Service
Code
Listed
Cash
Negotiated
Rates
Checks
PR Anes for Procedures on External Middle & Inner Ear Incl Bx Tympanotomy
—
$630
$630
232
clean
PR Anesthesia Nose & Accessory Sinuses Not Otherwise Specified
—
$882
$882
232
clean
HC Mayo Analysis Gene Jak2 Targeted Sequence Exons 12-15
$839
$545
$772
42
clean
PR Anes Proc on Integumentary Sys Extremities Anterior Trunk & Perineum Nos
—
$756
$756
231
clean
HC Mayo Qmpss Immunoglobulin Paraprotein Ql Immunoprecip Mass Spectrometry Blood Urine Incl Isotype
$143
$93
$132
42
clean
PR Anes for Intraperitoneal Proc Upper Abd Incl Laparoscopy Nos
—
$1,487
$1,487
232
clean
PR Anesthesia Procedures Lower Anterior Abdominal Wall Nos
—
$1,008
$1,008
232
clean
PR Anes Lower Intestinal Endo Proc Endo Introduced Distal to Duodenum Nos
—
$718
$718
232
clean
PR Anes Lower Intest Endo Proc Endoscope Intro Dist Duod Scrn Colonoscopy
—
$529
$529
232
clean
PR Anes Combined Upr & Lwr GI Endo Proc Endo Intro Both Prox & Dis to Duod
—
$882
$882
232
clean
PR Anesthesia Hernia Repairs Lower Abdomen Ventral & Incisional Hernias
—
$1,386
$1,386
232
clean
PR Anes for Intraperitoneal Procedures in Lower Abd Incl Lap Nos
—
$1,260
$1,260
232
clean
PR Anesthesia for Anorectal Procedure
—
$882
$882
232
clean
PR Anes Vaginal Procedure Hysteroscopy and/or Hysterosalpingogram
—
$756
$756
232
clean
PR Anesthesia Open Procedures Involving Hip Joint Total Hip Arthroplasty
—
$1,726
$1,726
232
clean
PR Anes All Proc Nerves/Musc/Tndns Fascia & Bursae of Knee &/ Poplit Area
—
$882
$882
232
clean
PR Anesthesia Open/Surgical Arthroscopic Proc Knee Joint Nos
—
$882
$882
232
clean
PR Anes Open/Surg Arthroscopic Proc Knee Joint Total Knee Arthroplasty
—
$1,638
$1,638
232
clean
PR Anesthesia for Arthroscopic Procedures of Ankle and/or Foot
—
$1,134
$1,134
232
clean
PR Anes Open Procedure on Bones of Lower Leg/Ankle/Foot Nos
—
$756
$756
232
clean
PR Anes Open/Surgical Arthroscopic Proc on Hmrl H&N Sc Jt Acj & Shld Jt Nos
—
$1,260
$1,260
232
clean
PR Anes Open or Surgical Arthroscopic Procedure of the Elbow Nos
—
$882
$882
232
clean
PR Anes All Proc on Nrvs/Musc/Tndn Fascia &Bursae of Forearm Wrist & Hand
—
$756
$756
232
clean
PR Anes Dx/Therap Nrv Block/Inj (by a Diffrnt Phys/Other Qhp) Prone POS
—
$38,747
$7,413
84
clean
HC Infectious Disease Pathogen Specific Nucleic Acid 22 Targets Including Sars-Cov-2 Qual (Biofire 2.1)
$469
$305
$431
45
clean
HC Infectious Disease Pathogen Specific Nucleic Acid 22 Targets Including Sars-Cov-2 Qual (Biofire 2.1)
—
$469
$419
16
clean
HC Injection(S) Platelet Rich Plasma, W Image Guid, Harvesting & Prep When Performed
—
$20,755
$3,343
84
clean
HC Infectious Disease Pathogen Specific Rna Sars-Cov-2/Inf a&B/Rsv Upper Resp Spec Detected or Not
$441
$287
$406
37
clean
HC Quantitative Magnetic Resonance Tissue Composition W/Dx MRI Sgl Organ
$1,017
$661
$953
29
clean
HC Incision & Drainage Abscess Simple/Single
—
$9,255
$205
84
clean
PR Debr Incl Rem Foreign Mat Site Opn Fx &/Opn Dislc Skn&Subq T/M/F Musc&Bn
—
$9,300
$3,343
83
clean
PR Debridement Subcutaneous Tissue <= 20 Sq Cm
$131
$131
$25
778
clean
PR Debridement Subcutaneous Tissue <= 20 Sq Cm|MULTIPLE PROCEDURES
$131
$131
$25
778
clean
PR Debridement Bone <= 20 Sq Cm|MULTIPLE PROCEDURES
$493
$493
$90
1,556
clean
HC Excision Benign Lesion Trunk/Arms/Legs > 4.0 Cm
—
$11,126
$1,687
84
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia > 4.0 Cm
—
$18,712
$2,968
84
clean
HC Excision Malignant Lesion Trunk/Arms/Legs 3.1 - 4.0 Cm
—
$8,460
$723
84
clean
HC Excision Malignant Lesion Trunk/Arms/Legs > 4.0 Cm
—
$13,669
$123
862
clean
PR Excision Malignant Lesion Scalp/Neck/Hands/Feet/Genitalia > 4.0 Cm|ASSISTANT AT SURGERY SERVICE
$89
$89
$18
778
clean
PR Excision Malignant Lesion Scalp/Neck/Hands/Feet/Genitalia > 4.0 Cm
$558
$558
$114
778
clean
PR Repair Nail Bed
—
$348
$47
1,556
clean
PR Excision Pilonidal Cyst/Sinus Complicated
$1,320
$1,320
$253
1,556
clean
HC Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities 2.6 - 7.5 Cm
—
$11,126
$1,687
84
clean
HC Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities 7.6 - 12.5 Cm
—
$13,669
$1,687
168
clean
PR Repair Intermediate Wounds Neck/Hands/Feet/Ext Genitalia 2.6 - 7.5 Cm|MULTIPLE PROCEDURES
$437
$437
$77
778
clean
HC Repair Intermediate Wounds Neck/Hands/Feet/Genitalia 2.6 - 7.5 Cm
$437
$11,182
$77
862
clean
