Service
Code
Listed
Cash
Negotiated
Rates
Checks
10021 Fine Needle Aspiration; Without Imaging Guidance
$207
$207
$186
7
clean
10030 Image Guided Catheter Fluir Collection Drainage
$1,076
$1,076
$968
7
clean
10040 Acne Surgery
$266
$266
$160
14
clean
10060 I&d Abscess Smpl Or Sngl
$390
$390
$175
21
clean
10061 Incision And Drainage Of Abscess; Complicated Or Multiple
$612
$612
$278
14
clean
10080-i&d Pilonidal Cyst Simple
$827
$827
$380
14
clean
10081 Incision And Drainage Of Pilonidal Cyst; Complicated
$373
$373
$336
7
clean
10120-subcutaneous Tissue Simple
$784
$784
$360
14
clean
10121 Incision And Removal Of Foreign Body, Subcutaneous Tissues; Complicated
$782
$782
$704
7
clean
10140-i&d Hematoma/seroma/fluid
$412
$412
$371
7
clean
10160-aspiration Abscess/cyst/hematoma
$786
$786
$707
7
clean
11042 Debridement, Subcutaneous Tissue; First 20 Sq Cm Or Less
$456
$456
$238
14
clean
11055 Paring Or Cutting Of Benign Hyperkeratotic Lesion (Eg, Corn Or Callus); Single Lesion
$102
$102
$92
7
clean
11056 Paring Or Cutting Of Benign Hyperkeratotic Lesion (Eg, Corn Or Callus); 2-4 Lesions
$144
$144
$130
7
clean
11057 Paring Or Cutting Of Benign Hyperkeratotic Lesion; More Than 4 Lesions
$187
$187
$168
7
clean
11102 Tangential Biopsy Of Skin (Shave,curette); Single Lesion
$284
$284
$256
7
clean
11103 Tangential Biopsy Of Skin (Shave,curette); Each Addtl Lesion
$132
$132
$119
7
clean
11104 Punch Biopsy Of Skin (Including Simple Closure, When Performed); Single Lesion
$310
$310
$279
7
clean
11105 Punch Biopsy Of Skin; Each Addtl Lesion
$158
$158
$142
7
clean
11106 Incisional Biopsy Of Skin; Single Lesion
$334
$334
$301
7
clean
11200 Removal Of Skin Tags, Multiple Fibrocutaneous Tags, Any Area; Up To And Including 15 Lesions
$259
$259
$132
14
clean
11201 Removal Of Skin Tags, Multiple Fibrocutaneous Tags, Any Area; Each Additional 10 Lesions
$99
$99
$89
7
clean
11300 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs; Lesion < 0.5cm
$214
$214
$193
7
clean
11301 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs; Lesion 0.6 To 1.0cm
$261
$261
$235
7
clean
11302 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs; Lesion 1.1 To 2.0cm
$300
$300
$270
7
clean
11303 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs; Lesion >2.0cm
$215
$215
$194
7
clean
11305 Shaving Of Epidermal Or Dermal Lesion; Scalp, Neck, Hands, Feet, Genitalia; > 0.5cm
$214
$214
$193
7
clean
11306 Shaving Of Epidermal Or Dermal Lesion; Scalp, Neck, Hands, Feet, Genitalia; 0.6-1.0cm
$261
$261
$235
7
clean
11307 Shaving Of Epidermal Or Dermal Lesion; Scalp, Neck, Hands, Feet, Genitalia; 1.1-2.0cm
$280
$280
$252
7
clean
11308 Shaving Of Epidermal Or Dermal Lesion; Scalp, Neck, Hands, Feet, Genitalia; >2.0cm
$208
$208
$187
7
clean
11310 Shaving Of Lesion; Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; < 0.5cm
$264
$264
$238
7
clean
11311 Shaving Of Lesion; Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 0.6-1.0cm
$339
$339
$305
7
clean
11312 Shaving Of Lesion; Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 1.1-2.0cm
$357
$357
$321
7
clean
11313 Shaving Of Lesion; Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; >2.0cm
$256
$256
$230
7
clean
11400 Excision, Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewhere), Trunk, A
$423
$423
$166
14
clean
11401 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; 0.6-1.0cm
$495
$495
$446
7
clean
11402 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; 1.1-2.0cm
$560
$560
$275
14
clean
11403 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; 2.1-3.0cm
$647
$647
$582
7
clean
11404 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; 3.1-4.0cm
$702
$702
$507
14
clean
11406 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; >4.0cm
$855
$855
$770
7
clean
11420 0.5cm Or Less
$383
$383
$173
21
clean
11421 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genitalia; 0.6-1.0cm
$521
$521
$246
14
clean
11422 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genitalia; 1.1-2.0cm
$642
$642
$578
7
clean
11423 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genitalia; 2.1-3.0cm
$706
$706
$384
14
clean
11424 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genitalia; 3.1-4.0cm
$794
$794
$439
14
clean
11426 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genitalia; > 4.0cm
$1,070
$1,070
$963
7
clean
11440 Excision, Other Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewhere), Fa
$486
$486
$220
21
clean
11441 Excised Diameter 0.6 To 1.0 Cm
$577
$577
$268
14
clean
11442 Excision, Benign Lesion Including Margins; Face, Ears, Eyelids, Nose, Lips; 1.0-2.0cm
$642
$642
$329
14
clean
11443 Excision, Benign Lesion Including Margins; Face, Ears, Eyelids, Nose, Lips; 2.1-3.0cm
$811
$811
$471
14
clean
11444 Excision, Benign Lesion Including Margins; Face, Ears, Eyelids, Nose, Lips; 3.1-4.0cm
$994
$994
$895
7
clean
11446 Excision, Benign Lesion Including Margins; Face, Ears, Eyelids, Nose, Lips; > 4.0cm
$1,224
$1,224
$1,102
7
clean
11450excision Skin Axillary Hidradenitis
$1,140
$1,140
$831
14
clean
