Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC RBC Antigen Typing Dna Hea Gene Analysis 35 Antigens Whole Blood Reference
$810
$527
$710
45
clean
HC Warde Liver Disease Ten Biochemical Assays Serum (Nash)
$391
$254
$352
45
clean
HC Mayo Analysis Gene Jak2 Targeted Sequence Exons 12-15
$392
$255
$343
45
clean
HC Mayo Gene Analysis Tpmt Nudt15 Comment Variants
$1,390
$904
$1,216
45
clean
HC Mayo Qmpss Immunoglobulin Paraprotein Ql Immunoprecip Mass Spectrometry Blood Urine Incl Isotype
$250
$163
$219
45
clean
HC Infectious Disease Pathogen Specific Nucleic Acid 22 Targets Including Sars-Cov-2 Qual (Biofire 2.1)
—
$580
$89
88
clean
HC Infectious Disease Pathogen Specific Nucleic Acid 22 Targets Including Sars-Cov-2 Qual (Biofire 2.1)
$475
$309
$416
48
clean
HC Infectious Disease Pathogen Specific Rna Sars-Cov-2/Inf a&B/Rsv Upper Resp Spec Detected or Not
$458
$298
$401
82
clean
PR Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qualitative
—
$74
$74
777
clean
HC Aspiration Fine Needle (Fna) Biopsy W/Ultrasound Guidance 1st Lesion
$1,143
$743
$29
898
clean
PR Aspiration Fine Needle Fna Biopsy W/U/S Guidance Each Addl Lesion
$167
$167
$39
778
clean
HC Incision & Drainage Abscess Simple/Single
$239
$420
$46
867
clean
HC Incision & Drainage Abscess Simple/Single
$173
$112
$46
896
clean
HC Incision & Drainage Abscess Complicated/Multiple
$353
$229
$78
898
clean
HC Incision & Drainage Foreign Body Subcutaneous Tissues Simple|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHESIA
—
$14,985
$415
87
clean
HC Incision & Drainage Foreign Body Subcutaneous Tissues Simple
$336
$218
$46
1,674
clean
HC Incision & Drainage Hematoma/Seroma/Fluid Collection
$2,615
$1,700
$31
1,674
clean
HC Incision & Drainage Hematoma/Seroma/Fluid Collection
$263
$1,890
$52
867
clean
HC Puncture Aspiration Abscess/Hematoma/Bulla/Cyst
$871
$566
$41
1,674
clean
PR Debr Skin/Subq Tiss/Muscle/Fascia Necrotizing Sft Tiss Infec Gent&Peri|MULTIPLE PROCEDURES
$1,093
$1,093
$267
778
clean
PR Debr Skin/Subq Tiss/Muscle/Fascia Necrotizing Sft Tiss Infec Gent&Peri
$1,093
$1,093
$267
778
clean
PR Debr Skin/Subq Tissue/Muscle/Fascia Necrotizing Soft Tiss Infec Abd Wall
$1,693
$1,693
$724
778
clean
PR Debr Skin/Subq Tissue/Muscle/Fascia Necrotizing Soft Tiss Infec Abd Wall|ASSISTANT AT SURGERY SERVICE
$271
$271
$96
778
clean
PR Debr Rem Foreign Material Site Open Fx/Disloc Skin/Subcutaneous Tissue
—
$783
$111
778
clean
PR Debr Incl Rem Foreign Mat Site Opn Fx &/Opn Dislc Skn&Subq T/M/F Musc&Bn
—
$934
$161
778
clean
HC Debridement Subcutaneous Tissue <= 20 Sq Cm
$1,539
$1,000
$198
372
clean
HC Debridement Subcutaneous Tissue <= 20 Sq Cm
$198
$2,821
$25
707
clean
PR Debridement Muscle/Fascia <= 20 Sq Cm
$337
$337
$62
778
clean
HC Debridement Muscle/Fascia <= 20 Sq Cm
$1,861
$1,210
$62
2,452
clean
PR Debridement Bone <= 20 Sq Cm
$493
$493
$90
778
clean
HC Debridement Bone <= 20 Sq Cm
$3,817
$2,481
$90
896
clean
HC Debridement Subcutaneous Tissue Each Additional 20 Sq Cm
$737
$479
$645
32
clean
HC Debridement Subcutaneous Tissue Each Additional 20 Sq Cm
$55
$5,358
$20
866
clean
HC Debridement Muscle/Fascia Each Additional 20 Sq Cm
$1,004
$653
$879
32
clean
HC Debridement Bone Each Additional 20 Sq Cm
$1,909
$1,241
$1,670
32
clean
HC Paring/Cutting Benign Hyperkeratotic Lesion Single
—
$244
$136
89
clean
HC Paring/Cutting Benign Hyperkeratotic Lesion Single
$173
$112
$6
898
clean
HC Paring/Cutting Benign Hyperkeratotic Lesions 2-4
—
$151
$205
88
clean
HC Paring/Cutting Benign Hyperkeratotic Lesions 2-4
$173
$112
$9
898
clean
HC Paring/Cutting Benign Hyperkeratotic Lesions > 4
$173
$112
$12
898
clean
HC Paring/Cutting Benign Hyperkeratotic Lesions > 4
—
$151
$205
88
clean
PR Biopsy Skin Punch Single Lesion
$103
$103
$17
778
clean
HC Biopsy Skin Punch Single Lesion
$336
$218
$17
896
clean
HC Biopsy Skin Incisional Single Lesion
$531
$345
$21
898
clean
PR Removal Skin Tags Fibrocutaneous Any Area <= 15 Lesions
—
$188
$31
778
clean
HC Removal Skin Tags Fibrocutaneous Any Area <= 15 Lesions
$196
$127
$205
118
clean
HC Excision Benign Lesion Trunk/Arms/Legs 1.1 - 2.0 Cm
—
$1,084
$723
89
clean
HC Excision Benign Lesion Trunk/Arms/Legs 1.1 - 2.0 Cm
$1,122
$729
$46
898
clean
HC Excision Benign Lesion Trunk/Arms/Legs 2.1 - 3.0 Cm
$1,870
$1,216
$723
118
clean
HC Excision Benign Lesion Trunk/Arms/Legs > 4.0 Cm
$558
$17,301
$101
865
clean
PR Excision Benign Lesion Trunk/Arms/Legs > 4.0 Cm|MULTIPLE PROCEDURES
$558
$558
$101
778
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia <= 0.5 Cm
—
$15,943
$35
865
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 0.6 - 1.0 Cm
—
$2,991
$45
867