HC Repair Complex Wound Scalp/Arms/Legs 2.6 - 7.5 Cm
$570
$8,460
$98
1,640
clean
HC Repair Complex Wound Scalp/Arms/Legs Each Additional <= 5.0 Cm
—
$8,460
$723
84
clean
PR Adj Tissue Transfer/Rearrangement Trunk Defect 10.1 Sq Cm to 30.0 Sq Cm
$1,473
$1,473
$268
778
clean
PR Adj Tissue Transfer/Rearrangement Trunk Defect 10.1 Sq Cm to 30.0 Sq Cm|MULTIPLE PROCEDURES
$1,473
$1,473
$268
778
clean
PR Transfer/Rearrangement Adjacent Tissue Defect Scalp/Arm/Leg <= 10 Sq Cm
$1,278
$1,278
$227
778
clean
PR Appl Skin Sub Graft Face/Scalp/Neck/Gent < 100 Sqcm <= 25 Sqcm High Cost|MULTIPLE PROCEDURES
$183
$183
$43
1,556
clean
PR Appl Skin Sub Graft Face/Scalp/Neck/Gent < 100 Sqcm <= 25 Sqcm High Cost|ASSISTANT AT SURGERY SERVICE
$29
$29
$6
778
clean
HC Injection(S) Trigger Point(S) Single/Multiple 1 or 2 Muscle(S)
—
$1,472
$314
83
clean
HC Injection(S) Trigger Point(S) Single/Multiple 1 or 2 Muscle(S)
$999
$649
$314
112
clean
HC Injection(S) Trigger Point(S) Single/Multiple >= 3 Muscle(S)
$1,142
$742
$314
112
clean
HC Pt Needle Insertion W/O Injection 1 or 2 Muscles
$121
$79
$30
109
clean
HC Pt Needle Insertion W/O Injection 3 or More Muscles
$97
$63
$30
109
clean
HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Bl|TECHNICAL COMPONENT|BILATERAL PROCEDURE
$1,326
$862
$27
4,322
clean
HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Rt|TECHNICAL COMPONENT|BILATERAL PROCEDURE
—
$1,859
$314
249
clean
HC Arthrocentesis/Aspiration/Injection Major Joint/Bursa W/Ultrasound Guidance Rt
—
$1,851
$314
83
clean
HC Arthrocentesis/Aspiration/Injection Major Joint/Bursa W/Ultrasound Guidance Rt
$2,421
$1,574
$314
336
clean
PR Removal of Implant Superficial
—
$432
$63
778
clean
HC Removal of Implant Deep
$933
$18,623
$176
1,640
clean
PR Removal of Implant Deep|ASSISTANT SURGEON
$149
$149
$28
1,556
clean
PR Bone Graft Any Donor Area Minor/Small|MULTIPLE PROCEDURES
$391
$391
$72
2,334
clean
PR Bone Graft Any Donor Area Minor/Small|ASSISTANT AT SURGERY SERVICE
$63
$63
$12
778
clean
PR Excision Tumor Soft Tissue Face/Scalp Subfascial >= 2 Cm|ASSISTANT AT SURGERY SERVICE
$190
$190
$34
778
clean
PR Excision Tumor Soft Tissue Face/Scalp Subfascial >= 2 Cm
$1,186
$1,186
$217
778
clean
HC Augumentation Percutaneous Vertebral Including Cavity Creation 1 Vertebral Body Thoracic
$18,232
$11,851
$7,413
112
clean
HC Augumentation Percutaneous Vertebral Including Cavity Creation 1 Vertebral Body Lumbar
$18,232
$11,851
$7,413
112
clean
HC Augumentation Percutaneous Vertebral Including Cavity Creation 1 Vertebral Body Lumbar
—
$20,955
$7,413
84
clean
HC Augumentation Percutaneous Vertebral Inc Cavity Creation Ea Addl Thoracic/Lumbar Vertebral Body
$9,116
$5,925
$8,542
29
clean
HC Injection for Shoulder Arthrogram or Enhanced CT/MRI Shoulder Arthography Lt
$549
$357
$514
87
clean
PR Repair Ruptured Musculotendinous Cuff Open Acute|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES
$293
$293
$293
1,556
clean
PR Repair Ruptured Musculotendinous Cuff Open Acute|ASSISTANT AT SURGERY SERVICE
$293
$293
$293
1,556
clean
PR Tenodesis Long Tendon of Biceps|ASSISTANT AT SURGERY SERVICE
$267
$267
$49
778
clean
PR Tenodesis Long Tendon of Biceps
$1,666
$1,666
$267
3,112
clean
PR Manipulation Under Anes Shoulder Joint Incl Application Fixn Apparatus|MULTIPLE PROCEDURES
—
$588
$89
1,556
clean
HC Excision Tumor Soft Tissue Upper Arm/Elbow Subcutaneous => 3cm Rt
—
$7,063
$2,968
83
clean
PR Excision Olecranon Bursa
$841
$841
$159
778
clean
PR Tenotomy Elbow Lat/Med Debr Soft Tiss/Bone Open Tendon Repr/Reattachment
$1,493
$1,493
$274
778
clean
PR Excision Tumor/Soft Tissue Forearm &/or Wrist Area Subcutaneous >= 3 Cm|MULTIPLE PROCEDURES
$950
$950
$152
1,556
clean
PR Excision Tumor/Soft Tissue Forearm &/or Wrist Area Subcutaneous >= 3 Cm|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES
$152
$152
$152
1,556
clean
HC Excision Tumor Soft Tissue Forearm/Wrist Subcutaneous < 3 Cm Rt
—
$7,159
$1,687
83
clean
PR Excision Ganglion Wrist Primary
$752
$10,604
$143
862
clean
PR Excision Ganglion Wrist Primary|MULTIPLE PROCEDURES
$752
$752
$143
778
clean
PR Capsulorrhaphy/Reconstruction Wrist Open|ASSISTANT SURGEON
$357
$357
$66
778
clean
PR Capsulorrhaphy/Reconstruction Wrist Open
$2,234
$2,234
$413
778
clean
PR Arthroplasty Intercarpal/Carpometacarpal Joints Interpostion
$1,801
$1,801
$358
778
clean
PR Arthroplasty Intercarpal/Carpometacarpal Joints Interpostion|ASSISTANT AT SURGERY SERVICE
