Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC Warde Liver Disease Ten Biochemical Assays Serum (Nash)
$604
$393
$384
43
clean
PR Anes Procedures on External Middle & Inner Ear Incl Bx Nos
—
$756
$756
233
clean
HC Mayo Analysis Gene Jak2 Targeted Sequence Exons 12-15
$392
$255
$136
43
clean
HC Mayo Targeted Sequence Analysis Drug Metabolism Adverse Drug Reactions and Response
$1,200
$780
$735
43
clean
HC Mayo Gene Analysis Tpmt Nudt15 Comment Variants
$1,390
$904
$482
43
clean
HC Computed Tomography Cerebral Perfusion W/Contrast
$3,826
$2,487
$1,328
36
clean
HC Mayo Rmpu Immunoglobulin Paraprotein Ql Immunoprecip Mass Spectrometry Blood Urine Incl Isotype
$328
$213
$114
86
clean
PR Anesthesia for All Closed Procedures Involving Hip Joint
—
$630
$630
233
clean
HC External Infectious Disease Microbial Cell-Free Dna Plasma Untargeted Next-Generation Sequencing
$1,815
$1,180
$1,180
43
clean
PR Exc Rectal Tumor Transanal Endo Microsurg Appr Incl Muscularis Propria
—
$33,060
$5,210
622
clean
PR Anesthesia for Non-Invasive Imaging/Radiation Therapy
—
$1,134
$1,134
233
clean
HC Infectious Disease Pathogen Specific Nucleic Acid 22 Targets Including Sars-Cov-2 Qual (Biofire 2.1)
—
$5,531
$217
87
clean
HC Infectious Disease Pathogen Specific Nucleic Acid 22 Targets Including Sars-Cov-2 Qual (Biofire 2.1)
$541
$352
$378
46
clean
HC Infectious Disease Pathogen Specific Rna Sars-Cov-2/Inf a&B/Rsv Upper Resp Spec Detected or Not
$458
$298
$159
39
clean
HC Implantation or Replacement Carotid Sinus Baroreflex Activation Device Pulse Generator Only
$8,575
$5,574
$2,976
36
clean
PR Implantation/Repl Carotid Sinus Baroreflex Activation Device Pg Only
—
$629
$629
777
clean
PR I-Dev Eval Carotid Sinus Baroreflex Act System Telemetric Iterative Comm
—
$218
$218
777
clean
HC Interrogation Device Evaluation Carotid Sinus Baroreflex Activation Sys in Person
$436
$283
$151
36
clean
HC Interrogation Device Evaluation Carotid Sinus Baroreflex Activation Sys in Person W/Programming
$436
$283
$151
36
clean
HC Laminotomy/Laminectomy Lumbar Percutaneous Single or Multiple Levels Uni/Bil
$15,513
$10,083
$5,383
36
clean
HC Denervation Transcatheter Renal Sympathetic Bilat
$15,994
$10,396
$5,815
107
clean
HC Insertion/Replacement Cardiac Modulation System Pulse Generator With Transvenous Electrodes
—
$118,323
$32,069
80
clean
HC Insertion/Replacement Cardiac Modulation System Pulse Generator With Transvenous Electrodes
$64,765
$42,097
$32,069
107
clean
HC Programming Device Evaluation Iterative Adj Implantable Cardiac Contractility Modulation System
$110
$72
$38
110
clean
HC Interrogation Device Evaluation Analysis Implantable Cardiac Contractility Modulation System
$104
$68
$38
110
clean
HC Echocardiography Myocardial Contrast Perfusion Rest or Stress for Asmt Myo Isch or Viability
$1,360
$884
$472
31
clean
HC Creation Subcutaneous Pocket W/Insertion Implantable Interstitial Glucose Sensor Incl Actv&Pt Trn
$9,752
$6,339
$3,384
28
clean
HC Removal Implantable Interstitial Glucose Sensor From Subcutaneous Pocket via Incision
$596
$387
$207
28
clean
HC Removal Implantable Interstitial Glucose Sensor W/Create Subq Pocket Diff Site&Ins New Imp Sensor
$9,752
$6,339
$3,384
28
clean
HC Insertion/Replacement Icds W/Substernal Electrode
$25,390
$16,504
$32,069
107
clean
PR Insert/Repl Icd Sys W Substrnl Eltrd Incl All Imgng Guid & Ep Eval
—
$17,658
$17,658
538
clean
