Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC RBC Antigen Typing Dna Hea Gene Analysis 35 Antigens Whole Blood Reference
$476
$309
$338
153
clean
HC Warde Liver Disease Ten Biochemical Assays Serum (Nash)
$712
$463
$442
153
clean
HC Warde 3700116 Neurology Prion Protein Detection Quaking-Induced Confirmational Conversion CSF Ql
$631
$410
$448
153
clean
HC Computed Tomography Cerebral Perfusion W/Contrast
$2,418
$1,572
$1,368
136
clean
PR Computer-Assisted Msk Surg Navigational Ortho Proc W Image-Guid Fluoro
—
$29,272
$304
101
clean
PR Computer-Assisted Musculoskeletal Surg Ortho Proc W Image-Guid CT/MRI|BILATERAL PROCEDURE
—
$41,503
$7,679
245
clean
HC External Infectious Disease Microbial Cell-Free Dna Plasma Untargeted Next-Generation Sequencing
$2,436
$1,583
$1,730
153
clean
HC Infectious Disease Pathogen Specific Nucleic Acid 22 Targets Including Sars-Cov-2 Qual (Biofire 2.1)
$1,321
$859
$1,033
153
clean
HC Injection(S) Platelet Rich Plasma, W Image Guid, Harvesting & Prep When Performed
$502
$326
$270
151
clean
HC Atherectomy Transluminal Peripheral Iliac Each Vessel
$17,674
$11,488
$12,549
151
clean
PR Perc Laminotomy/Laminectomy for Decmpr Neural Elements Any Method Lumbar
—
$4,710
$4,239
765
clean
HC Laminotomy/Laminectomy Lumbar Percutaneous Single or Multiple Levels Uni/Bil
$14,685
$9,545
$10,426
143
clean
HC Cath Tmvi W/Prosthetic Valve Percutaneous Approach
$28,413
$18,468
$20,173
128
clean
HC Ablation Malignant Breast Tumor(S) Percutaneous Cryotherapy Lt
$10,619
$6,902
$7,539
302
clean
HC Quantitative Magnetic Resonance Tissue Composition W/O Dx MRI Sgl Organ
$2,053
$1,334
$1,458
153
clean
HC Insertion Transcath Perm Dual-Chamber Leadless Pacer Complete System
$34,958
$22,723
$24,820
152
clean
HC Insertion Transcatheter Single Chamber Leadless Pacemaker Right Atrial
$23,305
$15,148
$16,547
151
clean
HC Evaluation Programming Device W/Adjustment Leadless Pacemaker Single-Cardiac Chamber Physcian/Qhp
$113
$73
$80
151
clean
PR Aspiration Fine Needle (Fna) Biopsy W/Ultrasound Guidance 1st Lesion
$153
$153
$36
1,546
clean
HC Aspiration Fine Needle (Fna) Biopsy W/Ultrasound Guidance 1st Lesion
$1,539
$1,000
$7
856
clean
HC Aspiration Fine Needle (Fna) Biopsy W/Ultrasound Guidance Each Additional Lesion
$1,483
$964
$998
128
clean
HC Aspiration Fine Needle (Fna) Biopsy W/Fluoroscopic Guidance 1st Lesion
$1,822
$1,184
$1,294
129
clean
HC Aspiration Fine Needle (Fna) W/Biopsy W/O Imaging Guidance 1st Lesion
$474
$308
$416
80
clean
PR Aspiration Fine Needle (Fna) W/Biopsy W/O Imaging Guidance
—
$297
$27
773
clean
HC Drainage by Catheter Image Guided Soft Tissue Percutaneous
$1,312
$853
$1,151
240
clean
HC Placement Soft Tissue Localization Device(S) Percutaneous 1st Lesion
$2,037
$1,324
$1,731
237
clean
HC Extraction
$231
$150
$203
79
clean
HC Incision & Drainage Abscess Simple/Single|MULTIPLE PROCEDURES
—
$402
$219
66
clean
HC Incision & Drainage Abscess Simple/Single
$308
$200
$59
1,727
clean
HC Incision & Drainage Abscess Complicated/Multiple
—
$404
$439
66
clean
HC Incision & Drainage Abscess Complicated/Multiple
$563
$366
$100
1,652
clean
PR Incision & Drainage Cyst Pilonidal Simple
$291
$291
$83
1,548
clean
HC Incision & Drainage Cyst Pilonidal Simple
$490
$319
$441
80
clean
HC Incision & Drainage Foreign Body Subcutaneous Tissues Simple
$423
$275
$380
80
clean
HC Incision & Drainage Foreign Body Subcutaneous Tissues Simple
$236
$16,558
$47
1,575
clean
HC Incision & Drainage Foreign Body Subcutaneous Tissues Complicated
—
$9,976
$78
802
clean
HC Incision & Drainage Foreign Body Subcutaneous Tissues Complicated
$1,883
$1,224
$1,695
80
clean
HC Incision & Drainage Hematoma/Seroma/Fluid Collection
$138
$1,224
$46
536
clean
HC Incision & Drainage Hematoma/Seroma/Fluid Collection
$219
$142
$147
363
clean
HC Puncture Aspiration Abscess/Hematoma/Bulla/Cyst
$1,101
$716
$117
363
clean
HC Puncture Aspiration Abscess/Hematoma/Bulla/Cyst
$168
$1,606
$35
532
clean
PR Incision & Drainage Wound Post OP Infection Complex
$399
$399
$78
774
clean
HC Incision & Drainage Wound Post OP Infection Complex
$3,326
$2,162
$78
855
clean
HC Debridement Extensive Eczematous or Infected Skin Up to 10% Body Surface
$711
$462
$624
57
clean
PR Debr Skin/Subq Tiss/Muscle/Fascia Necrotizing Sft Tiss Infec Gent&Peri
$1,093
$1,093
$226
774
clean
PR Debr Skin/Subq Tiss/Muscle/Fascia Necrotizing Sft Tiss Infec Gent&Peri|MULTIPLE PROCEDURES
$1,093
$1,093
$226
775