$288
$288
$53
778
clean
PR Open Tx Radial Shaft Fracture Incl Internal Fixation When Performed
$1,535
$1,535
$309
778
clean
PR Open Tx Radial Shaft Fracture Incl Internal Fixation When Performed|ASSISTANT AT SURGERY SERVICE
$246
$246
$45
778
clean
PR Closed Treatment of Ulnar Shaft Fracture With Manipulation|MULTIPLE PROCEDURES
—
$1,604
$201
778
clean
PR Open Tx Ulnar Shaft Fracture Includes Internal Fixation When Performed|MINIMUM ASSISTANT SURGEON|MULTIPLE PROCEDURES
$230
$230
$230
1,556
clean
PR Open Tx Ulnar Shaft Fracture Includes Internal Fixation When Performed|ASSISTANT AT SURGERY SERVICE
$230
$230
$230
1,556
clean
PR Open Tx Distal Radial Extra-Artc Fx/Epiphyseal Sep W/Internal Fixn
$1,677
$1,677
$310
778
clean
PR Open Tx Distal Radial Extra-Artc Fx/Epiphyseal Sep W/Internal Fixn|ASSISTANT AT SURGERY SERVICE
$268
$268
$268
1,556
clean
PR Open Tx Distal Rdl Intra-Articular Fx/Epiphyseal Separ W/if 2 Fragments|ASSISTANT AT SURGERY SERVICE
$298
$298
$55
778
clean
HC Treatment Fx Radial Distal Open W/Internal Fixation 2 Frag Lt (Restricted Method II CAH)
$1,864
$24,055
$343
862
clean
PR Treatment Distal Radioulnar Dislocation Closed With Manipulation|MULTIPLE PROCEDURES
—
$1,445
$216
1,556
clean
HC Incision Tendon Sheath
$679
$6,601
$128
1,639
clean
PR Fasciectomy Partial Palmar W/Release Single Digit Incl Proximal Ipj
$1,892
$1,892
$360
778
clean
PR Fasciectomy Partial Palmar W Release Sgl Digit Incl Prx Ipj Ea Add Digit
—
$666
$259
778
clean
PR Excision Lesion Tendon Sheath/Joint Capsule Hand/Finger|MULTIPLE PROCEDURES
$727
$727
$138
778
clean
HC Excision Lesion Tendon Sheath/Joint Capsule Hand/Finger
$727
$6,700
$138
861
clean
HC Treatment Fracture Metacarpal Closed Single W/O Manipulation Each Bone
$2,571
$1,671
$252
112
clean
PR Open Tx Metacarpal Fx Single Includes Internal Fixation Each Bone|MULTIPLE PROCEDURES
$1,311
$1,311
$244
778
clean
PR Open Tx Metacarpal Fx Single Includes Internal Fixation Each Bone
$1,311
$1,311
$244
778
clean
PR Open Tx Phalangeal Shaft Fx Proximal/Middle Phalanx Finger/Thumb Each
$1,370
$1,370
$251
778
clean
PR Open Tx Distal Phalangeal Fx Finger/Thumb Incl Internal Fixation Each
—
$9,300
$3,343
83
clean
PR Amput Fgr/Thumb Prim/Sec Any Joint/Phal Sgl Incl Neurectomies W Dir Clsr|MULTIPLE PROCEDURES
$1,650
$1,650
$312
1,556
clean
PR Amput Fgr/Thumb Prim/Sec Any Joint/Phal Sgl Incl Neurectomies W Dir Clsr|ASSISTANT AT SURGERY SERVICE
$264
$264
$50
778
clean
HC Excision Tumor Soft Tissue of Pelvis and Hip Subcutaneous 3 Cm or Greater Rt
—
$10,628
$2,968
84
clean
HC Arthoplasty Acetabular & Proximal Femoral Prosthetic Repl Rt (Restricted Method II CAH)
$2,825
$34,016
$513
1,640
clean
PR Arthroplasty Acetabular and Proximal Femoral Prosthetic Replacement|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE
$904
$904
$452
3,890
clean
HC Excision Tumor Soft Tissue Thigh/Knee Subcutaneous >= 3 Cm Bl
—
$13,011
$2,968
84
clean
PR Ligamentous Reconstruction Knee Extra-Articular
$254
$25,450
$121
2,418
clean
PR Ligamentous Reconstruction Knee Extra-Articular|MULTIPLE PROCEDURES
$1,586
$1,586
$335
778
clean
PR Arthroplasty Knee Condyle and Plateau Medial or Lateral Compartment
$2,534
$2,534
$556
778
clean
PR Arthroplasty Knee Condyle and Plateau Medial or Lateral Compartment|ASSISTANT AT SURGERY SERVICE
$405
$405
$74
778
clean
PR Arthroplasty Knee Condyle&Plateau Med/Lat Cpts W/WO Patella Resurfacing|BILATERAL PROCEDURE
$5,642
$5,642
$451
3,890
clean
HC Arthro Knee/Condyle/Plateau Med/Lat W/or W/O Patella Resurf (Tka) Lt(Rest Method II CAH)
$2,821
$33,086
$512
1,640
clean
PR Gastrocnemius Recession
—
$31,598
$7,413
84
clean
PR Repair Primary Disrupted Ligament Ankle Collateral
—
$34,204
$7,413
84
clean
PR Open Treatment of Distal Fibular Fracture Includes Internal Fixation
—
$32,473
$7,413
84
clean
PR Open Tx Distal Tibiofibular Joint Disruption Incl if When Performed
—
$34,204
$7,413
84
clean
PR Excision Tumor/Soft Tissue Foot/Toe Subcutaneous >= 1.5 Cm
—
$11,050
$2,968
84
clean
HC Excision Tumor Soft Tissue Foot or Toe Subcutaneous < 1.5 Cm Rt
—
$11,406
$1,687
84
clean
HC Tenotomy Toe Flexor Open Single
—
$8,747
$3,343
84
clean
HC Tenotomy Foot or Toe Extensor Open Each Tendon
—
$35,136
$13,117
84
clean
PR Hallux Rigidus Corr W Cheilectomy Debr & Capsular Rls 1st Mpj WO Implant|BILATERAL PROCEDURE
—
