Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC VENIPUNCTURE-BLOOD DRAW
$43
$34
—
0
clean
HC ARTERIAL PUNCTURE, W/DRAW BLOOD FOR DX
$178
$142
—
0
clean
HC 69209 REMOVE IMPACT CERUMEN W/LAVAGE-RT
$127
$102
—
0
clean
HC MRI TMJ JOINT(S)
$4,461
$3,569
—
0
clean
HC 70450 CT HEAD/BRAIN W/O CONTRAST
$3,122
$2,498
—
0
clean
HC 70460 CT HEAD/BRAIN W/ CONTRAST
$3,307
$2,646
—
0
clean
HC 70470 CT HEAD OR BRAIN WO/W CONTRAST
$3,359
$2,687
—
0
clean
HC 70480 CT INTRACRANIAL W/O CONTRAST
$4,172
$3,338
—
0
clean
HC 70481 CT INTRACRANIAL W/ CONTRAST
$4,693
$3,754
—
0
clean
HC 70482 CT INTRACRANIAL WO/W CONTRAST
$5,203
$4,162
—
0
clean
HC 70486 CT FACIAL BONES W/O CONTRAST
$4,397
$3,518
—
0
clean
HC 70487 CT FACIAL BONES W/ CONTRAST
$3,457
$2,766
—
0
clean
HC 70488 CT FACIAL BONES W/WO CONTRAST
$4,550
$3,640
—
0
clean
HC 70490 CT SOFT TISSUE NECK W/O CONTRAST
$3,005
$2,404
—
0
clean
HC 70491 CT SOFT TISSUE NECK W/ CONTRAST
$3,371
$2,697
—
0
clean
HC 70492 CT SOFT TISSUE NECK WO/W CONTRAST
$3,467
$2,774
—
0
clean
HC 70496 CTA HEAD WO/W CONTRAST
$4,169
$3,335
—
0
clean
HC 70498 CT ANGIO NECK WO/W CONTRAST W/ IMAGE PP
$3,816
$3,053
—
0
clean
HC MRI ORBIT/FACE/NECK W/O CONTRAST
$5,316
$4,253
—
0
clean
HC MRI ORBIT/FACE/NECK W/ CONTRAST
$5,961
$4,769
—
0
clean
HC MRI ORBIT/FACE/NECK WO/W CONTRAST
$6,606
$5,285
—
0
clean
HC MRA HEAD W/O CONTRAST
$5,586
$4,469
—
0
clean
HC MRA HEAD WO/W CONTRAST
$5,537
$4,430
—
0
clean
HC MRA NECK W/O CON
$5,079
$4,063
—
0
clean
HC MRA NECK W/ CONTRAST
$3,571
$2,857
—
0
clean
HC MRA NECK WO/W CONTRAST
$5,813
$4,650
—
0
clean
HC MRI BRAIN INC STEM W/O CONTRAST
$5,586
$4,469
—
0
clean
HC 70553 MRI BRAIN (INC BRAIN STEM) WO/W CONTRAST
$6,939
$5,551
—
0
clean
HC 71250 CT THORAX DIAGNOSTIC W/O CONTRAST
$3,144
$2,515
—
0
clean
HC 71260 CT THORAX DIAGNOSTIC W/ CONTRAST
$3,607
$2,886
—
0
clean
HC 71270 CT THORAX DIAGNOSTIC WO/W CONTRAST
$4,132
$3,306
—
0
clean
HC 71275 CT ANGIO CHST,NCRNY WO/W CONT W/ IMG PP
$3,979
$3,183
—
0
clean
HC MRI CHEST W/O CONTRAST
$5,180
$4,144
—
0
clean
HC MRI CHEST W/ CONTRAST
$5,281
$4,225
—
0
clean
HC MRI CHEST WO/W CONTRAST
$5,806
$4,645
—
0
clean
HC 72125 CT CERVICAL SPINE W/O CONTRAST
$3,947
$3,158
—
0
clean
HC 72127 CT CERVICAL SPINE WO/W CONTRAST
$4,163
$3,330
—
0
clean
HC 72128 CT THORACIC SPINE W/O CONTRAST
$3,582
$2,866
—
0
clean
HC 72129 CT THORACIC SPINE W/ CONTRAST
$3,836
$3,069
—
0
clean
HC 72130 CT THORACIC SPINE WO/W CONTRAST
$3,963
$3,170
—
0
clean
HC 72131 CT LUMBAR SPINE W/O CONTRAST
$4,170
$3,336
—
0
clean
HC 72132 CT LUMBAR SPINE W/CONTRAST
$4,129
$3,303
—
0
clean
HC 72133 CT LUMBAR SPINE WO/W CONTRAST
$4,340
$3,472
—
0
clean
HC MRI CERVICAL SPINE W/O CONTRAST
$4,846
$3,877
—
0
clean
HC MRI CERVICAL SPINE W/CONTRAST
$5,676
$4,541
—
0
clean
HC MRI THORACIC SPINE W/O CONTRAST
$4,846
$3,877
—
0
clean
HC MRI THORACIC SPINE W/ CONTRAST
$5,046
$4,037
—
0
clean
HC MRI LUMBAR SPINE W/O CONTRAST
$5,072
$4,058
—
0
clean
HC MRI LUMBAR SPINE W/ CONTRAST
$5,545
$4,436
—
0
clean
HC MRI CERV SPINE WO/W CONTRAST
$6,303
$5,042
—
0
clean
HC MRI THORAC SPINE WO/W CONTRAST
$6,603
$5,282
—
0
clean
HC MRI LUMBAR SPINE WO/W CONTRAST
$6,433
$5,146
—
0
clean
HC 72191 CT ANGIO PELVIS, WO/W CONTRAST W/ IMG PP
$4,080
$3,264
—
0
clean
HC 72192 CT PELVIS W/O CONTRAST
$3,217
$2,574
—
0
clean
HC 72193 CT PELVIS W/ CONTRAST
$3,703
$2,962
—
0
clean
HC 72194 CT PELVIS WO/W CONTRAST
$3,950
$3,160
—
0
clean
HC MRI PELVIS W/O CONTRAST
$4,461
$3,569
—
0
clean
HC MRI PELVIS W/ CONTRAST
$4,925
$3,940
—
0
clean
HC MRI PELVIS WO/W CON
$5,547
$4,438
—
0
clean
HC MRA PELVIS W/O CONTRAST
$4,461
$3,569
—
0
clean
HC 73200 CT UPPER EXTREMITY W/O CONTRAST-RT
$2,924
$2,339
—
0
clean
HC 73201 CT UPPER EXTREMITY W/ CONTRAST-RT
$4,092
$3,274
—
0
clean
HC 73202 CT UPPER EXTREMITY WO/W CONTRAST-RT
$4,080
$3,264
—
0
clean
HC 73206 CT ANGIO UP EXTREM WO/W CONTR W/ PP-RT
$3,886
$3,109
—
0
clean
HC MRI UP EXTR NON JOINT W/O CONTRAST-LT
$4,264
$3,411
—
0
clean
HC MRI UP EXTR NON JOINT W CONTRAST-LT
$5,281
$4,225
—
0
clean
HC MRI UP EXTR, NON JOINT, WO/W CONTR-LT