clean
PR Debr Skin/Subq Tissue/Muscle/Fascia Necrotizing Soft Tiss Infec Abd Wall
$1,693
$9,335
$610
789
clean
PR Debr Skin/Subq Tissue/Muscle/Fascia Necrotizing Soft Tiss Infec Abd Wall|ASSISTANT AT SURGERY SERVICE
$271
$271
$116
776
clean
PR Debr Skn/Subq Tiss/Musc/Fsc Necrotizing Sft Tiss Infec Gent&Peri&Abdwall
—
$1,634
$277
773
clean
PR Debr Incl Rem Foreign Mat at Site Opn Fx &/Opn Dislc Skn&Subq T/M/F Musc
—
$1,206
$133
773
clean
PR Debr Incl Rem Foreign Mat Site Opn Fx &/Opn Dislc Skn&Subq T/M/F Musc&Bn
—
$6,060
$173
1,575
clean
HC Debridement Subcutaneous Tissue <= 20 Sq Cm
$513
$333
$35
860
clean
HC Debridement Subcutaneous Tissue <= 20 Sq Cm|RETURN TO THE OPERATING ROOM FOR A RELATED PROCEDURE DURING THE POSTOPERATIVE PERIOD
$131
$302
$35
836
clean
HC Debridement Muscle/Fascia <= 20 Sq Cm
$337
$9,430
$63
803
clean
PR Debridement Muscle/Fascia <= 20 Sq Cm|MULTIPLE PROCEDURES
$337
$337
$54
1,551
clean
HC Debridement Bone <= 20 Sq Cm
$493
$10,951
$91
803
clean
HC Debridement Bone <= 20 Sq Cm
$938
$610
$91
855
clean
HC Debridement Subcutaneous Tissue Each Additional 20 Sq Cm
$544
$354
$536
128
clean
HC Debridement Subcutaneous Tissue Each Additional 20 Sq Cm
$55
$789
$21
878
clean
HC Debridement Muscle/Fascia Each Additional 20 Sq Cm
$120
$9,350
$43
873
clean
HC Debridement Muscle/Fascia Each Additional 20 Sq Cm
$40
$26
$8
904
clean
PR Debridement Bone Each Additional 20 Sq Cm
$212
$212
$76
773
clean
HC Debridement Bone Each Additional 20 Sq Cm
$133
$86
$94
130
clean
HC Paring/Cutting Benign Hyperkeratotic Lesion Single
$126
$82
$32
1,651
clean
HC Paring/Cutting Benign Hyperkeratotic Lesions 2-4|BILATERAL PROCEDURE
$165
$107
$37
1,726
clean
HC Paring/Cutting Benign Hyperkeratotic Lesions > 4
$188
$122
$41
866
clean
PR Biopsy Skin Tangential Single Lesion
—
$110
$27
1,546
clean
HC Biopsy Skin Tangential Single Lesion
$253
$164
$180
152
clean
HC Biopsy Skin Tangential Additional Lesion
$115
$75
$82
128
clean
HC Biopsy Skin Punch Single Lesion
$103
$618
$33
808
clean
HC Biopsy Skin Punch Single Lesion
$298
$194
$33
855
clean
HC Biopsy Skin Punch Additional Lesion
$130
$85
$88
128
clean
PR Biopsy Skin Punch Additional Lesion
—
$68
$32
773
clean
PR Biopsy Skin Incisional Single Lesion
—
$142
$41
773
clean
HC Biopsy Skin Incisional Single Lesion
$278
$181
$197
152
clean
HC Biopsy Skin Incisional Additional Lesion
$163
$106
$116
129
clean
HC Removal Skin Tags Fibrocutaneous Any Area <= 15 Lesions
$231
$150
$203
79
clean
HC Shaving Epidermal/Dermal Lesion Trunk/Arms/Legs Single Lesion <= 0.5 Cm
$464
$302
$407
79
clean
HC Shaving Epidermal/Dermal Lesion Trunk/Arms/Legs Single Lesion 0.6 - 1.0 Cm
$285
$185
$250
79
clean
HC Shaving Epidermal/Dermal Lesion Trunk/Arms/Legs Single Lesion 1.1 - 2.0 Cm
$314
$204
$275
79
clean
HC Shaving Epidermal/Dermal Lesion Trunk/Arms/Legs Single Lesion > 2.0 Cm
$464
$302
$407
79
clean
HC Shaving Epidermal/Dermal Lesion Scalp/Neck/Hands/Feet/Genitalia Single Lesion <= 0.5 Cm
$251
$163
$220
79
clean
HC Shaving Epidermal/Dermal Lesion Scalp/Neck/Hands/Feet/Genitalia Single Lesion 0.6 - 1.0 Cm
$289
$188
$253
79
clean
HC Shaving Epidermal/Dermal Lesion Scalp/Neck/Hands/Feet/Genitalia Single Lesion 1.1 - 2.0 Cm
$319
$207
$280
80
clean
HC Shaving Epidermal/Dermal Lesion Scalp/Neck/Hands/Feet/Genitalia Single Lesion > 2.0 Cm
$464
$302
$407
79
clean
HC Shaving Epidermal/Dermal Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb Single Lesion <= 0.5 Cm
$230
$150
$202
80
clean
HC Shaving Epidermal/Dermal Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb Single Lesion 0.6 - 1.0 Cm
$314
$204
$275
80
clean
HC Shaving Epidermal/Dermal Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb Single Lesion 1.1 - 2.0 Cm
$464
$302
$407
80
clean
HC Shaving Epidermal/Dermal Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb Single Lesion > 2.0 Cm
$464
$302
$407
57
clean
PR Excision Benign Lesion Trunk/Arms/Legs <= 0.5 Cm|MULTIPLE PROCEDURES
$190
$190
$35
775
clean
PR Excision Benign Lesion Trunk/Arms/Legs <= 0.5 Cm
$190
$190
$35
774
clean
HC Excision Benign Lesion Trunk/Arms/Legs 0.6 - 1.0 Cm
—
$302
$43
806
clean
HC Excision Benign Lesion Trunk/Arms/Legs 0.6 - 1.0 Cm
$464
$302
$418
80
clean
HC Excision Benign Lesion Trunk/Arms/Legs 1.1 - 2.0 Cm
—
$715
$757
36
clean
HC Excision Benign Lesion Trunk/Arms/Legs 1.1 - 2.0 Cm
$818
$532
$47
864
clean
HC Excision Benign Lesion Trunk/Arms/Legs 2.1 - 3.0 Cm
—
$1,169
$62
809
clean