11462 Excision Of Skin/subcutaneous Tissue For Hidradenitis, Inguinal; W/ Simple Or Interm Repair
$515
$515
$464
7
clean
11463 Excision Of Skin/subcutaneous Tissue For Hidradenitis, Inguinal; With Complex Repair
$685
$685
$617
7
clean
11470 Exc Skin/subq Tissue For Hidradenitis, Perianal/perineal/umbilical; W/ Simple Or Interm Repair
$569
$569
$512
7
clean
11471 Excision Of Skin/subq Tissue For Hidradenitis, Perianal/perineal/umbilical; Complex Repair
$703
$703
$633
7
clean
11600 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; < 0.5cm
$541
$541
$283
14
clean
11601 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; 0.6-1.0cm
$642
$642
$365
14
clean
11602 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; 1.1-2.0cm
$768
$768
$536
14
clean
11603 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; 2.1-3.0cm
$770
$770
$512
14
clean
11604excise Trunk/arms/legs;3.1-4.0
$1,299
$1,299
$747
14
clean
11606 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; >4.0cm
$992
$992
$893
7
clean
11620 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitalia; < 0.5cm
$534
$534
$481
7
clean
11621 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitalia; 0.6-1.0cm
$624
$624
$413
14
clean
11622 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitalia; 1.1-2.0cm
$762
$762
$662
14
clean
11623 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitalia; 2.1-3.0cm
$862
$862
$612
14
clean
11624 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitalia; 3.1-4.0cm
$1,000
$1,000
$806
14
clean
11626 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitalia; >4.0cm
$1,261
$1,261
$988
14
clean
11640 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; < 0.5 Cm
$590
$590
$356
14
clean
11641 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; 0.6-1.0cm
$826
$826
$501
14
clean
11642excise Face/ear/eyelids/nose/lip; 1.1-2.0
$677
$677
$532
14
clean
11643 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; 2.1-3.0cm
$1,014
$1,014
$720
14
clean
11644 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; 3.1-4.0cm
$1,268
$1,268
$627
14
clean
11646 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; < 4.0 Cm
$1,659
$1,659
$1,493
7
clean
11719 Trimming Of Nondystrophic Nails, Any Number
$81
$81
$73
7
clean
11720 Debridement Of Nail(s) By Any Method(s); 1 To 5
$274
$274
$247
7
clean
11721 Debridement Of Nail(s) By Any Method(s); 6 Or More
$62
$62
$56
7
clean
11730 Avulsion Of Nail Plate, Partial Or Complete, Simple; Single
$274
$274
$172
14
clean
11732 Avulsion Of Nail Plate, Partial Or Complete, Simple; Each Additional Nail Plate
$48
$48
$43
7
clean
11740 Evacuation Of Subungual Hematoma
$148
$148
$67
14
clean
11750 (Removal Of Nail Bed)
$541
$541
$428
21
clean
11755 Biopsy Of Nail Unit
$183
$183
$165
7
clean
11760-repair Of Nail Bed
$1,104
$1,104
$371
14
clean
11771excision Pilonidal Cyst/sinus
$1,318
$1,318
$1,186
7
clean
11980 Subcutaneous Hormone Pellet Implantation
$129
$129
$116
7
clean
11981 Insertion, Non-biodegradable Drug Delivery Implant
$198
$198
$178
7
clean
11982 Removal, Non-biodegradable Drug Delivery Implant
$222
$222
$200
7
clean
11983 Removal With Reinsertion, Non-biodegradable Drug Delivery Implant
$309
$309
$278
7
clean
12001 Pf/tech Simple Repair Scalp/neck/ax/genit/trunk 2.5cm/<
$540
$540
$221
21
clean
12002 Pf/tech Smpl Repair Scalp/neck/ax/genit/trunk 2.6-7.5cm
$582
$582
$239
21
clean
12004 Simple Rpr Scalp/neck/ax/genit/trunk 7.6-12.5cm
$675
$675
$294
21
clean
12005 Smpl Rpr Scalp/neck/ax/genit/trunk 12.6-20.0cm
$830
$830
$374
21
clean
12006-scalp/neck/trunk/genital/extremity 20.1-30 Cm
$527
$527
$248
21
clean
12007-scalp/neck/trunk/genital/extremity Greater Than 30 Cm
$573
$573
$288
21
clean
12011 Simple Repair F/e/e/n/l/m 2.5cm/<
$561
$561
$230
21
clean
12013 Simple Repair F/e/e/n/l/m 2.6cm-5.0 Cm
$624
$624
$265
21
clean
12014 Simple Repair F/e/e/n/l/m 5.1cm-7.5 Cm
$739
$739
$313
21
clean
12015 Simple Repair F/e/e/n/l/m 7.6cm-12.5 Cm
$749
$749
$414
21
clean
12016 Simple Repair F/e/e/n/l/m 12.6cm-20.0 Cm
$885
$885
$545
21
clean
12017-face/ear/eyelid/nose/lip 20.1-30.0 Cm
$784
$784
$194
21
clean
12018-face/ear/eyelid/nose/lip Greater Than 30.0 Cm
$1,052
$1,052
$221
21
clean
12020 Tx Superficial Wound Dehiscence Simple Closure Profee
$739
$739
$343
21
clean
12021 Tx Superficial Wound Dehiscence W/packing Profee
$467
$467
$214
21
clean
12031 Repair Intermediate S/a/t/e 2.5 Cm/<
$656
$656
$269
21
clean
12032 Repair Intermediate S/a/t/e 2.6-7.5 Cm
$733
$733
$305
21
clean
12034 Repair Intermediate S/a/t/e 7.6-12.5 Cm
$849
$849
$384
21
clean
12035 Repair Intermediate S/a/t/e 12.6-20.0cm
$1,071
$1,071
$474
21
clean
12036-scalp/trunk/extremity 20.1-30.0 Cm
$628
$628
$522
21
clean
12037-scalp/trunk/extremity Greater Than 30.0 Cm
$771
$771
$600
21
clean
12041 Repair Intermediate N/h/f/xtrnl Gent 2.5cm/<
$734
$734
$301
21
clean
12042 Repair Intermediate N/h/f/xtrnl Gent 2.6-7.5 Cm
$796
$796
$335
21
clean
12044 Repair Intermediate N/h/f/xtrnl Gent 7.6-12.5cm
$898
$898
$414
21
clean
12045-neck/hand/feet/genital 12.6-20.0 Cm
$561
$561
$504
21
clean
12046-neck/hand/feet/genital 20.1-30.0 Cm