$5,806
$4,645
—
0
clean
HC 73221 MRI UP EXTREM, ANY JOINT, W/O CONTRAST - LT
$4,846
$3,877
—
0
clean
HC MRI UP EXTREM, ANY JOINT, W/CONTRAST-LT
$5,545
$4,436
—
0
clean
HC MRI UP EXTREM, ANY JOINT, WO/W CONTR-LT
$5,545
$4,436
—
0
clean
HC MRA UPPER EXTREM W OR W/O CONTRAST-LT
$4,461
$3,569
—
0
clean
HC 73700 CT LOWER EXTREM W/O CONTRAST RT
$3,417
$2,734
—
0
clean
HC 73701 CT LOWER EXTREM W/ CONTRAST RT
$3,930
$3,144
—
0
clean
HC 73702 CT LOWER EXTREM WO/W CONTRAST RT
$4,080
$3,264
—
0
clean
HC 73706 CT ANGIO, LOW EXT WO/W CONTRAST W/ PP RT
$4,517
$3,614
—
0
clean
HC 73718 MRI LOW EXTREM, NON JOINT, W/O CONTRAST - LT
$5,579
$4,463
—
0
clean
HC MRI LOW EXTM, NON JOINT, W/ CONTRAST LT
$5,760
$4,608
—
0
clean
HC MRI LOW EXT, NON JOINT, WO/W CONTRAST LT
$6,903
$5,522
—
0
clean
HC 73721 MRI LOW EXTREM, JOINT, W/O CONTRAST - LT
$4,846
$3,877
—
0
clean
HC MRI LOW EXTREM, JOINT, W/ CONTRAST-LT
$5,281
$4,225
—
0
clean
HC MRI LOW EXTREM, JOINT, WO/W CONTRAST-LT
$6,537
$5,230
—
0
clean
HC MRA LOWER EXTREMITY W/ CONTRAST LT
$4,684
$3,747
—
0
clean
HC 74150 CT ABDOMEN W/O CONTRAST
$3,299
$2,639
—
0
clean
HC 74160 CT ABDOMEN W/ CONTRAST
$3,387
$2,710
—
0
clean
HC 74170 CT ABDOMEN WO/W CONTRAST
$4,080
$3,264
—
0
clean
HC 74174 CT ANGIOGRAPHY ABD/PELVIS W CONTRAST
$6,666
$5,333
—
0
clean
HC 74175 CT ANGIO ABDOMEN WO/W CONTRAST W/ IMG PP
$4,329
$3,463
—
0
clean
HC 74176 CT ABD AND PELVIS, WITHOUT CONTRAST
$6,373
$5,098
—
0
clean
HC 74177 CT ABD AND PELVIS, WITH CONTRAST
$7,506
$6,005
—
0
clean
HC 74178 CT ABD & PLVS W & WO CONT 1 BODY REGN
$7,594
$6,075
—
0
clean
HC MRI ABDOMEN W/O CONTRAST
$4,785
$3,828
—
0
clean
HC MRI ABDOMEN W/ CONTRAST
$4,922
$3,938
—
0
clean
HC MRI ABDOMEN WO/W CONTRAST
$5,547
$4,438
—
0
clean
HC 74185 / C8900 MRA ANGIOGRAPHY ABDOMEN W/CONTRAST
$5,808
$4,646
—
0
clean
HC 74261 CT COLONSCOPY,W/O CONTRAST DIAGNOSTIC
$3,898
$3,118
—
0
clean
HC 74262 CT COLONSCOPY,W/CONTRAST DIAGNOSTIC
$3,898
$3,118
—
0
clean
HC 75572 CT-HEART,W/CONTRAST MORPHOLOGY
$3,979
$3,183
—
0
clean
HC 75573 CT-HEART,W/CNTRST MORPHOLOGY CONGENTIAL
$3,297
$2,638
—
0
clean
HC 75574 CT-CCTA,HEART W/CONTRAST FUNCTION
$3,979
$3,183
—
0
clean
HC 75635 CTA ABD AORTA BILAT ILIOFEMORAL W/WO
$3,898
$3,118
—
0
clean
HC 76376 CT RECONSTRUHC CTION,NO PP ON INDEPENDT WK
$3,212
$2,570
—
0
clean
HC 76377 CT RECONSTRUCT W PP ON INDEPENDT WORKSTATION
$3,212
$2,570
—
0
clean
HC 76380 CT LIMITED OR LOCAL FOLLOW-UP, LEVEL I
$1,898
$1,518
—
0
clean
HC 77012 CT GUIDE NEEDLE,BIOPSY/ASPIRATION
$4,471
$3,577
—
0
clean
HC MRI BREAST; W/O CONTRAST UNILAT-LT
$3,820
$3,056
—
0
clean
HC MRI BREAST W/O CONTRAST BLT
$6,715
$5,372
—
0
clean
HC 77048 MRI BREAST; W/O & WITH CONTRAST & CAD IF PERFORMED, UNILAT-LT
$5,076
$4,061
—
0
clean
HC 77049 MRI BREAST W/O &WITH CONTRAST & CAD IF PERFORMED, BLT
$7,615
$6,092
—
0
clean
HC BASIC METABOLIC PANEL W TOTAL CALCIUM
$226
$181
—
0
clean
HC COMPREHENSIVE METABOLIC PANEL
$361
$289
—
0
clean
HC LIPID PANEL
$260
$208
—
0
clean
HC SO DRUG ASSAY CARBAMAZEPINE TOTAL CARBG
$118
$94
—
0
clean
HC SO DRUG SCREEN CLOZAPINE; CLZ
$225
$180
—
0
clean
HC DRUG ASSAY VALPROIC DIPROPYLACETIC ACID TOTAL
$98
$78
—
0
clean
HC SO DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE VALPG
$98
$78
—
0
clean
HC SO ASSAY OF ETHOSUXIMIDE ETHSX
$110
$88
—
0
clean
HC SO DRUG SCREEN GABAPENTIN; GABA
$290
$232
—
0
clean
HC SO DRUG SCREEN LAMOTRIGINE LAMO
$290
$232
—
0
clean
HC SO DRUG SCREEN LEVETIRACETAM LEVE
$290
$232
—
0
clean
HC SO DRUG SCREEN MYCOPHENOLATE MPA
$290
$232
—
0
clean
HC SO DRUG SCREEN OXCARBAZEPINE OMHC
$290
$232
—
0
clean
HC SO DRUG SCREEN PHENOBARBITAL QUANT PRMB
$49
$39
—
0
clean
HC SO ASSAY OF PHENYTOIN, TOTAL PNTFT
$368
$294
—
0
clean
HC SO ASSAY OF PHENYTOIN, FREE PNTFT
$365
$292
—
0
clean
HC SO DRUG SCREEN PRIMIDONE QUANT PRMB
$67
$54
—
0
clean
HC SO ASSAY OF TOPIRAMATE; TOPI
$507
$406
—
0
clean
HC SO DRUG SCREEN ZONISAMIDE ZONI
$290
$232
—
0
clean
HC SO QUANTITATIVE ASSAY, DRUG ITRA
$293
$234
—
0
clean
HC SO NON-INTERFACED, MECONIUM 5 TOXICOLOGY
$1,561
$1,249