HC Excision Benign Lesion Trunk/Arms/Legs 2.1 - 3.0 Cm
$818
$532
$736
80
clean
HC Excision Benign Lesion Trunk/Arms/Legs 3.1 - 4.0 Cm
$475
$309
$195
361
clean
HC Excision Benign Lesion Trunk/Arms/Legs 3.1 - 4.0 Cm
$190
$10,445
$60
532
clean
HC Excision Benign Lesion Trunk/Arms/Legs > 4.0 Cm
$558
$9,157
$103
1,575
clean
HC Excision Benign Lesion Trunk/Arms/Legs > 4.0 Cm
$1,883
$1,224
$1,695
80
clean
PR Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 0.6 - 1.0 Cm
—
$270
$45
1,546
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 0.6 - 1.0 Cm
$818
$532
$736
80
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 1.1 - 2.0 Cm
—
$9,118
$57
1,575
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 2.1 - 3.0 Cm
$1,883
$1,224
$1,695
80
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 3.1 - 4.0 Cm
$1,883
$1,224
$1,695
80
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 0.5 Cm
$336
$218
$302
80
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 0.5 Cm
—
$24,132
$6,525
29
clean
PR Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb 0.6 - 1.0 Cm|MULTIPLE PROCEDURES
—
$432
$55
1,546
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb 0.6 - 1.0 Cm
$323
$210
$291
80
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb 2.1 - 3.0 Cm
$1,883
$1,224
$1,651
80
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb > 4.0 Cm
$3,326
$2,162
$2,917
57
clean
PR Exc Skin/Subq Tissue Hidradenitis Axillary Simple/Intermediate Repair
—
$7,348
$114
802
clean
PR Exc Skin/Subq Tiss Hidradenitis Inguinal Simple/Intermediate Repair
$566
$566
$112
1,546
clean
PR Exc Skin/Subq Tiss Hidradenitis Inguinal Simple/Intermediate Repair|BILATERAL PROCEDURE
$1,132
$1,132
$95
1,552
clean
HC Excision Malignant Lesion Trunk/Arms/Legs <= 0.5 Cm
$818
$532
$736
80
clean
HC Excision Malignant Lesion Trunk/Arms/Legs 0.6 - 1.0 Cm
$818
$532
$720
80
clean
HC Excision Malignant Lesion Trunk/Arms/Legs 1.1 - 2.0 Cm
$503
$327
$441
80
clean
HC Excision Malignant Lesion Trunk/Arms/Legs 2.1 - 3.0 Cm
$818
$532
$736
80
clean
HC Excision Malignant Lesion Trunk/Arms/Legs 2.1 - 3.0 Cm
—
$14,324
$4,226
29
clean
HC Excision Malignant Lesion Trunk/Arms/Legs 3.1 - 4.0 Cm
$818
$532
$736
80
clean
HC Excision Malignant Lesion Trunk/Arms/Legs > 4.0 Cm
$1,883
$1,224
$1,695
80
clean
HC Excision Malignant Lesion Trunk/Arms/Legs > 4.0 Cm
—
$13,080
$124
1,575
clean
HC Excision Malignant Lesion Scalp/Neck/Hands/Feet/Genitalia <= 0.5 Cm
$1,883
$1,224
$1,651
80
clean
HC Excision Malignant Lesion Scalp/Neck/Hands/Feet/Genitalia 0.6 - 1.0 Cm
$818
$532
$720
80
clean
HC Excision Malignant Lesion Scalp/Neck/Hands/Feet/Genitalia 1.1 - 2.0 Cm
$818
$532
$736
80
clean
HC Excision Malignant Lesion Scalp/Neck/Hands/Feet/Genitalia 2.1 - 3.0 Cm
$1,883
$1,224
$1,651
80
clean
HC Excision Malignant Lesion Scalp/Neck/Hands/Feet/Genitalia 3.1 - 4.0 Cm
$1,883
$1,224
$1,695
80
clean
HC Excision Malignant Lesion Scalp/Neck/Hands/Feet/Genitalia > 4.0 Cm
$3,326
$2,162
$2,917
57
clean
HC Excision Malignant Lesion Face/Ears/Eyelids/Nose/Lips <= 0.5 Cm
$818
$532
$720
80
clean
HC Excision Malignant Lesion Face/Ears/Eyelids/Nose/Lips 0.6 - 1.0 Cm
$818
$532
$720
80
clean
HC Excision Malignant Lesion Face/Ears/Eyelids/Nose/Lips 1.1 - 2.0 Cm
$818
$532
$720
80
clean
HC Trimming Nondystrophic Nails Any Number
$102
$66
$7
1,730
clean
HC Trimming Nondystrophic Nails Any Number|MULTIPLE PROCEDURES
—
$195
$145
100
clean
HC Debridement Nail(S) Any Method(S) 1 - 5 Nails
—
$195
$212
66
clean
HC Debridement Nail(S) Any Method(S) 1 - 5 Nails
$102
$66
$30
937
clean
HC Debridement Nail(S) Any Method(S) 6 or More Nails
—
$150
$188
138
clean
HC Debridement Nail(S) Any Method(S) 6 or More Nails
$102
$66
$41
937
clean
HC Avulsion Nail Plate Partial/Complete Simple Single Nail Plate
$197
$128
$51
1,651
clean
HC Avulsion Nail Plate Partial/Complete Simple Single Nail Plate
—
$102
$175
97
clean
HC Avulsion Nail Plate Partial/Complete Simple Each Additional Nail Plate
$72
$47
$167
128
clean
HC Excision Nail/Nail Matrix Partial/Complete Permanent Removal|BILATERAL PROCEDURE
$443
$288
$72
1,727
clean
HC Excision Nail/Nail Matrix Partial/Complete Permanent Removal
—
$404
$869
134
clean
HC Biopsy Nail Unit
$818
$532
$736
80
clean
PR Repair Nail Bed
—
$348
$50
1,544
clean
HC Wedge Excision Skin of Nail Fold
—
$404
$45
806
clean
HC Wedge Excision Skin of Nail Fold
$336
$218
$302
79
clean
HC Excision Pilonidal Cyst or Sinus Simple
$3,327
$2,163
$2,994
80
clean
