Service
Code
Listed
Cash
Negotiated
Rates
Checks
Respiratory Panel 2.1 (BioFire)
$1,149
$1,149
$468
12
clean
10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE TechFee
$573
$573
$348
3
clean
10060 INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS O ProFee
$450
$450
$115
1
clean
10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE TechFee
$671
$671
$348
3
clean
11626 EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXC ProFee
$1,743
$1,743
$327
1
clean
11643 EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED ProFee
$1,174
$1,174
$121
1
clean
12001 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK ProFee
$653
$653
$50
3
clean
12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee
$376
$376
$148
8
clean
12002 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK ProFee
$719
$719
$66
2
clean
12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee
$376
$376
$101
3
clean
12004 SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM TechFee
$376
$376
$103
1
clean
12004 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK ProFee
$864
$864
$237
1
clean
12005 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK ProFee
$1,105
$1,105
$106
1
clean
12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee
$376
$376
$202
3
clean
12011 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS M ProFee
$686
$686
$62
2
clean
12013 SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee
$376
$376
$331
1
clean
12032 REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee
$547
$547
$458
1
clean
12051 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.5 CM/< TechFee
$547
$547
$481
1
clean
US Breast Biopsy w/ US Guide Left
$3,957
$3,957
$2,164
4
clean
20610 INJECTION AND OR ASPIRATION MAJOR JOINT
$1,279
$1,279
$344
5
clean
US Guided Joint Inj/Asp Hip Lt EO
$1,034
$1,034
$627
72
clean
20680 REMOVAL OF IMPLANT; DEEP (EG, BURIED WIRE, PIN, SCREW, METAL BAND, NAIL, ROD OR PLATE) ProFee
$2,642
$2,642
$463
2
clean
21930 EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBCUTANEOUS; LESS THAN 3 CM ProFee
$2,449
$2,449
$401
1
clean
23350 ARTHROGRAPHY SHOULDER INJECTION PROC
$1,283
$1,283
$691
4
clean
23472 ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACE ProFee
$9,081
$9,081
$1,585
1
clean
23650 CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES TechFee
$470
$470
$437
2
clean
27093 ARTHROGRAPHY HIP INJECTION PROCEDURE
$1,286
$1,286
$690
3
clean
27130 Total Hip Replacement
$10,283
$10,283
$1,424
1
clean
27266 Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesi
$6,470
$6,470
$2,034
1
clean
27369 ARTHROGRAPHY KNEE INJECTION PROCEDURE
$1,286
$1,286
$691
1
clean
27447 ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHO ProFee
$11,450
$11,450
$1,391
1
clean
27550 CLOSED TX KNEE DISLOCATION W/O ANESTHESIA TechFee
$975
$975
$969
1
clean
28110 OSTECTOMY, PARTIAL EXCISION, FIFTH METATARSAL HEAD (BUNIONETTE) (SEPARATE PROCEDURE) ProFee
$1,966
$1,966
$497
1
clean
29105 APPLICATION LONG ARM SPLINT (SHOULDER TO HAND)
$300
$300
$251
1
clean
29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC ProFee
$300
$300
$43
1
clean
29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC TechFee
$300
$300
$149
4
clean
29240 STRAPPING SHOULDER TechFee
$300
$300
$81
3
clean
29240 STRAPPING SHOULDER
$139
$139
$19
4
clean
29260 STRAPPING ELBOW/WRIST TechFee
$300
$300
$212
2
clean
29515 APPLICATION SHORT LEG SPLINT CALF FOOT TechFee
$509
$509
$160
1
clean
29530 STRAPPING KNEE
$149
$149
$19
2
clean
29530 STRAPPING KNEE TechFee
$300
$300
$81
1
clean
29540 STRAPPING ANKLE &/FOOT TechFee
$300
$300
$77
1
clean
29540 STRAPPING ANKLE
$130
$130
$19
2
clean
29580 STRAPPING UNNA BOOT TechFee
$300
$300
$264
1
clean
Intubation Assist
$320
$320
$86
3
clean
31500 INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE ProFee
$823
$823
$155
2
clean
31720 SUCTION CHARGE
$353
$353
$98
2
clean
36415 ONC-VENIPUNCTURE CHARGE
$23
$23
$8
81
clean
36430 BLOOD ADMINISTRATION CHARGE
$1,101
$1,101
$296
24
clean
36556 INSERTION OF NON-TUNNELED CENTRALLY INSERTED CENTRAL VENOUS
$3,227
$3,227
$1,590
20
clean
PICC PLACEMENT INITIAL TECH FEE
$3,009
$3,009
$825
12
clean
PICC PLACEMENT REPAIR/REPLACE TECH FEE
$3,009
$3,009
$770
1
clean
36600 ARTERIAL PUNCTURE
$85
$85
$62
21
clean
43235 ESOPHAGOGASTRODUODENOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC INCLUDING COLLECTION OF S ProFee
$1,408
$1,408
$131
2
clean
43239 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE ProFee
$1,748
$1,748
$9
3
clean
43249 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC BALLOON DILATION ProFee
$2,496
$2,496
$166
3
clean
45378 COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR ProFee
$2,026
$2,026
$200
1
clean
45380 COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE ProFee
$2,355
$2,355
$215
4
clean
45385 COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE ProFee
$2,711
$2,711
$272
4
clean
47562 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY ProFee
$5,140
$5,140
$594
1
clean
47563 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY ProFee
$5,290
$5,290
$831
1
clean
US Paracentesis
$2,516
$2,516
$554
1
clean
51701 INSJ NON-NDWELLG BLADDER CATHETER TechFee
$370
$370
$103
3
clean
51702 INSERTION OF TEMPORARY INDWELLING BLADDER CATHETER; SIMPLE (EG, FOLEY) ProFee