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 0.6 - 1.0 Cm
$2,170
$1,411
$723
118
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 1.1 - 2.0 Cm
$1,337
$869
$56
898
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 1.1 - 2.0 Cm
—
$14,637
$1,687
87
clean
PR Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 2.1 - 3.0 Cm
$253
$253
$65
778
clean
PR Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 2.1 - 3.0 Cm|MULTIPLE PROCEDURES
$253
$253
$43
1,556
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 3.1 - 4.0 Cm
—
$14,914
$74
865
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia > 4.0 Cm
—
$15,447
$110
865
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 0.5 Cm
$2,400
$1,560
$723
118
clean
PR Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 0.5 Cm
—
$234
$44
778
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb 0.6 - 1.0 Cm
$1,177
$765
$54
898
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb 1.1 - 2.0 Cm
$1,003
$652
$723
118
clean
PR Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb 1.1 - 2.0 Cm
—
$367
$60
778
clean
PR Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb 3.1 - 4.0 Cm
—
$16,006
$90
865
clean
PR Excision Malignant Lesion Trunk/Arms/Legs > 4.0 Cm
—
$907
$123
778
clean
PR Excision Malignant Lesion Face/Ears/Eyelids/Nose/Lips 0.6 - 1.0 Cm
—
$520
$61
778
clean
HC Excision Malignant Lesion Face/Ears/Eyelids/Nose/Lips 0.6 - 1.0 Cm
$1,382
$898
$723
118
clean
HC Debridement Nail(S) Any Method(S) 1 - 5 Nails
$59
$38
$12
898
clean
HC Debridement Nail(S) Any Method(S) 6 or More Nails
—
$38
$60
91
clean
HC Debridement Nail(S) Any Method(S) 6 or More Nails
$59
$38
$21
898
clean
HC Avulsion Nail Plate Partial/Complete Simple Single Nail Plate
—
$312
$136
89
clean
HC Avulsion Nail Plate Partial/Complete Simple Single Nail Plate
$188
$122
$23
898
clean
HC Evacuation Subungual Hematoma
$196
$127
$136
118
clean
HC Evacuation Subungual Hematoma
—
$317
$14
867
clean
HC Excision Nail/Nail Matrix Partial/Complete Permanent Removal
$353
$229
$43
898
clean
PR Repair Nail Bed
—
$400
$47
778
clean
HC Excision Pilonidal Cyst or Sinus Simple
—
$17,642
$2,968
87
clean
PR Excision Pilonidal Cyst/Sinus Extensive
—
$1,168
$194
778
clean
PR Excision Pilonidal Cyst/Sinus Complicated|MULTIPLE PROCEDURES
$1,320
$1,320
$253
778
clean
PR Excision Pilonidal Cyst/Sinus Complicated
$1,320
$18,804
$253
865
clean
HC Injection Intralesional <= 7 Skin Lesions
$303
$197
$205
118
clean
PR Insertion Drug Delivery Implant Non-Biodegradable|ASSISTANT AT SURGERY SERVICE
$22
$22
$24
2,334
clean
PR Removal Drug Delivery Implant|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES
$25
$25
$28
2,334
clean
PR Repair Sprfcl Wounds Simple Scalp/Neck/Axillae/Gent/Trunk/Ext <= 2.5 Cm|MULTIPLE PROCEDURES
$179
$179
$27
1,556
clean
PR Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities <= 2.5 Cm
$341
$341
$61
778
clean
PR Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities <= 2.5 Cm|MULTIPLE PROCEDURES
$341
$341
$61
778
clean
HC Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities 2.6 - 7.5 Cm
$427
$14,958
$75
865
clean
PR Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities 2.6 - 7.5 Cm|MULTIPLE PROCEDURES
$427
$427
$75
778
clean
PR Repair Intermediate Wounds Neck/Hands/Feet/Ext Genitalia <= 2.5 Cm|ASSISTANT SURGEON
$51
$51
$48
1,556
clean
HC Repair Intermediate Wounds Neck/Hands/Feet/Genitalia <= 2.5 Cm
$321
$15,943
$59
865
clean
HC Repair Intermediate Wounds Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 2.5 Cm
—
$1,173
$415
89
clean
HC Repair Intermediate Wounds Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 2.5 Cm
$887
$577
$68
898
clean
HC Repair Complex Wound Forehead/Cheeks/Chin/Mouth/Neck/Axillae/Genitalia/Hands/Feet 1.1 - 2.5 Cm
$370
$241
$415
118
clean
PR Repair Complex Wound Forehead/Cheeks/Chin/Mouth/Neck/Axillae/Genitalia/Hands/Feet 2.6 - 7.5 Cm|MULTIPLE PROCEDURES
$671
$671
$123
778
clean
PR Repair Complex Wound Forehead/Cheeks/Chin/Mouth/Neck/Axillae/Genitalia/Hands/Feet 2.6 - 7.5 Cm
$671
$671
$123
778
clean
PR Adj Tissue Transfer/Rearrangement Trunk Defect 10.1 Sq Cm to 30.0 Sq Cm
$1,473
$22,032
$268
865
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
HC Transfer/Rearrangement Adjacent Tissue Defect Frhd/Cheeks/Chin/Mth/Neck/Ax/Genit/Hnd/Ft <= 10sqcm
—
$20,295
$3,343
87
clean
HC Transfer/Rearrangement Adjacent Tissue Defect Any Area 30.1 - 60 Sq Cm
$1,911
$27,623
$146
2,421
clean
PR Adjacent Tissue Transfer or Rearrangement Any Area Defect 30.1 Sq Cm to 60 Sq Cm|ASSISTANT SURGEON
$306
$306
$306
1,556
clean
PR Prep Surg Recipient Open Wd Face/Scalp/Mth/Neck/Feet/Hands <=100sqcm
—
$733
$215
778
clean