HC Excision Pilonidal Cyst or Sinus Simple
—
$8,364
$92
802
clean
PR Excision Pilonidal Cyst/Sinus Extensive
—
$10,764
$197
802
clean
PR Excision Pilonidal Cyst/Sinus Complicated|MULTIPLE PROCEDURES
$1,320
$1,320
$256
775
clean
PR Excision Pilonidal Cyst/Sinus Complicated
$1,320
$10,164
$256
803
clean
PR Injection Intralesional <= 7 Skin Lesions
$35
$81
$16
773
clean
HC Injection Intralesional <= 7 Skin Lesions
$231
$150
$203
79
clean
HC Tattooing Intradermal 6.1 - 20.0 Sq Cm
$711
$462
$624
80
clean
PR Insertion Drug Delivery Implant Non-Biodegradable
$135
$135
$27
1,546
clean
HC Insertion Drug Delivery Implant
$256
$166
$5
855
clean
HC Removal Drug Delivery Implant
$25
$12,936
$28
1,579
clean
PR Removal Drug Delivery Implant|MULTIPLE PROCEDURES
$156
$156
$30
775
clean
HC Removal With Reinsertion Drug Delivery Implant
$464
$302
$418
79
clean
HC Repair Superficial Wounds Simple Scalp/Neck/Axillae/Genitalia/Trunk/Extermities <= 2.5 Cm
$231
$150
$203
79
clean
PR Repair Superficial Wd Simple Scalp/Neck/Ax/Gent/Trunk/Ext 2.6-7.5 Cm
—
$183
$31
772
clean
HC Repair Superficial Wounds Simple Scalp/Neck/Axillae/Genitalia/Trunk/Extermities 7.6 - 12.5 Cm
$209
$136
$188
79
clean
PR Treatment Superficial Wound Dehiscence Simple Closure|MULTIPLE PROCEDURES
$362
$362
$115
1,545
clean
HC Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities <= 2.5 Cm
$567
$369
$497
80
clean
HC Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities 2.6 - 7.5 Cm
$427
$8,948
$82
1,575
clean
HC Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities 2.6 - 7.5 Cm
$620
$403
$544
80
clean
HC Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities 7.6 - 12.5 Cm
$695
$452
$610
80
clean
HC Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities 7.6 - 12.5 Cm
—
$19,429
$1,765
28
clean
HC Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities 12.6 - 20.0 Cm
—
$12,504
$4,226
29
clean
PR Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities > 30.0 Cm
—
$13,641
$1,783
29
clean
HC Repair Intermediate Wounds Neck/Hands/Feet/Genitalia <= 2.5 Cm
$321
$11,001
$71
1,575
clean
HC Repair Intermediate Wounds Neck/Hands/Feet/Genitalia <= 2.5 Cm
$575
$374
$14
856
clean
HC Repair Intermediate Wounds Neck/Hands/Feet/Genitalia 2.6 - 7.5 Cm
$491
$319
$431
80
clean
PR Repair Intermediate Wounds Neck/Hands/Feet/Ext Genitalia > 30.0 Cm
—
$1,156
$153
773
clean
HC Repair Intermediate Wounds Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 2.5 Cm|BILATERAL PROCEDURE
—
$491
$76
806
clean
HC Repair Intermediate Wounds Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 2.5 Cm
$598
$389
$635
171
clean
HC Repair Intermediate Wounds Face/Ears/Eyelids/Nose/Lips/Muc Memb 2.6 - 5.0 Cm
$653
$424
$573
80
clean
HC Repair Complex Trunk 1.1 - 2.5 Cm
$712
$463
$624
57
clean
PR Repair Complex Wound Scalp/Arms/Legs 2.6 - 7.5 Cm|MULTIPLE PROCEDURES
$570
$570
$114
775
clean
PR Repair Complex Wound Scalp/Arms/Legs 2.6 - 7.5 Cm
$570
$570
$114
774
clean
PR Repair Complex Wound Scalp/Arms/Legs Each Additional <= 5.0 Cm
$176
$176
$68
773
clean
PR Repair Complex Wd Frhd/Cheeks/Chin/Mouth/Neck/Ax/Gent/Hand/Ft 1. -2.5 Cm|MULTIPLE PROCEDURES
—
$860
$104
1,546
clean
PR Repair Complex Wound Forehead/Cheeks/Chin/Mouth/Neck/Axillae/Genitalia/Hands/Feet 2.6 - 7.5 Cm
$671
$671
$126
1,546
clean
HC Repair Complex Wound Forehead/Cheeks/Chin/Mouth/Neck/Axillae/Genitalia/Hands/Feet 2.6 - 7.5 Cm
$970
$631
$825
80
clean
HC Repair Complex Wound Eyelids/Nose/Ears/Lips 2.6 - 7.5 Cm
$880
$572
$777
80
clean
HC Repair Complex Wound Eyelids/Nose/Ears/Lips 2.6 - 7.5 Cm
—
$2,098
$1,765
36
clean
PR Closure Secondary Surgical Wound/Dehiscence Extensive/Complicated
$1,783
$1,783
$334
774
clean
HC Closure Secondary Surgical Wound/Dehiscence Extensive/Complicated
$2,649
$1,722
$309
1,631
clean
PR Transfer/Rearrangement Adjacent Tissue Defect Trunk <= 10 Sq Cm
—
$1,171
$210
1,546
clean
PR Transfer/Rearrangement Adjacent Tissue Defect Scalp/Arm/Leg <= 10 Sq Cm
$1,278
$1,278
$229
773
clean
PR Prep/Creation Surg Recipient Site Open Wound Trunk/Arms/Legs <=100 Sqcm
$476
$476
$183
773
clean
PR Prep/Creation Surg Recipient Site Open Wound Trunk/Arms/Legs <=100 Sqcm|ASSISTANT AT SURGERY SERVICE
$76
$76
$37
1,552
clean
PR Graft Full Thickness Frhd/Cheeks/Chin/Mth/Neck/Ax/Gent Ea Add 20 Sqcm
—
$13,466
$574
101
clean
PR Appl Skin Sub Graft Trunk/Arms/Legs < 100 Sq Cm <= 25 Sq Cm High Cost
—
$231
$41
773
clean
HC Application Skin Substitute Graft Trunk/Arms/Legs <100 Sq Cm 1st 25 Sq Cm