$449
$449
$27
2
clean
51702 INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE TechFee
$389
$389
$105
8
clean
52000 CYSTOURETHROSCOPY (SEPARATE PROCEDURE) ProFee
$1,345
$1,345
$85
2
clean
52005 CYSTOURETHROSCOPY, WITH URETERAL CATHETERIZATION, WITH OR WITHOUT IRRIGATION, INSTILLA ProFee
$1,368
$1,368
$56
1
clean
52224 CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) OR TREATM ProFee
$3,715
$3,715
$216
1
clean
52281 CYSTOURETHROSCOPY, WITH CALIBRATION AND/OR DILATION OF URETHRAL STRICTURE OR STENOSIS, ProFee
$1,829
$1,829
$165
2
clean
52332 CYSTOURETHROSCOPY, WITH INSERTION OF INDWELLING URETERAL STENT (EG, GIBBONS OR DOUBLE- ProFee
$1,945
$1,945
$165
1
clean
52353 CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH LITHOTRIPSY (URETERAL CAT ProFee
$2,375
$2,375
$426
1
clean
58661 LAPAROSCOPY, SURGICAL; WITH REMOVAL OF ADNEXAL STRUCTURES (PARTIAL OR TOTAL OOPHORECTO ProFee
$4,405
$4,405
$353
1
clean
58662 LAPAROSCOPY, SURGICAL; WITH FULGURATION OR EXCISION OF LESIONS OF THE OVARY, PELVIC VI ProFee
$4,901
$4,901
$772
1
clean
64445 SCIATIC NERVE BLOCK TECH FEE
$3,236
$3,236
$1,361
2
clean
ADDUCTOR CANAL BLOCK TECH FEE
$1,124
$1,124
$645
4
clean
64718 NEUROPLASTY AND/OR TRANSPOSITION; ULNAR NERVE AT ELBOW ProFee
$3,086
$3,086
$665
1
clean
64721 NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL ProFee
$3,447
$3,447
$481
2
clean
XR Foreign Body Localization Eye
$376
$376
$315
1
clean
XR Mandible Complete 4+ Views
$798
$798
$167
2
clean
XR Zygomatic Arches
$359
$359
$153
4
clean
XR Nasal Bones 3+ Views
$485
$485
$335
1
clean
XR Sinuses Paranasal Complete
$647
$647
$164
7
clean
XR Skull < 4 Views
$481
$481
$424
1
clean
XR TMJ Open and Closed Left
$506
$506
$424
2
clean
XR TMJ Open and Closed Bilateral
$597
$597
$118
1
clean
XR Neck Soft Tissue
$351
$351
$59
1
clean
CT Brain/Head Stroke Protocol
$3,080
$3,080
$827
44
clean
CT Brain/Head w/ + w/o Contrast
$3,690
$3,690
$641
2
clean
CT IAC w/o Contrast
$2,610
$2,610
$225
12
clean
CT Maxillofacial w/o Contrast
$2,610
$2,610
$701
22
clean
CT Maxillofacial w/ Contrast
$2,763
$2,763
$641
4
clean
CT Neck Soft Tissue w/o Contrast
$2,610
$2,610
$225
1
clean
CT Neck Soft Tissue w/ Contrast
$2,888
$2,888
$652
7
clean
CT Angio Brain/Head
$3,409
$3,409
$1,135
15
clean
70498 CT Angio Neck
$3,409
$3,409
$916
2
clean
MRA Brain/Head w/o Contrast
$2,560
$2,560
$655
1
clean
MRI Brain w/o Contrast
$4,130
$4,130
$1,100
22
clean
MRI Brain w/ + w/o Contrastt - BCE
$5,085
$5,085
$1,395
33
clean
XR Chest 1 View
$343
$343
$92
16
clean
XR Chest 2 Views
$424
$424
$114
21
clean
XR Ribs 2 Views Left
$589
$589
$153
12
clean
XR Ribs w/ PA Chest Left
$802
$802
$205
6
clean
XR Ribs 3 Views Bilateral
$759
$759
$118
1
clean
XR Ribs w/ PA Chest Bilateral
$720
$720
$182
3
clean
XR Sternum 2+ Views
$411
$411
$118
1
clean
71250 CT Abdomen w/o Contrast
$2,436
$2,436
$687
112
clean
71260 CT Chest w/ Contrast
$3,323
$3,323
$893
26
clean
71270 CT Chest w/ + w/o Contrast
$4,241
$4,241
$1,124
4
clean
CT Lung Cancer Screening
$703
$703
$225
11
clean
71275 CT Angio Chest
$3,409
$3,409
$876
31
clean
XR Spine Lumbar 1 View
$284
$284
$59
9
clean
XR Spine Cervical 2 or 3 Views
$629
$629
$161
12
clean
XR Spine Cervical 4 or 5 Views
$872
$872
$171
4
clean
XR Spine Cervical 6+ Views
$969
$969
$118
1
clean
XR Spine Thoracic 2 Views
$405
$405
$81
4
clean
XR Spine Thoracic 3 Views
$605
$605
$155
5
clean
XR Spine Scoliosis 1 View
$565
$565
$118
6
clean
XR Spine Lumbosacral 2 or 3 Views
$538
$538
$144
13
clean
XR Spine Lumbosacral 4plus Views
$674
$674
$118
7
clean
XR Spine Lumbosacral w/ Bending 6+ Views
$741
$741
$129
2
clean
CT Spine Cervical w/o Contrast
$2,940
$2,940
$790
15
clean
CT Spine Thoracic w/o Contrast
$1,929
$1,929
$537
5
clean
CT Spine Lumbar w/o Contrast
$2,940
$2,940
$752
11
clean
CT Spine Lumbar w/ + w/o Contrast
$3,481
$3,481
$3,315
1
clean
MRI Spine Cervical w/o Contrast
$4,130
$4,130
$1,105
8
clean
MRI Spine Thoracic w/o Contrast
$3,052
$3,052
$2,686
3
clean
MRI Spine Lumbar w/o Contrast
$4,130
$4,130
$1,109
15
clean
MRI Spine Cervical w/ + w/o Contrast
$5,085
$5,085
$4,475
3
clean
MRI Spine Thoracic w/ + w/o Contrast
$5,085
$5,085
$1,417
3
clean
MRI Spine Lumbar w/ + w/o Contrast
$5,085
$5,085
$859
3
clean
XR Pelvis 1 or 2 Views
$424
$424
$114
9
clean
XR Pelvis Complete 3+ Views
$523
$523
$134
1
clean
CT Angio Abdomen and Pelvis
$4,436
$4,436
$1,135
1
clean
CT Pelvis w/o Contrast
$2,610
$2,610
$463
4
clean
MRI Pelvis w/o Contrast
$3,010
$3,010
$767
2
clean
MRI Pelvis w/ + w/o Contrast
$4,422
$4,422
$1,231
10
clean
XR Sacrum/Coccyx 2+ Views
$502
$502
$128
5
clean
XR Clavicle Left
$502
$502
$135
18
clean
XR Shoulder 1 View Right
$235
$235
$61
6
clean
XR Shoulder Complete 2+ Views Left
$449
$449
$121
63
clean
73040 ARTHROGRAPHY SHOULDER RADIOLOGIC EXAM
$466
$466
$410
1
clean
XR AC Joints Bilateral
$364
$364
$101
1
clean
XR Humerus Left
$466
$466
$119
27
clean
XR Elbow 2 Views Left
$485
$485
$127
18
clean
XR Elbow Complete 3+ Views Left
$589
$589
$158
33
clean
XR Forearm 2 Views Left
$470
$470
$123
24
clean
XR Wrist 2 Views Right
$302
$302
$109
28
clean
XR Wrist Complete 3+ Views Left
$453
$453
$119
42
clean
XR Hand 2 Views Left
$424
$424
$114
20
clean
XR Hand Complete 3+ Views Left
$510
$510
$137
51
clean
Fingers minimum of 2 Views
