Service
Code
Listed
Cash
Negotiated
Rates
Checks
10004 Fine needle aspiration biopsy, without imaging guidance; each additional lesion
$118
$41
$89
49
clean
10005 Fine needle aspiration biopsy, including ultrasound guidance
$863
$302
$647
49
clean
10021 Fine needle aspiration biopsy, w/o imaging guidance; 1st lesion
$380
$133
$285
98
clean
10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE TechFee
$683
$239
$336
147
clean
10061 INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee
$380
$133
$289
196
clean
10080 INCISION & DRAINAGE PILONIDAL CYST SIMPLE TechFee
$671
$235
$503
98
clean
10081 INCISION & DRAINAGE PILONIDAL CYST COMPLICATED TechFee
$190
$67
$143
98
clean
10120 REMOVE FOREIGN BODY
$380
$133
$176
196
clean
10121 INCISION & REMOVAL FOREIGN BODY SUBQ TISS COMPL TechFee
$125
$44
$94
98
clean
10140 I&D HEMATOMA SEROMA/FLUID COLLECTION TechFee
$199
$70
$169
147
clean
10160 PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST TechFee
$380
$133
$285
147
clean
10180 INCISION AND DRAINAGE, COMPLEX, POSTOPERATIVE WOUND INFECTION
$199
$70
$149
98
clean
11000 DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10% BDY SURF TechFee
$188
$66
$160
147
clean
11001 DEBRID EA ADD 10% BOD SUR TechFee
$188
$66
$141
98
clean
11010 DBRDMT W/RMVL FM FX&/DISLC SKIN&SUBQ TISSUS TechFee
$166
$58
$125
98
clean
11011 Debridement Open Fx/Dislocation; to Muscle
$1,003
$351
$141
147
clean
11042 DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee
$380
$133
$304
147
clean
11043 DEBRIDE TISSUE/MUSCLE TechFee
$166
$58
$141
147
clean
11044 DEBRIDE TISSUE/MUSCLE/BONE TechFee
$166
$58
$141
147
clean
11045 EACH ADDITIONAL 20 CM TechFee
$166
$58
$133
147
clean
11046 EACH ADDITIONAL 20CM TechFee
$140
$49
$119
147
clean
11047 DEBRIDEMENT BONEEACH ADDTIONAL 20CM TechFee
$166
$58
$141
147
clean
11055-Paring/Cut Lesion Benign Single
$174
$61
$139
98
clean
11056 PARING OR CUTTING OF BENIGN HYPERKERATOTIC LESION 2 TO 4 LESIONS. TechFee
$144
$50
$115
147
clean
11104 PUNCH BIOPSY SKIN SINGLE LESION CHARGE
$807
$282
$605
49
clean
11106 INCISIONAL BIOPSY SKIN SINGLE LESION CHARGE
$807
$282
$605
49
clean
11107 INCISIONAL BIOPSY SKIN EA SEP/ADDL LSN CHARGE
$412
$144
$309
49
clean
11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 TechFee
$125
$44
$94
98
clean
11305-Shave Lesion Scalp/Hand/Feet/Genital <= 0.5 cm
$144
$50
$108
49
clean
11400 EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/ TechFee
$671
$235
$503
98
clean
11401 REMOVE SKIN LESION CHARGE
$807
$282
$605
49
clean
11402 EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM TechFee
$144
$50
$122
147
clean
11403 Excision, benign lesion including margins; trunk, arms or legs; 2.1-3.0cm
$450
$158
$383
98
clean
99204 NEW PATIENT VISIT 4 CHARGE
$3,501
$1,225
$2,626
49
clean
11420 EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/< TechFee
$188
$66
$141
98
clean
11421 EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM TechFee
$144
$50
$108
98
clean
29445 APPL OF RIGID TOTAL CONTACT LEG CAST CHARGE
$3,501
$1,225
$2,626
49
clean
11426 - Exision benign s/n/h/f > 4 cm
$150
$53
$113
49
clean
11440 EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< ProFee
$144
$50
$108
98
clean
Exc of Benign lesion
$671
$235
$503
49
clean
11443 Remove Lesion, Face/Lid/Ear/Nose/Lip 2.1 to 3.0 cm Charge TechFee
$144
$50
$108
98
clean
11719 TRIM NONDYSTROPHIC NAILS ANY # TechFee
$188
$66
$116
147
clean
11720 DEBRIDEMENT NAIL ANY METHOD 1-5 TechFee
$135
$47
$101
147
clean
11721 DEBRIDE NAIL 6 OR MORE CHARGE
$188
$66
$116
147
clean
11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 TechFee
$191
$67
$143
147
clean
11732 AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE, SIMPLE; EACH AD TechFee
$150
$53
$113
98
clean
11740-Evacuation of subungual hematoma
$180
$63
$135
100
clean
11750 REMOVAL OF NAIL BED
$380
$133
$285
147
clean
11760 REPAIR NAIL BED TechFee
$160
$56
$120
98
clean
11762 Reconstruction of nail bed with graft
$144
$50
$108
98
clean
11765 WEDGE EXCISION SKIN NAIL FOLD TechFee
$380
$133
$285
100
clean
11770 EXCISION OF PILONIDAL CYST OR SINUS; SIMPLE
$375
$131
$281
49
clean
11982 Removal, non-biodegradable drug delivery implant
$253
$89
$190
49
clean
12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee
$615
$215
$251
147
clean
12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee
$750
$263
$205
147
clean
12004 SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM TechFee
$683
$239
$162
98
clean
12005 SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee
$380
$133
$285
98
clean
12006 SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM TechFee
$289
$101
$217
98
clean
12007 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee
$162
$57
$122
98
clean
12011 Laceration Simple Face <2.6 CM
$683
$239
$172
147
clean
12013 Simple repair of wounds of face, ears, eyelids, nose, lips, mucous membra; 2.6-5.0cm
$162
$57
$142
196
clean
12014 Simple repair of wounds of face, ears, eyelids, nose, lips, mucous membra; 5.1-7.5cm
$162
$57
$130
147
clean
12015 SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee
$162
$57
$122
98
clean
12016 SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM TechFee
$380
$133
$285
98
clean
12017 SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM TechFee
$190
$67
$143
98
clean
12018 SIMPLE REPAIR F/E/E/N/L/M >30.0 CM TechFee
$163
$57
$122
98
clean
12020 TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE TechFee
$160
$56
$136
147
clean
12021 TX SUPERFICIAL WOUND DEHISCENCE W/PACKING TechFee
$163
$57
$122
98
clean
12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee
$380
$133
$285
147
clean
12032 REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee
$1,360
$476
$342
147
clean
12034 REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM TechFee
$380
$133
$285
98
clean
12035 Repair, interm, wounds scalp, axillae, trunk and/or ext/ ED TechFee
$380
$133
$285
98
clean
12036 REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee
$289
$101
$217
98
clean
12037 REPAIR INTERMEDIATE S/A/T/E >30.0 CM TechFee
$289
$101
$217
98
clean
12041 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<-Tech Fee
$484
$169
$217
147
clean
12042 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM TechFee
$450
$158
$338
147
clean
12044 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM TechFee
$350
$123
$263
98
clean
12045 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM TechFee
$350
$123
$263
98
clean
12046 RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM TechFee
$289
$101
$217
98
clean
12047 REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM TechFee
$289
$101
$217
98
clean
12051 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.5 CM/< TechFee
$289
$101
$217
98
clean
12052 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.6-5.0 CM TechFee
$380
$133
$285
98
clean
12053 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 5.1-7.5 CM TechFee
$289
$101
$217
98
clean
12054 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 7.6-12.5 CM TechFee
$289
$101
$217
98
clean
12055 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 12.6-20.0CM TechFee
$350
$123
$263
98
clean
12056 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 20.1-30.0CM TechFee
$289
$101
$217
98
clean
12057 REPAIR INTERMEDIATE F/E/E/N/L&/MUC >30.0 CM TechFee
$289
$101
$217
98
clean
13100 Repair, complex, trunk; 1.1 cm to 2.5 cm
$599
$210
$449
147
clean
13101 REPAIR OF WOUND OR LESION
$599
$210
$449
147
clean
13102 REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM/< TechFee
$230
$81
$173
98
clean
13120 Repair complex scalp arms and/or legs 1.1 cm to 2.5 cm
$772
$270
$152
98
clean
13121 Repair complex scalp arms and/or legs 2.6 cm to 7.5 cm
$599
$210
$449
147
clean
13122 Repair complex scalp arms and/or legs each additional 5 cm or less
$280
$98
$210
147
clean
13131 REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM TechFee
$380
$133
$285
98
clean
13132 Repair, Comp, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or fe
$599
$210
$449
147
clean
13133 REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/< TechFee
$289
$101
$217
98
clean
13151 REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM TechFee
$289
$101
$217
98
clean
13152 REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM TechFee
$599
$210
$449
98
clean
13153 REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM/ TechFee
$289
$101
$217
98
clean
13160 SECONDARY CLOSURE OF SURGICAL WOUND CHARGE
$350
$123
$263
46
clean
14000 Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less
$1,200
$420
$900
49
clean
14040 SKIN PLASTY TechFee
$166
$58
$125
98
clean
69210 REMOVAL OF IMPACTED CERUMEN CHARGE
$4,073
$1,426
$3,055
49
clean
16025 BURN DRESSING/DEBRIDEMENT: MEDIUM CHARGE
$827
$289
$620
49
clean
29581 APPL OF MULTILAYER VENOUS WND COMP
$4,073
$1,426
$3,055
49
clean
11719 TRIMMING/NONDYSTROPHIC NAILS CHARGE
$4,073
$1,426
$3,055
49
clean
11740 I & D OF SUBUNGUAL HEMATOMA-ER SERV PROC CHARGE
$621
$217
$466
49
clean
10061 I & D ABSCESS COMPLEX CHARGE
$4,073
$1,426
$3,055
49
clean
15240 Full thickness graft, free; forehead, cheeks, chin, mouth, neck, axillae, hands; <20 sq cm
$144
$50
$108
98
clean
15271 APP SKN SUB GRFT T/A/L AREA/100SQ CM CHARGE
$2,796
$979
$2,097
49
clean
11042 SUBCUTANEOUS TISSUE FIRST 20 SQ CM CHARGE
$347
$121
$260
49
clean
11044 SUBCUTANEOUS MUSCLE/BONE FIRST 20 SQ CM CHARGE
$7,039
$2,464
$5,279
49
clean
11042 DEBRIDEMENT PARTIAL THICKNESS CHARGE
$361
$126
$271
49
clean
93922 TCPO2 MONITOR (SINGLE SITE) PVR CHARGE
$5,243
$1,835
$3,933
49
clean
97598 SELECTIVE DEBRIDEMENT > 20 CM CHARGE
$361
$126
$271
49
clean
97602 ACTIVE WND MNGNT NON SEL DEBRID
$4,073
$1,426
$3,055
49
clean
16020 DSG AND/OR DEBR PRTL THICK SM
$361
$126
$271
49
clean
15853 REMOVAL OF SUTURE OR STAPLE W/O ANESTHESIA
$27
$9
$20
49
clean
16000 INITIAL TX 1ST DEGREE BURN LOCAL TX TechFee
$191
$67
$143
147
clean
16020 DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL ProFee
$166
$58
$139
196
clean
16025 DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM TechFee
$125
$44
$106
147
clean
16030 DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE TechFee
$144
$50
$122
147
clean
17003 DESTRUCTION PRE-MALIG AK 2-14 Clinic Charge ProFee
$7
$2
$5
49
clean
17110 DESTRUCT BENIGN LESION OTHER THAN SKIN TAG UP TO 14 LESION TechFee
$144
$50
$108
100
clean
17111 Destruct (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),
$271
$95
$203
49
clean
36591 Blood draw or Accessing charge from IMPLANTABLE PORT I.E. PORTACATH
$125
$44
$118
196
clean
19020 MASTOTOMY WITH EXPLORATION OR DRAINAGE OF ABSCESS, DEEP TechFee
$188
$66
$141
98
clean
19081 Biopsy, breast, w/ localization device; first lesion, including stereotactic guidance
$1,220
$427
$915
49
clean
US Breast Biopsy w/ Clip Left
$779
$273
$584
98
clean
19286 US Breast Needle Loc Unilateral Ea Addl
$150
$53
$113
49
clean
20100 Exploration of penetrating wound (separate procedure); neck
$144
$50
$108
98
clean
20103 EXPLORATION PENETRATING WOUND SPX EXTREMITY TechFee
$125
$44
$94
98
clean
20206 Biopsy, muscle, percutaneous needle
$192
$67
$144
49
clean
20220 BIOPSY BONE TROCAR OR NEEDLE SUPERFICAL CHARGE
$3,501
$1,225
$2,626
49
clean
20240 OPEN SUPERFIC BONE BX CHARGE
$6,038
$2,113
$4,529
49
clean
99204 NP VISIT LEVEL 4
$6,038
$2,113
$4,529
49
clean
20501 Injection of sinus tract; diagnostic
$144
$50
$108
98
clean
20520 REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE TechFee
$120
$42
$90
98
clean
20525 Removal of foreign body in muscle or tendon sheath; deep or complicated
$188
$66
$141
98
clean
20550 Injection(s); single tendon sheath, or ligament, aponeurosis-Tech Fee
$188
$66
$141
98
clean
20552-Inject Trigger Point 1-2 Muscles TechFee
$144
$50
$108
98
clean
20553 INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES TechFee
$144
$50
$108
98
clean
20600-Small Joint Aspirate/Inject w/o US TechFee
$150
$53
$113