$695
$695
$603
21
clean
12047-neck/hand/feet/genital Greater Than 30.0 Cm
$861
$861
$698
21
clean
12051 Repair Intermediate F/e/e/n/l And /Muc 2.5 Cm/<
$741
$741
$305
21
clean
12052 Repair Intermediate F/e/e/n/l And /Muc 2.6-5.0 Cm
$812
$812
$363
21
clean
12053 Repair Intermediate F/e/e/n/l And /Muc 5.1-7.5 Cm
$893
$893
$424
21
clean
12054 Repair Intermediate F/e/e/n/l And /Muc 7.6-12.5 Cm
$1,011
$1,011
$535
21
clean
12055 Repair Intermediate F/e/e/n/l&/muc 12.6-20.0cm
$1,285
$1,285
$685
21
clean
12056-face/ear/eye/nose/lip 20.1-30.0 Cm
$995
$995
$619
21
clean
12057-face/ear/eye/nose/lip Greater Than 30.0 Cm
$1,129
$1,129
$724
21
clean
13100 Repair Complex Trunk 1.1-2.5 Cm Profee
$462
$462
$365
21
clean
13101 Repair Complex Trunk 2.6-7.5 Cm
$1,074
$1,074
$524
21
clean
13102 Repair Complex Trunk Each Additional 5 Cm/<
$169
$169
$152
14
clean
13120 Repair Complex Scalp/arm/leg 1.1-2.5 Cm
$893
$893
$404
21
clean
13121 Repair Complex Scalp/arm/leg 2.6-7.5 Cm
$1,188
$1,188
$615
21
clean
13122-scalp/arms/legs Each Addl 5 Cm
$1,141
$1,141
$332
21
clean
13131 Repair Complex F/c/c/m/n/ax/g/h/f 1.1-2.5 Cm
$1,070
$1,070
$505
21
clean
13132 Repair Complex F/c/c/m/n/ax/g/h/f 2.6-7.5 Cm
$1,587
$1,587
$927
21
clean
13133-face/neck/hand/feet/genital Each Addl 5 Cm
$1,572
$1,572
$428
21
clean
13151 Repair, Complex, Eyelids, Nose, Ears And/or Lips; 1.1 Cm To 2.5 Cm
$1,303
$1,303
$615
21
clean
13152 Repair Complex Eyelid/nose/ear/lip 2.6-7.5 Cm
$1,178
$1,178
$1,027
21
clean
13153-eye/ear/nose/lip Each Addl 5 Cm
$1,572
$1,572
$242
21
clean
13160-secondary Closure Surgical Wound
$1,332
$1,332
$1,022
21
clean
14060 Adjacent Tissue Transfer Or Rearrangement, Eyelids, Nose, Ears And/or Lips; <10 Sq Cm
$2,003
$2,003
$1,803
7
clean
14061 Adj Tissue Transfer/rearrangement, Eyelids/nose/ears And/or Lips; Defect 10.1 To 30.0 Sq Cm
$1,404
$1,404
$1,264
7
clean
Treatment Room
$197
$197
$177
7
clean
15272 Application Of Skin Graft To Trunk/arms/legs, Up To 100 Sq Cm; Ea Add 25 Sq Cm
$40
$40
$36
7
clean
15273 Application Of Skin Substitute Graft To Trunk, Arms, Legs, Greater Than Or Equal
$415
$415
$374
7
clean
15274 Application Of Skin Substitute Graft To Trunk, Arms, Legs, Greater Than Or Equal
$99
$99
$89
7
clean
15275 Application Of Skin Graft To Face/neck/genitalia/hands/feet, Up To 100 Sq Cm; First 25 Sq Cm
$207
$207
$186
7
clean
15276 Application Of Skin Graft To Face/neck/genitalia/hands/feet, Up To 100 Sq Cm; Ea Add 25 Sq Cm
$47
$47
$42
7
clean
15277 Application Of Skin Substitute Graft To Face, Scalp, Feet, Etc Greater Than Or
$450
$450
$405
7
clean
15278 Application Of Skin Substitute Graft To Face, Scalp, Feet, Etc Greater Than Or
$119
$119
$107
7
clean
16020-burn Dressings/debridement Small
$309
$309
$278
7
clean
17000 Destruction Premalignant Lesion; 1st Lesion
$221
$221
$199
14
clean
17003 Destruction Premalignant Lesions; 2-14 Lesions
$50
$50
$45
14
clean
17004 Destruction, Premalignant Lesions, 15 Or More Lesions
$779
$779
$701
7
clean
17107 Destruction Of Cutaneous Vascular Proliferative Lesions; 10.0 To 50.0 Sq Cm
$597
$597
$537
7
clean
17108 Destruction Of Cutaneous Vascular Proliferative Lesions (Eg, Laser Technique)
$888
$888
$799
7
clean
17110destruction Benign; Up To 14
$314
$314
$282
14
clean
17111 Destruction Of Benign Lesions; 15 + Lesions
$354
$354
$319
7
clean
17250 Chemical Cauterization Granulation Tissue Techfee
$389
$389
$131
14
clean
17260 Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 0.5 Cm Or Less
$130
$130
$117
7
clean
17261 Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 0.6 To 1.0 Cm
$387
$387
$348
7
clean
17262 Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 1.1 To 2.0 Cm
$241
$241
$217
7
clean
17263 Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 2.1 To 3.0 Cm
$263
$263
$237
7
clean
17264 Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 3.1 To 4.0 Cm
$283
$283
$255
7
clean
17266 Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter Over 4.0 Cm
$320
$320
$288
7
clean
17270 Destruction, Malignant Lesion, Scalp, Neck, Hands, Feet, Genitalia; Lesion Dm 0.5 Cm Or Less
$207
$207
$186
7
clean
17271 Destruction Malignant Lesion S/n/h/f/g 0.6-1.0cm
$464
$464
$418
7
clean
17272 Destruction Malignant Lesion S/n/h/f/g 1.1-2.0cm
$256
$256
$230
7
clean
17273 Destruction, Malignant Lesion, Scalp, Neck, Hands, Feet, Genitalia; Lesion Diameter 2.1 To 3.0
$615
$615
$554
7
clean
17274 Destruction Malignant Lesion S/n/h/f/g 3.1-4.0cm
$743
$743
$669
7
clean
17276 Destruction, Malignant Lesion (Eg, Laser Surgery, Electrosurgery, Cryosurgery, Chemosurgery, S
$389
$389
$350
7
clean
17280 Destruction Malignant Lesion F/e/e/n/l/m 0.5cm/<
$194
$194
$175
7
clean
17281 Destruction, Malignant Lesion, Face, Ears, Eyelids, Nose, Lips; Lesion Diameter 0.6-1.0cm
$526
$526
$473
7
clean
17282 Destruction Malignant Lesion F/e/e/n/l/m 1.1-2.0cm
$642
$642
$578
7
clean
17283 Destruction Malignant Lesion F/e/e/n/l/m 2.1-3.0cm
$744
$744
$670
7
clean
17284 Destruction Mal Lesion F/e/e/n/l/m 3.1-4.0cm
$385
$385
$347
7
clean
17286 Destruction Mal Lesion F/e/e/n/l/m >4.0 Cm