PR Split-Thickness Autograft Trunk/Arm/Leg 1st 100 Sq Cm/<Tbsa Infant/Child
$1,615
$19,248
$293
865
clean
PR Split-Thickness Autograft Trunk/Arm/Leg 1st 100 Sq Cm/<Tbsa Infant/Child|MULTIPLE PROCEDURES
$1,615
$1,615
$293
778
clean
PR Appl Skin Sub Graft Trunk/Arms/Legs < 100 Sq Cm <= 25 Sq Cm High Cost
—
$230
$38
778
clean
HC Application Skin Substitute Graft Trunk/Arms/Legs <100 Sq Cm 1st 25 Sq Cm
$1,116
$725
$755
118
clean
HC Application Skin Substitute Graft Trunk/Arms/Legs < 100 Sq Cm Each Additional 25 Sq Cm
$987
$642
$864
32
clean
PR Appl Skin Sub Graft Face/Scalp/Neck/Gent < 100 Sqcm <= 25 Sqcm High Cost
$183
$183
$43
778
clean
HC Application Skin Substitute Graft Face/Scalp/Neck/Genit/Hnd/Ft <100 Sq Cm 1st 25 Sq Cm
$1,116
$725
$39
1,674
clean
HC Application Skin Substitute Graft Face/Scalp/Neck/Genit/Hnd/Ft < 100 Sq Cm Ea Additional 25 Sq Cm
$558
$363
$488
32
clean
PR Muscle Myocutaneous or Fasciocutaneous Flap Trunk
$526
$26,704
$215
3,199
clean
PR Muscle Myocutaneous or Fasciocutaneous Flap Trunk|ASSISTANT SURGEON
$526
$526
$518
1,556
clean
PR Muscle Myocutaneous or Fasciocutaneous Flap Lower Extremity|ASSISTANT AT SURGERY SERVICE
$443
$443
$181
2,334
clean
PR Muscle Myocutaneous or Fasciocutaneous Flap Lower Extremity
$2,768
$2,768
$443
1,556
clean
PR Excision Excessive Skin Subq Tissue Abd Infraumbilical Panniculectomy
$2,590
$52,082
$473
1,643
clean
PR Excision Excessive Skin Subq Tissue Abd Infraumbilical Panniculectomy|MULTIPLE PROCEDURES
$2,590
$2,590
$169
2,334
clean
PR Removal of Sutures or Staples Not Requiring Anesthesia
$26
$26
$12
777
clean
HC Removal of Sutures or Staples Not Requiring Anesthesia
$26
$17
$23
32
clean
PR Removal of Sutures and Staples Not Requiring Anesthesia
$33
$33
$16
777
clean
PR Suction Assisted Lipectomy Trunk
—
$54,263
$6,784
87
clean
HC Dressings/Debridement Partial Thickness Burns Initial/Subsequent Small < 5% Bsa
—
$550
$24
865
clean
HC Dressings/Debridement Partial Thickness Burns Initial/Subsequent Small < 5% Bsa
$509
$331
$205
118
clean
HC Destruction Premalignant Lesions 1st Lesion
$173
$112
$205
118
clean
HC Destruction Premalignant Lesions 2-14 Lesions Each
$166
$108
$145
32
clean
HC Destruction Benign Lesions < 14 Lesions
$173
$112
$28
898
clean
HC Destruction Benign Lesions < 14 Lesions
—
$263
$205
88
clean
HC Destruction Benign Lesions >=15 Lesions
$173
$112
$34
898
clean
HC Cauterization Chemical Granulation Tissue
$123
$2,235
$16
616
clean
HC Cauterization Chemical Granulation Tissue
$758
$493
$123
369
clean
PR Mastotomy Exploration or Drainage Abscess Deep
$702
$702
$139
778
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Rt
$8,330
$5,415
$2,968
612
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Bl
$6,212
$4,038
$1,687
354
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guide Ea Addl Lesion Lt
$3,670
$2,386
$3,211
64
clean
HC Placement Localization Device(S) Breast Percutaneous Mammographic Guidance 1st Lesion Rt
$1,928
$1,253
$1,687
354
clean
HC Placement Localization Device(S) Breast Percutaneous Mammographic Guide Ea Addl Lesion Rt
$1,945
$1,264
$1,702
64
clean
HC Placement Localization Device(S) Breast Percutaneous Stereotactic Guidance 1st Lesion Lt
$3,600
$2,340
$723
358
clean
PR Mastectomy Partial
$232
$22,032
$245
2,421
clean
PR Mastectomy Partial|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE
$464
$464
$163
3,890
clean
PR Mastectomy Partial With Axillary Lymphadenectomy|MULTIPLE PROCEDURES
$1,992
$1,992
$319
1,556
clean
PR Mastectomy Partial With Axillary Lymphadenectomy|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES
$319
$319
$130
2,334
clean
HC Biopsy Muscle Superficial
$8,032
$5,221
$1,687
118
clean
HC Biopsy Bone Trocar/Needle Superficial
$1,351
$878
$35
896
clean
PR Biopsy Bone Trocar/Needle Superficial
$185
$185
$35
778
clean
PR Biopsy Bone Trocar/Needle Deep
$275
$275
$52
778
clean
HC Injection Carpal Tunnel Therapeutic Bl
$525
$341
$55
1,134
clean
HC Injection(S) Tendon Sheath/Ligament Aponeurosis Single Lt
$258
$168
$37
1,914
clean
PR Injection(S) Trigger Point(S) Single/Multiple 1 or 2 Muscle(S)
$78
$78
$20
778
clean
HC Injection(S) Trigger Point(S) Single/Multiple 1 or 2 Muscle(S)
$258
$168
$30
1,674
clean
HC Injection(S) Trigger Point(S) Single/Multiple >= 3 Muscle(S)
$262
$170
$314
118
clean
HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/O Ultrasound Guidance Rt|BILATERAL PROCEDURE
—
$534
$314
178
clean
HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/O Ultrasound Guidance|BILATERAL PROCEDURE
$255
$166
$30
2,088
clean
HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/Ultrasound Guidance Bl
$1,787
$1,162
$314
354
clean
HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Rt
—
$383
$314
178
clean
HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Lt
$255
$166
$32
2,088
clean
PR Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W U/S Guid|BILATERAL PROCEDURE
$362
$362
$36
1,556
clean
HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/Ultrasound Guidance Bl
$3,065
$1,992
$721
354
clean
HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Bl
$383
$249
$38
1,956
clean
HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Rt
—
$488
$314
86
clean
HC Arthrocentesis/Aspiration/Injection Major Joint/Bursa W/Ultrasound Guidance Lt
$2,091
$1,359
$41
1,956
clean
HC Aspiration &/or Injection Ganglion Cyst(S) Any Location
$258
$168
$17
898
clean
HC Removal of Implant Deep
$933
$20,270
$176
865
clean
PR Removal of Implant Deep|ASSISTANT SURGEON
$149
$149
$66
2,334
clean
PR Application Uniplane (Pins/Wires 1 Plane) External Fixation System
$1,325
$1,325
$242
778
clean
PR Application Uniplane (Pins/Wires 1 Plane) External Fixation System|MULTIPLE PROCEDURES
$1,325
$1,325
$242
778
clean
PR Application Multiplane (Pins/Wires > 1 Plane) External Fixation System|ASSISTANT SURGEON
$405
$405
$135
3,112
clean
PR Application Multiplane (Pins/Wires > 1 Plane) External Fixation System
$2,533
$2,533
$467
778
clean
PR Bone Graft Any Donor Area Minor/Small|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES
$63
$63
$63
1,556
clean
PR Bone Graft Any Donor Area Minor/Small|ASSISTANT AT SURGERY SERVICE
$63
$63
$63
1,556
clean
PR Bone Graft Any Donor Area Major/Large
—
$34,469
$13,117
87
clean
PR Excision Tumor Soft Tissue Face/Scalp Subcutaneous < 2 Cm
—
$710
$112
778
clean
PR Excision Tumor Soft Tissue Face/Scalp Subcutaneous >= 2 Cm|ASSISTANT AT SURGERY SERVICE
$121
$121
$121
1,556
clean
PR Excision Tumor Soft Tissue Face/Scalp Subcutaneous >= 2 Cm
$759
$759
$144
778
clean
PR Graft Ear Cartilage Autogenous to Nose or Ear (Includes Obtaining Graft)
—
$1,516
$228
778
clean
HC Treatment Fracture Nasal Bone Closed W/Manip W/Stabilization
—
$12,460
$3,387
87
clean
HC Excision Tumor Soft Tissue Neck/Anterior Thorax Subcutaneous >= 3 Cm
$994
$16,264
$189
865
clean
PR Excision Tumor Soft Tissue Neck/Anterior Thorax Subcutaneous >= 3 Cm|MULTIPLE PROCEDURES
$994
$994
$159
1,556
clean
PR Excision Tumor Soft Tissue Neck/Anterior Thorax Subcutaneous < 3 Cm
—
$866
$132
778
clean
PR Open Tx Rib Fx W/Internal Fixation Unilateral 4-6 Ribs
$1,534
$1,534
$110
2,334
clean
PR Open Tx Rib Fx W/Internal Fixation Unilateral 4-6 Ribs|MULTIPLE PROCEDURES
$1,534
$1,534
$110
2,334
clean
PR Excision Tumor Soft Tissue Back/Flank Subcutaneous >= 3 Cm|MULTIPLE PROCEDURES
$1,045
$1,045
$167
1,556
clean
HC Excision Tumor Soft Tissue Back/Flank Subcutaneous >= 3 Cm
$1,045
$15,258
$195
1,643
clean
HC Excision Tumor Soft Tissue Shoulder Subcutaneous>3 Cm Bl
$153
$15,773
$173
1,643
clean
PR Excision Tumor/Soft Tissue Shoulder Area Subcutaneous >= 3 Cm|ASSISTANT AT SURGERY SERVICE
$153
$153
$153
1,556
clean
PR Excision Tumor/Soft Tissue Shoulder Area Subfascial >= 5 Cm
—
$15,281
$290
865
clean
PR Excision Tumor/Soft Tissue Shoulder Area Subfascial < 5 Cm
$1,222
$1,222
$232
778
clean
HC Injection for Shoulder Arthrogram or Enhanced CT/MRI Shoulder Arthography Rt
$916
$595
$824
96
clean
PR Open Treatment Clavicular Fracture Incl Internal Fixation When Performed
$1,617
$1,617
$301
778
clean
PR Open Treatment Clavicular Fracture Incl Internal Fixation When Performed|MINIMUM ASSISTANT SURGEON
$259
$259
$114
2,334
clean
PR Tx Fracture Proximal Humeral Open Incl Int Fixn Incl Repr Tuberosity|ASSISTANT AT SURGERY SERVICE
$316
$316
$58
778
clean
PR Tx Fracture Proximal Humeral Open Incl Int Fixn Incl Repr Tuberosity
$1,972
$1,972
$365
778
clean
PR Excision Tumor/Soft Tissue Upper Arm/Elbow Area Subfascial >= 5 Cm
—
$2,245
$289
778
clean
PR Open Treatment of Humeral Shaft Fracture W Plate/Screws W/WO Cerclage
$1,968
$1,968
$384
778
clean
PR Open Treatment of Humeral Shaft Fracture W Plate/Screws W/WO Cerclage|MULTIPLE PROCEDURES
$1,968
$1,968
$138
2,334
clean
PR Open Tx Humeral Supracondylar/Transcondylar Fx W/Intercondylar Extension|ASSISTANT AT SURGERY SERVICE
$375
$375
$68
778
clean
PR Open Tx Humeral Supracondylar/Transcondylar Fx W/Intercondylar Extension
$2,346
$2,346
$481
778
clean
PR Open Tx Ulnar Fx Proximal End Includes Internal Fixation When Performed
$1,477
$1,477
$308
778
clean
PR Open Tx Ulnar Fx Proximal End Includes Internal Fixation When Performed|BILATERAL PROCEDURE
$2,954
$2,954
$236
3,112
clean
HC Excision Tumor Soft Tissue Forearm/Wrist Subcutaneous >= 3 Cm Rt
—
$14,995
$1,687
87
clean
PR Excision Ganglion Wrist Primary