HC Programming Device Evaluation Icd System Substenal Electrode in Person Anyls Rvw Rpt Phys/Qhp
$112
$73
$173
652
clean
HC Interrogation Device Evaluation Icd System Substernal Electrode in Person Anyls Rvw Rpt Phy/Qhp
$108
$70
$38
110
clean
PR I-Dev Eval < 90 Days Substrnl Lead Aicd Sys W/ Interim Anlys/Review/Rpt
$92
$92
$92
538
clean
HC Auto Quant & Characterization Coronary Athrsclrtc Plaque Comp Ccta Anlys W/Interpretation/Report
$900
$585
$312
31
clean
HC Auto Quant & Characterization Coronary Athrsclrtc Plaque Comp Ccta Analysis W/Data Prep & Transm
$900
$585
$312
31
clean
HC Auto Quantification & Characterization Coronary Atherosclerotic Plaque Computerized Ccta Analysis
$3,481
$2,263
$1,208
31
clean
HC Ultrasound Tissue Characterization Quantitative W/Diagnostic Ultrasound Exam Same Anatomy
$670
$436
$232
28
clean
HC Insertion Transcath Perm Dual-Chamber Leadless Pacer Complete System
$38,988
$25,342
$19,679
107
clean
HC Programming Device Evaluation Iterative Adj Leadless Pacemaker Phys/Qhp
$113
$73
$38
107
clean
HC Aspiration Fine Needle (Fna) Biopsy W/Ultrasound Guidance 1st Lesion
$2,785
$1,810
$29
893
clean
HC Aspiration Fine Needle (Fna) Biopsy W/Ultrasound Guidance 1st Lesion|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHESIA
—
$2,794
$723
166
clean
HC Aspiration Fine Needle (Fna) Biopsy W/Ultrasound Guidance Each Additional Lesion
$725
$471
$39
808
clean
PR Aspiration Fine Needle (Fna) Biopsy W/Fluoroscopic Guidance 1st Lesion
—
$23,926
$7,210
83
clean
HC Aspiration Fine Needle (Fna) Biopsy W/CT Guidance 1st Lesion
$2,785
$1,810
$723
110
clean
HC Aspiration Fine Needle (Fna) Biopsy W/CT Guidance Each Additional Lesion
$195
$127
$68
28
clean
HC Aspiration Fine Needle (Fna) Biopsy W/MRI Guidance Each Additional Lesion
$557
$362
$193
28
clean
PR Aspiration Fine Needle (Fna) W/Biopsy W/O Imaging Guidance
—
$297
$23
778
clean
HC Aspiration Fine Needle (Fna) W/Biopsy W/O Imaging Guidance 1st Lesion
$780
$507
$415
110
clean
HC Drainage by Catheter Image Guided Soft Tissue Percutaneous Lt
$2,911
$1,892
$723
375
clean
HC Placement Soft Tissue Localization Device(S) Percutaneous 1st Lesion Bl
$4,177
$2,715
$723
440
clean
HC Placement Soft Tissue Localization Device(S) Percutaneous Each Additional Lesion
$362
$235
$126
28
clean
HC Incision & Drainage Abscess Simple/Single
$1,880
$1,222
$46
890
clean
HC Incision & Drainage Abscess Simple/Single
—
$2,054
$205
83
clean
HC Incision & Drainage Abscess Complicated/Multiple
$407
$4,918
$78
864
clean
HC Incision & Drainage Abscess Complicated/Multiple
$3,635
$2,363
$415
110
clean
HC Incision & Drainage Cyst Pilonidal Simple
$344
$17,981
$47
861
clean
HC Incision & Drainage Cyst Pilonidal Complicated
$559
$22,940
$75
862
clean
HC Incision & Drainage Cyst Pilonidal Complicated
$2,052
$1,334
$723
110
clean
HC Incision & Drainage Foreign Body Subcutaneous Tissues Simple
$236
$14,206
$46
861
clean
HC Incision & Drainage Foreign Body Subcutaneous Tissues Simple
$545
$354
$46
888
clean
PR Incision & Removal Foreign Body Subcutaneous Tissues Complicated
—
$503
$77
778
clean
HC Incision & Drainage Hematoma/Seroma/Fluid Collection
$263
$16,121
$52
861
clean
HC Incision & Drainage Hematoma/Seroma/Fluid Collection
$14,292
$9,290
$1,687
110
clean
HC Puncture Aspiration Abscess/Hematoma/Bulla/Cyst
$215
$6,098
$41
861
clean
HC Puncture Aspiration Abscess/Hematoma/Bulla/Cyst
$2,242
$1,457
$41
888
clean
PR Incision & Drainage Wound Post OP Infection Complex|MULTIPLE PROCEDURES