—
0
clean
HC URINALYSIS, AUTO W/O SCOPE
$72
$58
—
0
clean
HC SO BCR/ABL1 GENE MAJOR BP; BCRAB
$775
$620
—
0
clean
HC SO CFTR GENE ANLYS CMMN VARIANTS CFP
$830
$664
—
0
clean
HC SO CFTR GENE DUP/DELET VARIANTS CFTRZ
$4,239
$3,391
—
0
clean
HC SO CFTR GENE FULL SEQUENCE CFTRZ
$4,239
$3,391
—
0
clean
HC SO CHROMOSOMAL MICROARRAY, BLOOD, CMACB
$7,231
$5,785
—
0
clean
HC SO FMR1 GENE DETECTION FXS
$1,947
$1,558
—
0
clean
HC FMR1 GENE CHARACTERIZATION
$970
$776
—
0
clean
HC SO FMS RELATED TYROSINE KINASE 3 ITD VARIANTS FLT3 GENE
$1,410
$1,128
—
0
clean
HC SO FMS RELATED TYROSINE KINASE 3 TKD VARIANTS FLT3 GENE ANALYSIS
$1,278
$1,022
—
0
clean
HC SO HFE GENE ANALYSIS, HFE
$757
$606
—
0
clean
HC SO MATERNAL CELL CONT, MATCC
$1,604
$1,283
—
0
clean
HC COMP ANALYSIS STR, STR2
$858
$686
—
0
clean
HC SO JAK2 GENE; JAK2B
$596
$477
—
0
clean
HC KRAS MUTATION COLORECTRAL, KRASC
$1,753
$1,402
—
0
clean
HC SO MGMT GENE METHYLATION ANALYSIS MGMT
$1,973
$1,578
—
0
clean
HC SO MTHFR GENE MTHFR
$373
$298
—
0
clean
HC SO MECP2 GENE FULL SEQ MECPZ
$2,126
$1,701
—
0
clean
HC SO MECP2 GENE DUP/DELET VARIANT MECPZ
$2,126
$1,701
—
0
clean
HC SO NPM1 GENE; NPM1
$1,964
$1,571
—
0
clean
HC SO SNRPN/UBE3A GENE HNP
$1,303
$1,042
—
0
clean
HC SO HLA-DQA1 HIGH RESOLUTION PRO HLADQA1
$1,271
$1,017
—
0
clean
HC SO MOLECULAR PATHOLOGY PROCEDURE LEVEL 2 HAD
$1,421
$1,137
—
0
clean
HC FABRY DIS FULL GENE ANAL, FABRZ
$4,284
$3,427
—
0
clean
HC SO VLCAD DEFICIENCY FULL GENE, VLCZ
$6,057
$4,846
—
0
clean
HC UNLISTED MOLECULAR PATHOLOGY
$183
$146
—
0
clean
HC SO ACYLCARNITINES QUANT PLASMA ACRN
$435
$348
—
0
clean
HC SO ASSAY, ADRENOCORTICOTROPIC HORMONE; ACTH
$512
$410
—
0
clean
HC SO ASSAY OF ALDOLASE; ALS
$197
$158
—
0
clean
HC SO ASSAY OF ALDOSTERONE ALDS
$943
$754
—
0
clean
HC SO ALPHA-1-ANTITRYPSIN,TOTAL A1AF
$256
$205
—
0
clean
HC SO ALUMINUM; AL
$268
$214
—
0
clean
HC SO ASSAY, AMINOLEVULINIC ACID ALAUR
$354
$283
—
0
clean
HC SO AMMONIA 24HR URINE AMMO SAT24
$93
$74
—
0
clean
HC PED PROF ANDROSTENEDIONE
$326
$261
—
0
clean
HC SO ANGIOTENSIN I ENZYME TEST FACEC
$299
$239
—
0
clean
HC SO APOLIPOPRTEIN A1 PLASMA APLA1
$203
$162
—
0
clean
HC SO ARSENIC BLOOD ASB
$259
$207
—
0
clean
HC SO ASCORBIC ACID (VITAMIN C), BLOOD, VITC
$845
$676
—
0
clean
HC SO BILE ACIDS TOTAL BILEA
$210
$168
—
0
clean
HC BILIRUBIN TOTAL FHIB
$56
$45
—
0
clean
HC SO CADMIUM FOR OCCUPATIONAL MONITORING; CDOM
$181
$145
—
0
clean
HC SO VITAMIN D; 25 HYDROXY; 25HDN
$181
$145
—
0
clean
HC SO CALCITONIN CATN
$396
$317
—
0
clean
HC SO CALCIUM 24 HR URINE CALU SAT24
$39
$31
—
0
clean
HC SO KIDNEY STONE ANALYSIS CASA
$203
$162
—
0
clean
HC SO ASSAY OF CARNITINE CARNS
$471
$377
—
0
clean
HC SO CATECHOLAMINES; URINE; CATU
$414
$331
—
0
clean
HC SO CHEMILUMINESCENT ASSAY; PTHRP
$115
$92
—
0
clean
HC SO CHLORIDE 24 HR URINE CLU SAT24
$34
$27
—
0
clean
HC SO CHOLINESTERASE, RBC; ACHS
$157
$126
—
0
clean
HC SO CHROMIUM; CRS
$189
$151
—
0
clean
HC SO CITRATE EXCRETION, 24 HR URINE CITR
$337
$270
—
0
clean
HC SO COLLAGEN CROSS LINKS, ANY METHOD; CTX
$266
$213
—
0
clean
HC SO ASSAY OF COPPER; CUS
$226
$181
—
0
clean
HC SO CORTISOL, FREE; CORTU
$297
$238
—
0
clean
HC SO TOTAL CORTISOL; SALCT
$294
$235
—
0
clean
HC SO GC/MS,QUANT,SINGLE STATIONARY PHASE FCANC
$379
$303
—
0
clean
HC SO CREATININE 24 HR URINE CTU SAT24
$62
$50
—
0
clean
HC PED PROF DESOXYCORTICOSTERONE 11
$373
$298
—
0
clean
HC PED PROF DEOXYCORTISOL
$326
$261
—
0
clean
HC SO DIHYDROXYVITAMIN D, 1,25; DHVD
$535
$428
—
0
clean
HC SO ERYTHROPOIETIN EPO
$325
$260
—
0
clean
HC SO ASSAY ESTROGENS FRACTIONATED ESTF
$122
$98
—
0
clean
HC SO ESTRIOL; UE3
$341
$273
—
0
clean
HC SO ESTRONE; E1
$395
$316
—
0
clean
HC SO FAT/LIPIDS, FECES; QUANT; FATF
$393
$314
—
0
clean
HC SO FATTY ACIDS, NONESTERIFIED; NEFA
$583
$466
—
0
clean
HC SO TOTAL SERUM IGA PRO TOT IGA
$87
$70
—
0
clean
HC SO GASTRIN; GAST
$266
$213
—
0
clean
HC SO ASSAY OF G6PD ENZYME G6PO
$248
$198
—
0
clean
Showing the first 200 of 1,292 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