$752
$752
$143
778
clean
Showing the first 200 of 3,203 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
213 of 1,712 comparable items (12%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $1,447 exceeds the gross charge $810
CPT 20606/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 C1830/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 J9260/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 20606/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 57520/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 C1874/b
info
mrf_item_fields_vary
this code and setting cover at least 430 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9267/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 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 58150/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 88360/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1875/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 J9280/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 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 58150/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 C1876/b
info
mrf_item_fields_vary
this code and setting cover at least 182 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9293/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 20612/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 58262/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 C1877/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 J9299/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 20680/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 C1878/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 J9303/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 58262/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 C1880/b
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max 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, 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 58300/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 90380/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 C1882/b
info
mrf_item_fields_vary
this code and setting cover at least 29 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9308/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 20692/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 90381/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 C1883/b
info
mrf_item_fields_vary
this code and setting cover at least 36 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9309/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/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 58300/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 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 differ, so no cross-line comparison was made for this item
CPT C1884/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9311/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 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, min differ, so no cross-line comparison was made for this item
CPT C1885/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9321/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 21012/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 58301/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 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 differ, so no cross-line comparison was made for this item
CPT C1886/b
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9325/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 21552/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 58552/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 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 differ, so no cross-line comparison was made for this item
CPT C1887/b
info
mrf_item_fields_vary
this code and setting cover at least 582 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9347/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 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 C1888/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, min, max differ, so no cross-line comparison was made for this item
CPT J9350/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 21552/o
info
mrf_item_fields_vary
this code and setting cover at least 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 58552/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 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 differ, so no cross-line comparison was made for this item
CPT C1889/b
info
mrf_item_fields_vary