$1,178
$1,178
$1,060
7
clean
19125excision Breast Lesion
$1,077
$1,077
$969
7
clean
20526 Bilat Injection, Therapeutic (Eg, Local Anesthetic, Corticosteroid), Carpal
$584
$584
$232
21
clean
20550 Bilat Injection(s); Single Tendon Sheath, Or Ligament, Aponeurosis
$437
$437
$323
21
clean
20551 Injection; Single Tendon Origin/insert
$593
$593
$144
14
clean
20552 Joints Trp. Inj. One-two Muscles
$584
$584
$292
28
clean
20553 Joints Trp. Inj. 3 Or Muscles
$584
$584
$438
21
clean
20560-ndl Insj W/o Njx 1 Or 2 Musc
$93
$93
$55
14
clean
20561 Needle Insertion(s) Without Injection(s); 3 Or More Muscle(s)
$101
$101
$88
14
clean
20600 Arthrocentesis Aspiration / Injection Small Joint/bursa
$1,363
$1,363
$242
21
clean
20604 Arthrocentesis, Aspiration And/or Injection, Small Joint Or Bursa (Eg, Fingers, Toes); With
$567
$567
$510
14
clean
20605 Drain/inj. Joint/bursa W/o Us
$584
$584
$207
28
clean
20606 Rt Us Arthrocentesis, Aspiration And/or Injection, Intermediate Joint Or Bursa
$1,375
$1,375
$480
14
clean
20610 Arthrocentesis Asp/inj Major Jt/bursa W/o Us Profee
$1,363
$1,363
$329
63
clean
20611 Arthrocentesis, Aspiration And/or Injection, Major Joint Or Bursa; With Ultrasound Guidance
$584
$584
$526
21
clean
20612 Aspiration And/or Injection Of Ganglion Cyst(s) Any Location
$306
$306
$275
7
clean
21315 Closed Tx Nasal Fracture W/o Stabilization
$2,670
$2,670
$2,403
7
clean
21451-clsd Tx Mandibularfracture W/manip
$1,359
$1,359
$1,223
7
clean
21480-temporomandibular/jaw
$450
$450
$405
7
clean
21933 Excision Tumor Soft Tissue Of Back Flank Subfascial 5 Cm Great Profee
$515
$515
$464
7
clean
23500clavicular W/o Manipulation
$527
$527
$474
7
clean
23540-acromioclavicular W/o Manipulation
$467
$467
$420
7
clean
23545-acromioclavicular W/manipulation
$648
$648
$583
7
clean
23600proximal Humeral W/o Manipulation
$842
$842
$758
7
clean
23650-shoulder W/o Anesthesia
$1,001
$1,001
$901
14
clean
23655-shoulder W/ Anesthesia
$932
$932
$839
7
clean
24500humeral Shaft Fracture W/o Manipulation
$720
$720
$648
7
clean
24586 Open Treatment Of Periarticular Fracture And/or Dislocation Of The Elbow
$1,527
$1,527
$1,374
14
clean
Showing the first 200 of 1,430 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,170 of 1,173 comparable items (100%) 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 $269 exceeds the gross charge $207
CPT 25505/o
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 88142/o
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 88300/o
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 88305/o
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 25560/o
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 25565/o
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 83036/o
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 88323/o
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 25600/o
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 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, min, max differ, so no cross-line comparison was made for this item
CPT 83516/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 83520/o
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 25622/o
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 83615/o
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 25650/o
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 A4215/o
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 A4216/o
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 26600/o
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 83735/o
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 26605/o
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 26641/o
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 73223/o
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 A4344/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 A4352/o
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 10040/o
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 A4353/o
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 10060/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 A4452/o
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 10061/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 10080/o
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 A4500/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 A4565/o
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 10120/o
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 A4566/o
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 11042/o
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 A4572/o
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 90700/o
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 27840/o
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 27842/o
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 11200/o
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 29125/o
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 84300/o
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 A4649/o
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 11400/o
