean
CMPLX RPR TRUNK ADDL 5CM/<
$1,944
$1,944
$60
11
clean
CMPLX RPR S/A/L 1.1-2.5 CM
$1,328
$1,328
$427
11
clean
COMPLICATED REPAIR OF WOUND OF SCALP; ARMS; OR LEGS; 2.6-7.5 CM
$1,271
$1,271
$427
24
clean
COMPLICATED REPAIR OF WOUND OF SCALP; ARMS; OR LEGS; EACH ADDITIONAL 5.0 CM OR LESS
$430
$430
$68
35
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$1,078
$1,078
$427
11
clean
COMPLICATED REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 2.6-7.5 CM
$1,481
$1,481
$427
39
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$1,292
$1,292
$102
11
clean
COMPLICATED REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIP; 1.1-2.5 CM
$1,271
$1,271
$776
35
clean
CMPLX RPR E/N/E/L 2.6-7.5 CM
$1,271
$1,271
$776
36
clean
CMPLX RPR E/N/E/L ADDL 5CM/<
$937
$937
$113
11
clean
EXTENSIVE OR COMPLICATED REPAIR OF SURFACE WOUND REOPENING
$11,199
$11,199
$3,720
12
clean
REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$3,775
$3,775
$2,166
13
clean
TIS TRNFR S/A/L 10 SQ CM/<
$3,912
$3,912
$2,166
13
clean
REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$3,911
$3,911
$2,166
13
clean
REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET BY TRANSFERRING SKIN; 10.1-30.0 SQ CM
$4,107
$4,107
$2,166
13
clean
REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIPS BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$3,974
$3,974
$2,166
36
clean
REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIPS BY TRANSFERRING SKIN; 10.1-30.0 SQ CM
$3,775
$3,775
$2,166
25
clean
REPAIR OF WOUND BY TRANSFERRING SKIN; 30.1-60.0 SQ CM
$7,114
$7,114
$3,720
25
clean
TIS TRNFR ADDL 30 SQ CM
$788
$788
$182
13
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
$6,179
$6,179
$776
12
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
$1,335
$1,335
$427
13
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
$6,179
$6,179
$2,166
12
clean
FTH/GFT FR TRNK 20 SQ CM/<
$3,974
$3,974
$2,166
13
clean
FTH/GFT FR TRNK EACH ADDL
$788
$788
$65
13
clean
FULL THICKNESS SKIN GRAFT TO SCALP; ARMS; OR LEGS; 20.0 SQ CM OR LESS
$3,974
$3,974
$2,166
25
clean
FULL THICKNESS SKIN GRAFT TO FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 20.0 SQ CM OR LESS
$3,911
$3,911
$2,166
13
clean
FULL THICKNESS SKIN GRAFT TO NOSE; EARS; EYELIDS; OR LIPS; 20.0 SQ CM OR LESS
$3,964
$3,964
$2,166
37
clean
FTH/GFT FR N/E/E/L EACH ADDL
$828
$828
$113
13
clean
PEDICLE E/N/E/L/NTRORAL
$3,974
$3,974
$2,166
13
clean
TRANSFER OF SKIN FLAP TO FOREHEAD; CHEEKS; CHIN; NECK; UNDERARMS; GENITALS; HANDS; OR FEET
$3,784
$3,784
$2,166
13
clean
COMPOSITE SKIN GRAFT
$3,775
$3,775
$2,166
13
clean
GRFG AUTOL SOFT TISS DIR EXC
$8,861
$8,861
$3,720
13
clean
CREATION OF SKIN; FAT AND MUSCLE GRAFT
$8,656
$8,656
$3,720
26
clean
GRFG AUTOL FAT LIPO 50 CC/<
$7,470
$7,470
$3,720
25
clean
GRFG AUTOL FAT LIPO EA ADDL
$870
$870
$126
25
clean
IMPLANTATION OF BIOLOGIC IMPLANT TO SOFT TISSUE
$7,810
$7,810
$182
12
clean
DERMABRASION SEGMENTAL FACE
$1,491
$1,491
$743
13
clean
BLEPHARP LWR EYELID FAT PAD
$3,964
$3,964
$3,249
25
clean
BLEPHARP UPR EYELID XCSV SKN
$3,964
$3,964
$2,166
138
clean
RHYTIDECTOMY SMAS FLAP
$7,114
$7,114
$3,720
13
clean
EXC EXCESSIVE SKIN ABDOMEN
$10,624
$10,624
$6,970
13
clean
EXC EXCESSIVE SKIN ARM
$4,731
$4,731
$3,049
13
clean
EXC EXCSV SKIN FOREARM/HAND
$4,494
$4,494
$3,049
13
clean
REMOVAL OF EXTRA SKIN AND TISSUE OF OTHER AREA
$4,731
$4,731
$3,049
13
clean
EXC SKIN ABD ADD-ON
$828
$828
$5,791
2
clean
REMOVAL SUTR/STAPLE REQ ANES
$750
$750
$2,166
13
clean
SUCTION LIPECTOMY TRUNK
$7,470
$7,470
$3,720
13
clean
SUCTION LIPECTOMY LWR EXTREM
$7,114
$7,114
$3,720
13
clean
INITIAL TREATMENT OF BURN(S)
$313
$313
$211
11
clean
DRESS/DEBRID P-THICK BURN S
$737
$737
$211
11
clean
DRESS/DEBRID P-THICK BURN M
$389
$389
$211
11
clean
DESTRUCT B9 LESION 1-14
$359
$359
$211
11
clean
UNLISTD PX SKN MUC MEMB SUBQ
$828
$828
$211
13
clean
BX BREAST 1ST LESION US IMAG
$8,411
$8,411
$1,734
11
clean
BIOPSY OF BREAST OPEN
$5,728
$5,728
$4,110
13
clean
PERQ DEV BREAST 1ST US IMAG
$3,367
$3,367
$743
11
clean
MASTOPEXY
$10,624
$10,624
$6,970
13
clean
BREAST REDUCTION
$10,624
$10,624
$6,970
38
clean
BREAST AUGMENTATION W/IMPLT
$12,508
$12,508
$8,580
38
clean
RMVL INTACT BREAST IMPLANT
$5,728
$5,728
$4,110
13
clean
RMVL RUPTURED BREAST IMPLANT
$5,728
$5,728
$4,110
13
clean
INSJ/RPLCMT BRST IMPLT SEP D
$12,508
$12,508
$8,580
25
clean
NIPPLE/AREOLA RECONSTRUCTION
$5,728
$5,728
$4,110
13
clean
TISS XPNDR PLMT BRST RCNSTJ
$22,494
$22,494
$14,466
13
clean
REVJ PERI-IMPLT CAPSULE BRST
$5,728
$5,728
$4,110
13
clean
PERI-IMPLT CAPSLC BRST COMPL
$5,728
$5,728
$4,110
50
clean
REVJ RECONSTRUCTED BREAST
$10,624
$10,624
$6,970
51
clean
BIOPSY OF BONE USING NEEDLE OR TROCAR
$4,731
$4,731
$1,734
12
clean
BONE BIOPSY OPEN SUPERFICIAL
$4,505
$4,505
$3,049
24
clean
BIOPSY OF DEEP BONE
$4,467
$4,467
$3,049
12
clean
REMOVAL OF FOREIGN BODY
$1,927
$1,927
$1,734
11
clean
REMOVAL OF FOREIGN BODY
$4,955
$4,955
$3,049
13
clean
INJ TENDON SHEATH/LIGAMENT
$1,087
$1,087
$322
11
clean
INJ TENDON ORIGIN/INSERTION
$1,670
$1,670
$322
34
clean
INJ TRIGGER POINT 1/2 MUSCL
$1,294
$1,294
$322
67
clean
INJECT TRIGGER POINTS 3/>
$1,670
$1,670
$322
11
clean
DRAIN/INJ JOINT/BURSA W/O US
$1,670
$1,670
$322
47
clean
ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT USING ULTRASOUND GUIDANCE
$2,851
$2,851
$322
33
clean
DRAIN/INJ JOINT/BURSA W/O US
$1,568
$1,568
$322
59
clean
ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT USING ULTRASOUND GUIDANCE
$6,255
$6,255
$741
55
clean
ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT
$1,304
$1,304
$322
101
clean
DRAIN/INJ JOINT/BURSA W/US
$2,851
$2,851
$322
81
clean
ASPIRATE/INJ GANGLION CYST
$1,294
$1,294
$322
11
clean
TREATMENT OF BONE CYST
$3,114
$3,114
$743
11
clean
REMOVAL OF DEEP IMPLANT FROM BONE
$4,731
$4,731
$3,049
48
clean
RMVL EXT FIXJ SYS UNDER ANES
$3,435
$3,435
$1,688
13
clean
REMOVAL OF BONE FOR GRAFT
$19,008
$19,008
$7,617
25
clean
HARVEST OF GRAFT FROM LARGE BONE
$7,650
$7,650
$7,617
24
clean
REMOVAL OF FASCIA FOR GRAFT
$3,964
$3,964
$2,166
13
clean
FLUID PRESSURE MUSCLE
$3,499
$3,499
$743
11
clean
EXC FACE TUM DEEP 2 CM/>
$4,505
$4,505
$3,049
13
clean
RESECT FACE/SCALP TUM < 2 CM
$4,731
$4,731
$3,049
13
clean
REMOVAL OF GROWTH OF FACE BONE
$5,540
$5,540
$3,480
13
clean
EAR CARTILAGE GRAFT
$12,189
$12,189
$6,214
25
clean
LATERAL CANTHOPEXY
$5,067
$5,067
$3,480
25
clean
CLSD TX NSL FX MNPJ WO STBLJ
$7,753
$7,753
$1,629
11
clean
CLOSED TREATMENT OF BROKEN NOSE BONE WITH PLACEMENT OF STABILIZING DEVICE
$5,134
$5,134
$3,480
26
clean
OPEN TX NOSE FX W/SKELE FIXJ
$12,189
$12,189
$6,214
13
clean
OPEN TX NOSE & SEPTAL FX
$5,529
$5,529
$3,480
13
clean
CLOSED TX SEPTAL&NOSE FX
$6,655
$6,655
$3,480
11
clean
OPN TX ORBIT PERIORBTL IMPLT