this code and setting cover at least 43 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9351/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 21812/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 58555/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 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 C1892/b
info
mrf_item_fields_vary
this code and setting cover at least 41 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9354/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 21812/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 58558/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 90620/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 C1893/b
info
mrf_item_fields_vary
this code and setting cover at least 37 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9355/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 21931/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 58558/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90632/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 C1894/b
info
mrf_item_fields_vary
this code and setting cover at least 577 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9370/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 21931/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 58563/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 90633/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 C1895/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9390/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 23071/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 58563/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90648/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 C1896/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 J9400/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 23071/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 58661/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 90651/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 C1897/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L0120/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 23073/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 58661/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 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 C1898/b
info
mrf_item_fields_vary
this code and setting cover at least 46 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L0140/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 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 58940/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 90656/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 C1900/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 L0172/b
info
mrf_item_fields_vary
this code and setting cover at least 37 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 23515/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 59025/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 C2596/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 L0174/b
info
mrf_item_fields_vary
this code and setting cover at least 22 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 24515/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 59160/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 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, min, max differ, so no cross-line comparison was made for this item
CPT C2616/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 L0456/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 24685/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 59409/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 90677/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 C2617/b
info
mrf_item_fields_vary
this code and setting cover at least 165 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L0457/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 25609/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 59514/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 90678/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 C2618/b
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L0627/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 90681/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 C2621/b
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L0631/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 25609/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 59812/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 90696/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 C2622/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, min, max differ, so no cross-line comparison was made for this item