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 30901/o
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 11402/o
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 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, min, max differ, so no cross-line comparison was made for this item
CPT 11404/o
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 11420/o
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 11421/o
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 74185/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 32555/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 11423/o
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 32556/o
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 74240/o
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 11424/o
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 84481/o
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 B4082/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 36415/o
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 11440/o
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 11441/o
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 84520/o
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 C1781/o
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 11442/o
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 11443/o
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 G0008/o
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 G0105/o
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 11450/o
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 76604/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 76705/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 11600/o
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 84702/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 11601/o
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 76775/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 84703/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 11602/o
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 11603/o
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 41800/o
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 11604/o
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 43235/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 11621/o
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 43239/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 11622/o
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 11623/o
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 11624/o
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 J0696/o
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 11626/o
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 11640/o
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 45378/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 11641/o
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 11642/o
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 45380/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 93017/o
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 11643/o
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 11644/o
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 45385/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 J7030/o
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 11730/o
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 93306/o
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 J7050/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 93308/o
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 11740/o
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 85610/o
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 11750/o
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 85613/o
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 11760/o
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 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, min, max differ, so no cross-line comparison was made for this item
CPT 86003/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 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, min, max differ, so no cross-line comparison was made for this item
CPT 12001/o
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 62321/o
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 12002/o
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 12004/o
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 62323/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 12005/o
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 12006/o
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 64400/o
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 12007/o
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 64405/o
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 12011/o
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 12013/o
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 12014/o
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 12015/o