$321
$321
$118
36
clean
CT Finger(s) w/o Contrast Left
$1,837
$1,837
$518
130
clean
MRI Forearm w/o Contrast Left
$3,010
$3,010
$733
24
clean
MRI Brachial Plexus w/ + w/o Contrast Lt
$3,010
$3,010
$859
12
clean
MRI Elbow w/o Contrast Left
$3,579
$3,579
$961
84
clean
MRI Elbow w/ Contrast Left
$3,616
$3,616
$858
24
clean
MRI Elbow w/ + w/o Contrast Left
$3,758
$3,758
$859
6
clean
XR Hip 2-3 Views Left
$445
$445
$136
64
clean
XR Hip 4+ Views Left
$517
$517
$118
12
clean
XR Hips 2 Views Bilat
$517
$517
$129
16
clean
XR Hips 3-4 Views w/AP Pelvis Bilat
$639
$639
$141
4
clean
XR Femur 1 View Right
$440
$440
$673
3
clean
XR Femur 2 Views Left
$440
$440
$118
27
clean
XR Knee 1 or 2 Views Left
$324
$324
$161
12
clean
XR Knee 3 Views Left
$485
$485
$130
45
clean
XR Knee Complete 4+ Views Left
$531
$531
$146
48
clean
XR Tibia/Fibula Left
$465
$465
$124
27
clean
XR Ankle 2 Views Left
$347
$347
$110
6
clean
XR Ankle Complete 3+ Views Left
$518
$518
$140
45
clean
XR Foot 2 Views Left
$415
$415
$118
18
clean
XR Foot Complete 3+ Views Left
$518
$518
$139
57
clean
XR Calcaneus Left
$411
$411
$118
9
clean
XR Toe(s) 2+ Views Left
$321
$321
$118
12
clean
CT Ankle w/ Contrast Right
$2,610
$2,610
$701
133
clean
CT Ankle w/ Contrast Left
$2,509
$2,509
$641
68
clean
MRI Calcaneus w/o Contrast Left
$3,458
$3,458
$923
24
clean
MRI Femur w/ + w/o Contrast Left
$3,459
$3,459
$1,663
32
clean
MRI Ankle w/o Contrast Left
$3,579
$3,579
$952
72
clean
MRI Ankle w/ Contrast Left
$3,616
$3,616
$858
18
clean
MRI Ankle w/ + w/o Contrast Left
$3,758
$3,758
$1,817
12
clean
XR Abdomen KUB 1 View
$424
$424
$118
12
clean
XR Abdomen 2 Views
$450
$450
$120
5
clean
XR Abdomen Series + Chest 1 View
$480
$480
$129
4
clean
74150 CT Chest w/o Contrast
$2,610
$2,610
$703
8
clean
74160 CT Abdomen w/ Contrast
$2,888
$2,888
$708
4
clean
CT Abdomen w/ + w/o Contrast
$4,241
$4,241
$886
16
clean
74174 CT Angio Abdomen and Pelvis
$4,136
$4,136
$1,111
4
clean
74176 CT Abdomen and Pelvis w/o Contrast
$5,283
$5,283
$1,419
57
clean
74177 CT Abdomen and Pelvis w/ Contrast
$6,091
$6,091
$1,636
63
clean
74178 CT Abdomen and Pelvis w/ + w/o Contrast
$8,481
$8,481
$2,173
32
clean
MRI Abdomen w/o Contrast
$3,010
$3,010
$773
2
clean
MRI Abdomen w/ + w/o Contrast
$3,758
$3,758
$992
10
clean
MRA Abdomen w/ + w/o Contrast
$4,647
$4,647
$1,240
1
clean
XR Esophagus w/ Air Contrast
$572
$572
$253
5
clean
XR Swallowing Function w/ Speech
$567
$567
$151
5
clean
XR Upper GI
$565
$565
$153
3
clean
XR Upper GI w/ Air Contrast
$844
$844
$239
8
clean
XR Cholangiogram in OR
$951
$951
$243
1
clean
CT Angio Abdomen Aorta + Iliofemoral
$4,436
$4,436
$1,228
2
clean
Showing the first 200 of 694 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 88304/b
warn
mrf_negotiated_above_gross
highest negotiated rate $210 exceeds the gross charge $119
CPT 88311/b
warn
mrf_negotiated_above_gross
highest negotiated rate $83 exceeds the gross charge $47
CPT 94760/b
warn
mrf_negotiated_above_gross
highest negotiated rate $168 exceeds the gross charge $110
CPT 96361/b
warn
mrf_negotiated_above_gross
highest negotiated rate $328 exceeds the gross charge $186
CPT 96366/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,793 exceeds the gross charge $291
CPT 96375/b
warn
mrf_negotiated_above_gross
highest negotiated rate $612 exceeds the gross charge $348
CPT 97113/b
warn
mrf_negotiated_above_gross
highest negotiated rate $240 exceeds the gross charge $136
CPT J0131/b
warn
mrf_negotiated_above_gross
highest negotiated rate $107 exceeds the gross charge $49
CPT J0696/b
warn
mrf_negotiated_above_gross
highest negotiated rate $28 exceeds the gross charge $18
CPT J0744/b
warn
mrf_negotiated_above_gross
highest negotiated rate $28 exceeds the gross charge $18
CPT J2704/b
warn
mrf_negotiated_above_gross
highest negotiated rate $333 exceeds the gross charge $49
CPT J3010/b
warn
mrf_negotiated_above_gross
highest negotiated rate $37 exceeds the gross charge $18
CPT J7120/b
warn
mrf_negotiated_above_gross
highest negotiated rate $60 exceeds the gross charge $23
CPT U0002/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,011 exceeds the gross charge $219
CPT 36600/b
warn
mrf_negotiated_above_gross
highest negotiated rate $149 exceeds the gross charge $84
CPT 82785/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 82787/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 82947/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 82948/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 83516/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 differ, so no cross-line comparison was made for this item
CPT 83520/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 differ, so no cross-line comparison was made for this item