$11,880
$11,880
$6,214
13
clean
CLTX TMPRMAND DISLC 1ST/SBSQ
$527
$527
$259
11
clean
REMOVAL OF GROWTH OF MUSCLE OF NECK OR FRONT OF CHEST; LESS THAN 5.0 CM
$4,719
$4,719
$3,049
13
clean
TREAT STERNUM FRACTURE
$752
$752
$259
11
clean
EXC ABDL TUM DEEP 5 CM/>
$4,861
$4,861
$3,049
13
clean
DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF SHOULDER
$4,437
$4,437
$3,049
12
clean
EXC SHOULDER LES SC 3 CM/>
$2,677
$2,677
$1,734
26
clean
EXC SHOULDER TUM DEEP < 5 CM
$4,731
$4,731
$3,049
13
clean
CLAVICULECTOMY PARTIAL
$6,380
$6,380
$3,435
25
clean
REMOVAL OF FOREIGN BODY OF SHOULDER JOINT; ACCESSED BENEATH THE TISSUE OR MUSCLE
$6,996
$6,996
$3,049
12
clean
REMOVAL OF BALL OR SOCKET PROSTHESIS FROM SHOULDER
$11,905
$11,905
$7,617
12
clean
INJECTION FOR SHOULDER X-RAY
$571
$571
$42
36
clean
RELOCATION OF ONE MUSCLE OF SHOULDER OR UPPER ARM
$9,935
$9,935
$7,617
12
clean
Showing the first 200 of 2,656 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
334 of 924 comparable items (36%) 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 $557 exceeds the gross charge $525
warn
mrf_rate_without_estimate
172,936 of 172,936 percentage/algorithm rates across 2,656 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 24640/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 30630/o
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 70480/o
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 88175/o
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 30802/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 70481/o
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 88300/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 24685/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 30901/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 70482/o
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 88302/o
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 25000/o
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 30903/o
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 70486/o
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 88304/o
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 30905/o
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 70487/o
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 88305/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 25028/o
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 30930/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 70490/o
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 88307/o
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 gross, cash differ, so no cross-line comparison was made for this item
CPT 70492/o
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 88311/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 70496/o
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 70498/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 88331/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31240/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max 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 gross, cash differ, so no cross-line comparison was made for this item
CPT 88332/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 70543/o
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 88341/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 31254/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70544/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 88342/o
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 25111/o
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 31255/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 70549/o
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 88344/o
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 31256/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 70551/o
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 88360/o
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 31257/o
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 70553/o
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 89051/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 31259/o
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 71045/o
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 89055/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31267/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 71046/o
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 89060/o
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 31276/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 71100/o
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 90471/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 25210/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 71101/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 31288/o
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 71111/o
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 92950/o
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 71250/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 92960/o
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 31535/o
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 71260/o
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 93005/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 25270/o
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 31536/o
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 71271/o
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 93010/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 71275/o
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 93880/o
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 31571/o
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 71555/o
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 93925/o
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 72040/o
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 93926/o
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 72050/o
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 93931/o
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 25320/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 32551/o
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 72052/o
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 93970/o
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 25400/o
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 72070/o
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 93971/o
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 72072/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 93975/o
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 25440/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 72074/o