$22,949
$3,343
84
clean
PR Osteotomy W/WO Len/Shrtg/Angular Corr Metat Other Than First Metat Ea
—
$35,136
$13,117
84
clean
PR Open Treatment Metatarsal Fracture Includes Internal Fixation Each
—
$16,280
$7,413
84
clean
PR Arthrodesis Great Toe Metatarsophalangeal Joint
—
$29,270
$7,413
84
clean
HC Amputation Toe Metatarsophalangeal Joint
—
$10,477
$3,343
84
clean
HC Ot Application Multi Layer Compression Below Knee Bl
$942
$612
$166
336
clean
PR Surgical Arthroscopy Shoulder Extensive Debridement 3+ Structures
$213
$27,866
$99
2,418
clean
PR Surgical Arthroscopy Shoulder Extensive Debridement 3+ Structures|MULTIPLE PROCEDURES
$1,329
$1,329
$280
778
clean
PR Arthroscopy Shoulder Distal Claviculectomy Incl Distal Articular Surface|ASSISTANT AT SURGERY SERVICE
$243
$243
$45
778
clean
HC Arthro Shoulder Surgical Distal Claviculectomy Incl/Distal Art Surf Lt (Rest Method II CAH)
$1,520
$18,623
$284
2,418
clean
HC Arth Shld Srg Decompr Subacrml Sp W/Prt Acrmplsty W/Crccrml Sep Proc Lt(Rest Method II CAH)
$370
$27,866
$370
862
clean
PR Arthroscopy Shoulder Decompr Subacromial Space W/Part Acromioplasty|ASSISTANT AT SURGERY SERVICE
$59
$59
$59
1,556
clean
HC Arthroscopy Shoulder With Rotator Cuff Repair Lt (Restricted Method II CAH)
$1,126
$29,102
$167
2,418
clean
PR Arthroscopy Shoulder Surgical With Rotator Cuff Repair|MINIMUM ASSISTANT SURGEON
$180
$180
$77
778
clean
PR Arthroscopy Shoulder Surgical Biceps Tenodesis|ASSISTANT AT SURGERY SERVICE
$325
$325
$325
1,556
clean
PR Arthroscopy Shoulder Surgical Biceps Tenodesis
$325
$29,912
$374
1,640
clean
PR Arthroscopically Aided Tx Tibial Fx Prx Unicondylar Incl Internal Fixn|ASSISTANT AT SURGERY SERVICE
$279
$279
$52
778
clean
PR Arthroscopically Aided Tx Tibial Fx Prx Unicondylar Incl Internal Fixn
$1,745
$22,203
$379
862
clean
PR Arthroscopy Knee Diagnostic With or Without Synovial Biopsy
—
$1,483
$184
1,556
clean
PR Arthroscopy Knee Surgical Debridement/Shaving Articular Cartilage|ASSISTANT AT SURGERY SERVICE
$223
$223
$42
778
clean
PR Arthroscopy Knee Surgical Debridement/Shaving Articular Cartilage
$1,395
$25,450
$260
2,418
clean
HC Arthro Knee W/Mnsc Med and Lat Incl/Chndrplsty Same/Sep Compart Rt (Rest Method II CAH)
$1,264
$12,512
$253
862
clean
PR Arthroscopy Knee Surg W/Meniscectomy Incl Debr/Shv Articular Cartilage|ASSISTANT AT SURGERY SERVICE
$202
$202
$202
1,556
clean
HC Arthro Knee W/Mnsc Med or Lat Incl/Chndrplsty Same/Sep Compart Lt (Rest Method II CAH)
$1,220
$13,027
$229
2,418
clean
PR Arthroscopy Knee Surg W/ Meniscectomy Incl Debr/Shvi Artc Cartilage|BILATERAL PROCEDURE
$2,440
$2,440
$215
1,556
clean
PR Arthroscopy Knee Surgical With Meniscus Repair (Medial or Lateral)|MULTIPLE PROCEDURES
$1,567
$1,567
$108
2,334
clean
PR Arthroscopy Knee Surgical With Meniscus Repair (Medial or Lateral)
$1,567
$18,233
$316
862
clean
PR Arthroscopy Knee Surgical With Meniscus Repair (Medial and Lateral)
—
$19,315
$3,343
84
clean
PR Arthro Knee Surg Drilling Intact Osteochondritis Dissecans Lesion W/If|ASSISTANT AT SURGERY SERVICE
$275
$275
$275
1,556
clean
PR Arthroscopy Ankle Surgical Debridement Extensive
—
$34,204
$7,413
84
clean
HC Intubation Endotracheal Emergency Procedure
$2,448
$1,591
$242
112
clean
HC Aspiration Catheter Nasotracheal
$315
$205
$224
112
clean
HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/O Imaging Guidance Bl
$2,690
$1,749
$641
336
clean
HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Rt
$1,793
$1,165
$641
336
clean
HC Collection of Venous Blood by Venipuncture
$45
$29
$40
45
clean
HC Transfusion Blood/Blood Component(S)|NC
—
$1,851
$451
166
clean
HC Transfusion Blood/Blood Component(S)
$1,197
$778
$451
112
clean
HC Insertion Peripherally Inserted Central Venous Catheter (Picc) W/O Port/Pump/Img Gud >= 5 Years
$3,111
$2,022
$1,608
112
clean
HC Removal Central Venous Device Tunneled W/Port/Pump Central/Peripheral Insertion
—
$7,400
$1,608
83
clean
HC Collection Blood Specimen From Completely Implantable Venous Access Device
$472
$307
$136
112
clean
HC Collection Blood Specimen Using Established Central/Peripheral Catheter Venous Nos
$472
$307
$136
112
clean
HC Declotting Implanted Vascular Access Device/Catheter by Thrombolytic Agent
$1,173
$762
$337
112
clean
HC Puncture Arterial Withdrawal Blood for Diagnosis
—
$494
$136
84
clean
HC Puncture Arterial Withdrawal Blood for Diagnosis
$175
$114