$2,896
$1,882
$2,302
80
clean
HC Application Skin Substitute Graft Face/Scalp/Neck/Genit/Hnd/Ft <100 Sq Cm 1st 25 Sq Cm
$2,896
$1,882
$39
1,631
clean
HC Application Skin Substitute Graft Face/Scalp/Neck/Genit/Hnd/Ft <100 Sq Cm 1st 25 Sq Cm
$183
$2,429
$43
810
clean
PR Muscle Myocutaneous or Fasciocutaneous Flap Trunk|ASSISTANT SURGEON
$526
$526
$181
3,096
clean
PR Muscle Myocutaneous or Fasciocutaneous Flap Trunk|MULTIPLE PROCEDURES
$3,287
$3,287
$526
1,551
clean
Showing the first 200 of 4,686 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 99497/o
error
mrf_cash_above_gross
discounted cash price $177 exceeds gross charge $97
warn
mrf_negotiated_above_gross_systematic
1,261 of 2,452 comparable items (51%) 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 $1,901 exceeds the gross charge $476
CPT 20936/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 29075/b
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 63030/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73200/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80358/b
info
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 86359/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92540/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0165/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 0055T/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 29085/b
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 63030/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73201/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86360/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0166/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 21315/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29105/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 63047/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73202/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86364/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 99282/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT J0169/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 21337/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 29125/b
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 41115/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 63047/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 80361/b
info
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 86376/b
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 29345/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73218/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86381/b
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 J0283/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 21552/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29405/b
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 63048/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 73220/b
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 80365/b
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 86431/b
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 99283/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT J0285/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29425/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 42104/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 73221/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99284/b
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 J0289/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 21552/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 29445/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 63052/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their 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 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 80375/b
info
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 J0290/b
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 21554/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 29515/b
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 63053/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73222/b
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 80377/b
info
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 92557/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 99284/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT J0295/b