100
clean
20604 DRAIN/INJ JOINT/BURSA W/US TechFee
$144
$50
$108
98
clean
20605-L xyphoid joint injection
$150
$53
$113
100
clean
20606 ARTHROCENTESIS W US GUIDANCE
$144
$50
$108
98
clean
20610 INJ/DRAIN MAJ JT CHARGE
$283
$99
$241
98
clean
20611 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US
$144
$50
$108
98
clean
20612 Aspiration and/or injection of ganglion cyst(s) any location
$139
$49
$104
147
clean
20615 ASPIRATION AND INJECTION FOR TREATMENT OF BONE CYST TechFee
$166
$58
$125
98
clean
20670 REMOVAL OF IMPLANT; SUPERFICIAL (SEPARATE PROCEDURE) TechFee
$166
$58
$125
98
clean
20950 MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME TechFee
$125
$44
$94
98
clean
21315 CLOSED TX NASAL FRACTURE W/O STABILIZATION TechFee
$140
$49
$105
98
clean
21320 CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION TechFee
$140
$49
$105
98
clean
21450 CLOSED TREATMENT OF MANDIBULAR FRACTURE; WITHOUT MANIPULATIO TechFee
$150
$53
$113
98
clean
21451 CLOSED TREATMENT OF MANDIBULAR FRACTURE; WITH MANIPULATION TechFee
$150
$53
$113
98
clean
21480 Cloased Treatment Temporomandibular Dislocation
$130
$46
$98
98
clean
21501 INCISION AND DRAINAGE DEEP ABSCESSHEMATOMA SOFT TISSUESNECKTHORAX TechFee
$188
$66
$141
98
clean
22999 ABDOMEN SURGERY PROCEDURE
$3,825
$1,339
$2,869
48
clean
23330 REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS TechFee
$166
$58
$125
98
clean
23500 CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION TechFee
$150
$53
$113
98
clean
23570 CLOSED TREATMENT OF SCAPULAR FRACTURE; WITHOUT MANIPULATION TechFee
$150
$53
$113
98
clean
23600 TREAT HUMERUS FRACTURE TechFee
$125
$44
$94
98
clean
23605 CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ TechFee
$188
$66
$141
98
clean
23650 Closed treatment of shoulder dislocation, with manipulation; without anesthesia
$225
$79
$191
147
clean
23655 Closed treatment of shoulder dislocation.
$850
$298
$638
98
clean
23665 CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ TechFee
$800
$280
$600
98
clean
23675 CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MANJ TechFee
$199
$70
$149
98
clean
23931 INCISION AND DRAINAGE, UPPER ARM OR ELBOW AREA; BURSA TechFee
$188
$66
$141
98
clean
24065 Biopsy, soft tissue of upper arm or elbow area, superficial
$1,200
$420
$900
49
clean
24200 Fb Rem Upper Arm/Elbow-Sq TechFee
$166
$58
$125
98
clean
24201 REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP Tech Fee
$144
$50
$108
98
clean
24500 TREAT HUMERUS FRACTURE TechFee
$130
$46
$98
98
clean
24505 Closed treatment of humeral shaft fracture with manipulation, with or without skelatal tractio
$150
$53
$113
98
clean
24530 CLOSED TREAT HUMERAL FRAC W/W/OUT INTERCON EXT W/OUT MANIP TechFee
$188
$66
$141
98
clean
24560 CLOSED TREAT HUM EPICON FRAC MEDIAL OR LAT; W/OUT MANIP TechFee
$360
$126
$270
49
clean
24576 CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ TechFee
$298
$104
$224
49
clean
24577 CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ TechFee
$188
$66
$141
98
clean
Closed Elbow Dis W/o Anes TechFee
$450
$158
$338
98
clean
24605 TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee
$450
$158
$338
98
clean
24620 CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ TechFee
$140
$49
$105
98
clean
24640 CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ TechFee
$450
$158
$338
98
clean
24650 CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION TechFee
$225
$79
$169
98
clean
24655 CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION TechFee
$450
$158
$338
98
clean
24670 ULNAR FX PROX CLOSED TX TechFee
$120
$42
$90
98
clean
24675 CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ TechFee
$166
$58
$125
98
clean
24999 UNLISTED PROCEDURE HUMERUS/ELBOW TechFee
$125
$44
$94
96
clean
25248 EXPLORATION WITH REMOVAL OF DEEP FOREIGN BODY, FOREARM OR WRIST TechFee
$188
$66
$141
98
clean
25500 TREAT FRACTURE OF RADIUS TechFee
$166
$58
$125
98
clean
25505 CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION TechFee
$166
$58
$125
98
clean
25530 CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION TechFee
$166
$58
$125
98
clean
25535 CLOSED TREATMENT OF ULNAR SHAFT FRACTURE; WITH MANIPULATION TechFee
$166
$58
$125
98
clean
25560 CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/O MAN TechFee
$166
$58
$125
98
clean
25565- Closed treatment radial and ulnar shaft fracture: with manipulation
$166
$58
$125
98
clean
25600 CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ TechFee
$166
$58
$125
98
clean
25605 CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF TechFee
$166
$58
$125
98
clean
25622 TREAT WRIST BONE FRACTURE TechFee
$166
$58
$125
98
clean
25630 TREAT WRIST BONE FRACTURE TechFee
$166
$58
$125
98
clean
25650 CLOSED TREATMENT ULNAR STYLOID FRACTURE TechFee
$166
$58
$125
98
clean
25660 CLOSED TREAT RADIO/INTERCARP DISLOC 1-MORE BONES W/MANIP TechFee
$450
$158
$338
98
clean
Showing the first 200 of 1,103 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
210 of 849 comparable items (25%) 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 $253 exceeds the gross charge $190
warn
mrf_rate_without_estimate
12 of 12 percentage/algorithm rates across 11 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
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 90832/o
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 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, min, max 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 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 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, 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 93970/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 93971/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 94010/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 94060/o
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 94150/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 94618/o