$136
112
clean
PR Tonsillectomy & Adenoidectomy Younger Than Age 12
—
$11,382
$6,048
84
clean
HC Tonsillectomy Primary or Secondary =>12 Years (Restricted Method II CAH)
—
$10,688
$3,387
84
clean
PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing
—
$10,243
$927
166
clean
HC Egd Flexible Transoral W/Bx Single/Mult (Restricted Method II CAH)
$301
$7,375
$74
1,640
clean
PR Egd Flexible Transoral W/ Removal Tumor/Polyp/Other Lesion by Snare
—
$7,873
$1,960
84
clean
HC Colon Flexible Dx W/Collection of Specimen(S) by Brushing/Washing (Restricted Method II CAH)
—
$8,047
$104
945
clean
HC Colonoscopy Flexible With Biopsy Single/Multiple (Restricted Method II CAH)
—
$10,875
$106
862
clean
HC Colonoscopy Flex W/Rem of Tumor(S)/Polyp(S)/Lesion(S) by Hot Biopsy(S) Forceps (Rest Meth II CAH)
—
$6,504
$1,223
84
clean
HC Colon Flex W/Rem Tumor(S)/Polyp(S)/Other Lesion(S) by Snare Tech (Restricted Method II CAH)
$551
$7,705
$144
862
clean
PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech|MULTIPLE PROCEDURES
$551
$551
$144
778
clean
HC Cholecystectomy W/Laparoscopy (Restricted Method II CAH)
—
$18,286
$6,176
84
clean
PR Laparoscopic Surgical Cholecystectomy W Cholangiography
—
$25,968
$6,176
84
clean
HC Abdominal Paracentesis W/Image Guidance
$2,052
$1,334
$927
112
clean
HC Abdominal Paracentesis W/Image Guidance
—
$2,452
$927
83
clean
HC Repr Hernia Ing Init >=5yr Bl (Restricted Method II CAH)
—
$16,651
$5,746
168
clean
PR Repr Init Ing Hernia 5y or Older Incarcerated/Strangulated
—
$18,344
$3,658
84
clean
PR Repr Ing Hernia Sliding Any Age
—
$14,792
$3,658
84
clean
PR Repr Ant Abd Hernia(S) Any Appr Init Incl Impl < 3 Cm Reducible
—
$16,050
$3,658
84
clean
PR Repr Ant Abd Hernia(S) Any Appr Init Incl Impl 3-10 Cm Reducible
—
$14,711
$6,614
84
clean
HC Insertion Catheter Bladder Temporary Simple
—
$312
$136
83
clean
HC Insertion Catheter Bladder Temporary Simple Np
$312
$203
$136
224
clean
HC Change Cystostomy Tube Simple
$479
$311
$255
112
clean
HC Measurement Post Void Urine by Ultrasound
—
$1,266
$107
83
clean
HC Measurement Post Void Urine by Ultrasound
$200
$130
$60
112
clean
HC Circumcision W/Regional Block
$3,650
$2,373
$2,136
112
clean
Showing the first 200 of 2,355 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 88184/b
warn
mrf_negotiated_above_gross
highest negotiated rate $696 exceeds the gross charge $383
CPT 88307/b
warn
mrf_negotiated_above_gross
highest negotiated rate $696 exceeds the gross charge $494
CPT 88309/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,564 exceeds the gross charge $817
CPT 88331/b
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $197
CPT 88333/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,564 exceeds the gross charge $430
CPT 88344/b
warn
mrf_negotiated_above_gross
highest negotiated rate $696 exceeds the gross charge $583
CPT 91320/b
warn
mrf_negotiated_above_gross
highest negotiated rate $168 exceeds the gross charge $151
CPT 93306/o
warn
mrf_negotiated_above_gross
highest negotiated rate $727 exceeds the gross charge $236
CPT 93308/o
warn
mrf_negotiated_above_gross
highest negotiated rate $287 exceeds the gross charge $85
CPT 93325/o
warn
mrf_negotiated_above_gross
highest negotiated rate $99 exceeds the gross charge $11
CPT 93880/o
warn
mrf_negotiated_above_gross
highest negotiated rate $489 exceeds the gross charge $82
CPT 93922/o
warn
mrf_negotiated_above_gross
highest negotiated rate $203 exceeds the gross charge $26
CPT 93926/o
warn
mrf_negotiated_above_gross
highest negotiated rate $293 exceeds the gross charge $49
CPT 93978/o
warn
mrf_negotiated_above_gross
highest negotiated rate $440 exceeds the gross charge $82
CPT 94010/b
warn
mrf_negotiated_above_gross
highest negotiated rate $419 exceeds the gross charge $341
CPT 0202U/b
warn
mrf_negotiated_above_gross
highest negotiated rate $838 exceeds the gross charge $469
CPT 94060/b
warn
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $697
CPT 94060/o
warn
mrf_negotiated_above_gross
highest negotiated rate $168 exceeds the gross charge $21
CPT 94640/b
warn
mrf_negotiated_above_gross
highest negotiated rate $425 exceeds the gross charge $304
CPT 12042/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,206 exceeds the gross charge $437
CPT 94664/b
warn
mrf_negotiated_above_gross
highest negotiated rate $425 exceeds the gross charge $370
CPT 94668/b