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 21555/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 29580/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 63267/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73223/b
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 86581/b
info
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 92567/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 99285/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0456/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8000/b
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 29581/b
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 42405/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 63267/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81120/b
info
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 86593/b
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 J0457/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8015/b
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 29806/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 42660/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73502/b
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 81121/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86596/b
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 92579/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 99285/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT J0490/b
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 L8042/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 21930/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 63650/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 73502/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 86612/b
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 99291/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0561/b
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 L8440/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 21931/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29806/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 42700/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 63661/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81170/b
info
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 86615/b
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 92587/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 21931/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 29822/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 63661/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 81206/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 86618/b
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 J0571/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L8499/b
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 29823/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 73522/b
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 81207/b
info
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 86631/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8501/b
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 21932/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 29824/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 63663/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 81210/b
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 86632/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0572/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L8507/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 22015/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29825/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 42820/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 63685/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73525/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86644/b
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 L8509/b
info
mrf_item_fields_vary
this code and setting cover at least 43 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 10005/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 42821/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 63685/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 73551/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81219/b
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 86668/b
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 J0574/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L8600/b
info
mrf_item_fields_vary
this code and setting cover at least 154 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29825/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 42826/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 73552/b
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 81220/b
info
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 J0601/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L8606/b
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 42830/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 63688/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 73560/b
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 86682/b
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 J0604/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L8610/b
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 22513/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 29826/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 42831/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 64400/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73560/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 81229/b
info
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 86695/b
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 J0607/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L8612/b
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 29827/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 64400/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 73562/b
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 86698/b
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 J0612/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8613/b
info
mrf_item_fields_vary
this code and setting cover at least 74 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 22514/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 29828/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 42960/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 64405/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73562/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86704/b
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 J0613/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8614/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64405/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 73564/b
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 86705/b
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 J0615/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L8630/b
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 22515/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 29875/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their 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 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 73564/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81245/b
info
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 86706/b
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 J0618/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8670/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct 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/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29879/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64417/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73590/b
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 81246/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86709/b
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 J0640/b
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 L8690/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 10060/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 22551/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their 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 cash, min, max differ, so no cross-line comparison was made for this item
CPT 64418/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73590/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 81256/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99406/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0665/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8691/b
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 10061/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29879/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item