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 12016/o
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 64450/o
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 12017/o
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 64451/o
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 L3260/o
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 12018/o
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 86235/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 12020/o
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 64479/o
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 86255/o
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 12021/o
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 64480/o
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 12031/o
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 64483/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 86300/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max 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 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 12032/o
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 64484/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max 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 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 12034/o
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 12035/o
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 64490/o
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 12036/o
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 64491/o
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 86317/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 12037/o
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 64493/o
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 L3678/o
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 12041/o
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 64494/o
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 12042/o
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 12044/o
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 97014/o
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 12045/o
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 65205/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 12046/o
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 97018/o
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 12047/o
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 97032/o
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 12051/o
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 97033/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 12052/o
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 86364/o
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 97034/o
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 L3908/o
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 12053/o
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 97035/o
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 12054/o
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 69000/o
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 L4350/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 12055/o
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 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, min, max differ, so no cross-line comparison was made for this item
CPT 12056/o
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 69200/o
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 97112/o
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 12057/o
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 L4386/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 13100/o
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 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, min, max differ, so no cross-line comparison was made for this item
CPT 13101/o
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 13120/o
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 97140/o
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 13121/o
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 13122/o
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 13131/o
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 13132/o
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 13133/o
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 80299/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 13151/o
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
MS-DRG 731/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 13152/o
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 80307/o
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 13153/o
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 80320/o
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 13160/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max 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, min, max differ, so no cross-line comparison was made for this item