warn
mrf_negotiated_above_gross
highest negotiated rate $258 exceeds the gross charge $233
CPT 13121/o
warn
mrf_negotiated_above_gross
highest negotiated rate $789 exceeds the gross charge $570
CPT 94681/b
warn
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $416
CPT 94726/b
warn
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $471
CPT 94729/o
warn
mrf_negotiated_above_gross
highest negotiated rate $166 exceeds the gross charge $18
CPT 20680/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,352 exceeds the gross charge $933
CPT 96360/b
warn
mrf_negotiated_above_gross
highest negotiated rate $413 exceeds the gross charge $369
CPT 96374/b
warn
mrf_negotiated_above_gross
highest negotiated rate $413 exceeds the gross charge $310
CPT 97533/b
warn
mrf_negotiated_above_gross
highest negotiated rate $115 exceeds the gross charge $96
CPT 97607/b
warn
mrf_negotiated_above_gross
highest negotiated rate $789 exceeds the gross charge $630
CPT 25111/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,122 exceeds the gross charge $752
CPT J3030/b
warn
mrf_negotiated_above_gross
highest negotiated rate $66 exceeds the gross charge $18
CPT 25608/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,087 exceeds the gross charge $1,864
CPT 26055/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,122 exceeds the gross charge $679
CPT 26160/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,122 exceeds the gross charge $727
CPT 29826/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,087 exceeds the gross charge $370
CPT J7131/b
warn
mrf_negotiated_above_gross
highest negotiated rate $75 exceeds the gross charge $30
CPT 29855/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,087 exceeds the gross charge $1,745
CPT A9543/b
warn
mrf_negotiated_above_gross
highest negotiated rate $114,217 exceeds the gross charge $55,035
CPT 29880/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,352 exceeds the gross charge $1,264
CPT 29882/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,352 exceeds the gross charge $1,567
CPT 31720/b
warn
mrf_negotiated_above_gross
highest negotiated rate $425 exceeds the gross charge $315
CPT 36600/b
warn
mrf_negotiated_above_gross
highest negotiated rate $258 exceeds the gross charge $175
CPT 43239/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,761 exceeds the gross charge $301
CPT 45385/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,323 exceeds the gross charge $551
CPT 51705/b
warn
mrf_negotiated_above_gross
highest negotiated rate $485 exceeds the gross charge $479
CPT 54150/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,058 exceeds the gross charge $3,650
CPT 64718/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,791 exceeds the gross charge $1,369
CPT 64721/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,791 exceeds the gross charge $995
CPT 75571/b
warn
mrf_negotiated_above_gross
highest negotiated rate $169 exceeds the gross charge $100
CPT P9022/b
warn
mrf_negotiated_above_gross
highest negotiated rate $741 exceeds the gross charge $660
CPT P9100/b
warn
mrf_negotiated_above_gross
highest negotiated rate $115 exceeds the gross charge $113
CPT 76942/o
warn
mrf_negotiated_above_gross
highest negotiated rate $177 exceeds the gross charge $104
CPT 80175/b
warn
mrf_negotiated_above_gross
highest negotiated rate $27 exceeds the gross charge $22
CPT 80326/b
warn
mrf_negotiated_above_gross
highest negotiated rate $117 exceeds the gross charge $50
CPT 80345/b
warn
mrf_negotiated_above_gross
highest negotiated rate $117 exceeds the gross charge $60
CPT 80349/b
warn
mrf_negotiated_above_gross
highest negotiated rate $117 exceeds the gross charge $96
CPT 80353/b
warn
mrf_negotiated_above_gross
highest negotiated rate $117 exceeds the gross charge $89
CPT 80361/b
warn
mrf_negotiated_above_gross
highest negotiated rate $117 exceeds the gross charge $109
CPT 80362/b
warn
mrf_negotiated_above_gross
highest negotiated rate $117 exceeds the gross charge $57
CPT 81263/b
warn
mrf_negotiated_above_gross
highest negotiated rate $592 exceeds the gross charge $464
CPT G0379/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,156 exceeds the gross charge $231
CPT 84410/b
warn
mrf_negotiated_above_gross
highest negotiated rate $103 exceeds the gross charge $72
CPT J0285/b
warn
mrf_negotiated_above_gross