12,446 of 12,446 percentage/algorithm rates across 889 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 82507/o
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 82533/o
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 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 differ, so no cross-line comparison was made for this item
CPT 82977/o
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 70486/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 83010/o
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 83018/o
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 83516/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83519/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83520/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83735/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83883/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 83945/o
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 73200/o
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/o
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/o
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 84403/o
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 73206/o
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/o
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 73219/o
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 73220/o
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 84443/o
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 73221/o
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/o
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 84460/o
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/o
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 73225/o
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 73700/o
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 73701/o
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 73702/o
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 84999/o
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 73706/o
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 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 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 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 differ, so no cross-line comparison was made for this item
CPT 85610/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 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 differ, so no cross-line comparison was made for this item
CPT 73723/o
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 73725/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 86148/o
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 86255/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86317/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74185/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86341/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 86617/o
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 86671/o
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 80175/o
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 80201/o
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 80299/o
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 87385/o
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 87449/o
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 80335/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 80339/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 87798/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 80346/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 87801/o
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 81003/o
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 81265/o
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 81331/o
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 81401/o
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 81479/o
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 82088/o
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 82157/o
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 82164/o
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 82172/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 82175/o
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 82247/o
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 82384/o
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 82495/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82507/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82523/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82525/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82530/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82533/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82542/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82570/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82633/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82634/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 36415/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82652/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 36416/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82668/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 36600/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82671/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82677/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 69209/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82679/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70336/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82710/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70450/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82725/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70460/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82784/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70470/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82941/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70480/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82955/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70481/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70482/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82977/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82985/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70486/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83003/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70487/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70488/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83010/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70490/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70491/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83018/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70492/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83036/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70496/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83150/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70498/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83497/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70540/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83498/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70542/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70543/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83516/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70544/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70546/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83519/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70547/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70548/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83520/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70549/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83525/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70551/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83527/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 70553/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83615/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 71250/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83625/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 71260/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 71270/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83735/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 71275/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 71550/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83883/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 71551/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83919/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 71552/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83921/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72125/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83935/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72127/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72128/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83945/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72129/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83986/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72130/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83992/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72131/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 83993/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72132/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84066/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72133/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84075/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72141/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84080/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72142/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84105/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72146/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84110/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72147/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84120/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72148/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84133/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72149/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84143/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72156/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84144/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72157/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84146/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72158/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84182/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72191/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84202/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72192/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84206/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72193/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84207/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72194/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84238/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72195/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84244/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72196/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84252/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72197/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84255/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 72198/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84260/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84270/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 73200/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84300/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 84305/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 73201/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all