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 93976/o
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 36415/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 72080/o
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 25448/o
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 36430/o
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 72081/o
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 25565/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 72082/o
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 96360/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 25575/o
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 72083/o
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 96361/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 25605/o
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 72084/o
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 96365/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 25606/o
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 36600/o
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 72100/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 96366/o
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 25607/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 72110/o
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 96367/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 25608/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 72114/o
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 96368/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 25609/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 72120/o
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 96372/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 25628/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 38510/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72125/o
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 96374/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 72128/o
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 96375/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 25652/o
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 72131/o
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 96376/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 72141/o
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 97110/o
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 72146/o
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 97116/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 72148/o
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 97124/o
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 26020/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 72156/o
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 97161/o
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 72157/o
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 97162/o
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 26055/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 41100/o
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 72158/o
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 97165/o
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 72170/o
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 97530/o
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 26075/o
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 72190/o
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 72192/o
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 97605/o
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 26111/o
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 72193/o
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 97606/o
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 26113/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 72195/o
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 97802/o
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 26115/o
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 72197/o
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 97803/o
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 72202/o
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 98925/o
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 72220/o
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 99070/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 42415/o
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 73000/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 99152/o
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 26123/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 42440/o
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 73010/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 99156/o
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 26125/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 73020/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 73030/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 99211/o
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 26145/o
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 73040/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99281/o
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 26160/o
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 73050/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99282/o
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 42820/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73060/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99283/o
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 42821/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73070/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99284/o
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 26210/o
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 42825/o
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 73080/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 99285/o
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 42826/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 73085/o
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 99291/o
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 42830/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 73090/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 99292/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 42831/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 73100/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT A4338/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 26350/o
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 73110/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