highest negotiated rate $34 exceeds the gross charge $9
CPT 86581/b
warn
mrf_negotiated_above_gross
highest negotiated rate $185 exceeds the gross charge $110
CPT 86860/b
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $132
CPT 86870/b
warn
mrf_negotiated_above_gross
highest negotiated rate $696 exceeds the gross charge $449
CPT J0572/b
warn
mrf_negotiated_above_gross
highest negotiated rate $9 exceeds the gross charge $3
CPT 86885/b
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $142
CPT 86900/b
warn
mrf_negotiated_above_gross
highest negotiated rate $258 exceeds the gross charge $129
CPT 86901/b
warn
mrf_negotiated_above_gross
highest negotiated rate $73 exceeds the gross charge $69
CPT 86902/b
warn
mrf_negotiated_above_gross
highest negotiated rate $696 exceeds the gross charge $360
CPT 86905/b
warn
mrf_negotiated_above_gross
highest negotiated rate $696 exceeds the gross charge $139
CPT 86920/b
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $165
CPT 86922/b
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $223
CPT 86923/b
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $295
CPT 86971/b
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $92
CPT 86972/b
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $116
CPT 86977/b
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $199
CPT 87497/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0741/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT V2790/b
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87899/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0870/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0878/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 J0881/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max 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 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0896/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0897/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1010/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 90460/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 J1100/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90461/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1160/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 90471/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 J1163/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 90472/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 J1165/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 90473/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 J1171/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90474/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 J1190/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90480/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 J1250/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 90653/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 J1265/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 90656/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 J1271/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 90658/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 J1303/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90675/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1308/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 90707/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 J1326/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90715/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1335/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 90732/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 J1447/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90744/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 J1450/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90746/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 J1453/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 J1561/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 93306/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 J1568/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1569/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 93306/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J1570/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 93308/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 J1580/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1596/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 93308/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J1644/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93321/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J1650/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93325/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 J1720/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 J1805/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 93325/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J1815/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93350/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 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, min, max differ, so no cross-line comparison was made for this item
CPT J1939/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 93880/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J1940/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 J1950/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 93922/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J1953/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 J1956/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 93926/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2060/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2175/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 93978/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2182/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 J2185/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 94010/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2250/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2270/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 11606/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT J2272/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 11760/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 94060/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2274/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 12034/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2312/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 J2353/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 12042/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT J2354/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 J2371/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 13121/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 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, min, max differ, so no cross-line comparison was made for this item
CPT 20610/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 94727/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2430/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 20610/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2470/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 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, max differ, so no cross-line comparison was made for this item
CPT 94729/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2540/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2543/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 20680/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT J2560/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 20900/o
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 96380/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 J2598/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 23350/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 96381/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 J2690/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 23410/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 97110/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2704/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 23410/o
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 97112/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2765/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 23430/o
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 J2783/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 23700/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2795/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 25071/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