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 27560/o
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 94640/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 94660/o
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 94667/o
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 94668/o
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 96360/o
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 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, min, max 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, min, max 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 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 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, 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 96374/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 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, min, max 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, min, max differ, so no cross-line comparison was made for this item
CPT 96523/o
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 97116/o
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 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, min, max differ, so no cross-line comparison was made for this item
CPT 97597/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 97598/o
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 99151/o
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 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, min, max differ, so no cross-line comparison was made for this item
CPT 99153/o
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 99155/o
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 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, min, max differ, so no cross-line comparison was made for this item
CPT 99157/o
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 99195/o
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 99205/o
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 99213/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 99214/o
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 99406/o
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 28540/o
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 A9560/o
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 G0103/o
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 G0463/o
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 28630/o
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 P9016/o
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 P9612/o
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 29105/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 Q4121/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29125/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 Q4160/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 Q4186/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29130/o
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 Q4187/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 Q4196/o
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 Q4278/o
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 29505/o
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 29515/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 29580/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29581/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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 30903/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 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 31500/o
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 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, min, max differ, so no cross-line comparison was made for this item
CPT 32554/o
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 36410/o
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 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, max differ, so no cross-line comparison was made for this item
CPT 36556/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36573/o
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 36575/o
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 36589/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36590/o
info
mrf_item_fields_vary
this code and setting cover at least 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 36592/o
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 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, min, max differ, so no cross-line comparison was made for this item
CPT 36620/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36625/o
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 36680/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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 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 43239/o
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 43752/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 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 43762/o
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 10140/o
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 10160/o
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 11000/o
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 49082/o
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 11011/o
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 11043/o
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 11044/o
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 11045/o
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 51701/o
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 11046/o
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 51702/o
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 11047/o
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 11055/o
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 11056/o