CPT L0637/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 26010/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 59820/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 90700/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 C2623/b
info
mrf_item_fields_vary
this code and setting cover at least 40 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L0648/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 26160/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 90707/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 C2624/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 L0999/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 26951/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 59820/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 90710/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 C2625/b
info
mrf_item_fields_vary
this code and setting cover at least 67 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L1810/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 27245/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 90713/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 C2627/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L1830/b
info
mrf_item_fields_vary
this code and setting cover at least 23 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27380/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 90714/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 C2628/b
info
mrf_item_fields_vary
this code and setting cover at least 49 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L1832/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, min, max differ, so no cross-line comparison was made for this item
CPT 27385/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 61782/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 90715/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 C2629/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L1833/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 27385/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 64450/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 90716/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 C2630/b
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L1930/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 27447/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 64450/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 90723/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 C2631/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 L2999/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 64455/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 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 C2639/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 L3260/b
info
mrf_item_fields_vary
this code and setting cover at least 23 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27447/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 64473/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 90734/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 C2640/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 L3650/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27632/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 64483/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 C2641/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 L3670/b
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27632/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64490/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 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 C9352/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, min, max differ, so no cross-line comparison was made for this item
CPT L3762/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 27687/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 64491/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 90750/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 C9353/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 L3807/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27792/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 64493/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 90999/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 C9354/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 L3809/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 27814/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 64493/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 C9356/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, min, max differ, so no cross-line comparison was made for this item