CPT 83540/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 83615/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 83735/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 83835/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 83883/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 84145/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 84153/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 84155/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 84156/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 84166/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 84244/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 84439/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 84450/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 84460/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 85018/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 85025/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 85300/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 85303/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 85306/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 85307/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 85613/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 85660/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 85732/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 86003/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 86038/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 86147/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 86160/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 86225/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 86235/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 86255/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 differ, so no cross-line comparison was made for this item
CPT 86316/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 86376/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 86431/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 86592/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 86617/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 86618/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 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 differ, so no cross-line comparison was made for this item
CPT 86664/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 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 differ, so no cross-line comparison was made for this item
CPT 86696/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 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 differ, so no cross-line comparison was made for this item
CPT 86762/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 86765/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 86787/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 86800/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 86803/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 86850/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 86870/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 86880/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 86900/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 86901/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 86905/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 86922/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 87070/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 differ, so no cross-line comparison was made for this item
CPT 87075/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 87081/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 87205/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 87206/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 87340/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 87385/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 87389/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 87449/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 87491/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 87591/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 87635/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 87799/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 87902/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 89051/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 92611/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 92950/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 93005/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 93225/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 93668/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 93798/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 93970/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 94375/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 94625/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 94640/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 94660/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 95816/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 96361/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 96365/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 96366/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 96367/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 96372/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 96374/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 96375/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 97032/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 97035/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 97110/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 97112/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 97113/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 97140/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 97530/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT A4217/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 A9270/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 C1781/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 G0283/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 J0153/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 J0171/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 J0690/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 J0885/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 J1650/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 J1885/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 J1956/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 J2003/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 J2250/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 J2405/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 J3475/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 J3480/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 J3489/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 J7040/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 J7060/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 J9047/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 J9217/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 J9305/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 P9035/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 Q5106/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 Q5126/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
MS-DRG 293/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 948/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 20611/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 31500/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 36415/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 36430/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 51702/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 52281/o
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 64447/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 70150/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 70496/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 71250/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 71275/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 72020/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 73000/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 73020/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 73030/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 73060/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 73070/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 73080/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 73090/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 73100/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 73110/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 73120/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 73130/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 73200/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 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 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 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73503/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 73521/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 73551/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 73552/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/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/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 73564/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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73600/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 73610/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 73620/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 73630/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 73650/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 73700/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 73701/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 73718/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 73720/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 76641/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 76642/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 76705/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 77067/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 80074/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 80185/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 80299/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 80307/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 differ, so no cross-line comparison was made for this item
CPT 81270/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 82043/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 82088/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 82103/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 82131/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 82140/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