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 11403/o
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 62270/o
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 11719/o
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 11720/o
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 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 11721/o
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 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 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 11765/o
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 12002/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 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 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 69205/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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 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 69209/o
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 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 70150/o
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 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 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, min, max 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, max 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 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 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 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, max 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, 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 71046/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 12032/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 71250/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 71260/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 71271/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 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 71275/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 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 72020/o
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 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, max 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, max 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, max 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 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 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, min, max 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 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 72110/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 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, 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 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, 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 72148/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 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 73000/o
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 73030/o
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 73060/o
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 73070/o
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 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, min, max differ, so no cross-line comparison was made for this item
CPT 16000/o
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 73090/o
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 16020/o
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 73110/o
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 16025/o
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 73130/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 16030/o
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 73140/o
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 17110/o
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 73200/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17250/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 73201/o
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 73202/o
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 73218/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 73221/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 73222/o
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 73552/o
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 20600/o
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 73560/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 20605/o
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 73562/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 20610/o
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 73610/o
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 20612/o
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 73620/o
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 73630/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 73650/o
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 73660/o
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 73700/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 73701/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 73702/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 73718/o
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 73719/o
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 73720/o
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 73721/o
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 73722/o
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 23650/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 74019/o
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 74170/o
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 74177/o
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 74181/o
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 74183/o
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