$399
$399
$78
778
clean
HC Incision & Drainage Wound Post OP Infection Complex
$399
$23,391
$78
861
clean
PR Debr Skin/Subq Tiss/Muscle/Fascia Necrotizing Sft Tiss Infec Gent&Peri|MULTIPLE PROCEDURES
$1,093
$1,093
$267
1,556
clean
PR Removal Prosthetic Material or Mesh Abdominal Wall for Infection
—
$21,076
$53
83
clean
HC Debridement Subcutaneous Tissue <= 20 Sq Cm
$131
$1,907
$25
860
clean
HC Debridement Subcutaneous Tissue <= 20 Sq Cm
$1,264
$822
$25
888
clean
HC Debridement Muscle/Fascia <= 20 Sq Cm
$2,163
$1,406
$62
2,444
clean
HC Debridement Muscle/Fascia <= 20 Sq Cm
$337
$13,365
$62
861
clean
HC Debridement Bone <= 20 Sq Cm
$493
$13,583
$90
861
clean
HC Debridement Bone <= 20 Sq Cm
$5,325
$3,461
$90
888
clean
HC Debridement Subcutaneous Tissue Each Additional 20 Sq Cm
$55
$2,844
$20
860
clean
HC Debridement Subcutaneous Tissue Each Additional 20 Sq Cm
$643
$418
$223
28
clean
HC Debridement Muscle/Fascia Each Additional 20 Sq Cm
$827
$538
$7
806
clean
HC Debridement Muscle/Fascia Each Additional 20 Sq Cm
$120
$3,799
$42
861
clean
HC Debridement Bone Each Additional 20 Sq Cm
$212
$24,300
$75
861
clean
HC Paring/Cutting Benign Hyperkeratotic Lesion Single
$282
$183
$205
110
clean
PR Biopsy Skin Tangential Single Lesion
—
$110
$15
778
clean
HC Biopsy Skin Tangential Single Lesion
$402
$261
$415
110
clean
HC Biopsy Skin Tangential Additional Lesion
$200
$130
$69
28
clean
PR Biopsy Skin Tangential Additional Lesion
—
$98
$24
778
clean
HC Biopsy Skin Punch Single Lesion
—
$7,180
$415
83
clean
HC Biopsy Skin Punch Single Lesion
$741
$482
$17
890
clean
PR Biopsy Skin Punch Additional Lesion
—
$68
$24
778
clean
HC Biopsy Skin Punch Additional Lesion
$301
$196
$104
28
clean
HC Biopsy Skin Incisional Single Lesion
$531
$345
$755
110
clean
PR Biopsy Skin Incisional Single Lesion|MULTIPLE PROCEDURES
—
$173
$21
1,556
clean
HC Removal Skin Tags Fibrocutaneous Any Area <= 15 Lesions
—
$14,696
$31
1,639
clean
PR Excision Benign Lesion Trunk/Arms/Legs <= 0.5 Cm|MULTIPLE PROCEDURES
$190
$190
$35
1,556
clean
HC Excision Benign Lesion Trunk/Arms/Legs 0.6 - 1.0 Cm
$1,396
$907
$43
1,670
clean
HC Excision Benign Lesion Trunk/Arms/Legs 1.1 - 2.0 Cm
$1,410
$917
$46
1,670
clean
HC Excision Benign Lesion Trunk/Arms/Legs 1.1 - 2.0 Cm
—
$1,410
$723
165
clean
HC Excision Benign Lesion Trunk/Arms/Legs 2.1 - 3.0 Cm
—
$2,052
$723
82
clean
HC Excision Benign Lesion Trunk/Arms/Legs 2.1 - 3.0 Cm
$2,052
$1,334
$61
890
clean
PR Excision Benign Lesion Trunk/Arms/Legs 3.1 - 4.0 Cm|MULTIPLE PROCEDURES
$654
$654
$90
780
clean
HC Excision Benign Lesion Trunk/Arms/Legs 3.1 - 4.0 Cm
$3,102
$2,016
$68
890
clean
HC Excision Benign Lesion Trunk/Arms/Legs > 4.0 Cm
$5,048
$3,281
$101
890
clean
HC Excision Benign Lesion Trunk/Arms/Legs > 4.0 Cm
—
$8,150
$1,687
82
clean
PR Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia <= 0.5 Cm|MULTIPLE PROCEDURES
$1,044
$1,044
$149
780
clean
PR Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia <= 0.5 Cm
$273
$273
$35
780
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 0.6 - 1.0 Cm
—
$3,514
$723
82
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 0.6 - 1.0 Cm
$2,118
$1,377
$45
890
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 1.1 - 2.0 Cm
$4,400
$2,860
$56
890
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 1.1 - 2.0 Cm
$531
$18,324
$72
863
clean
PR Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 2.1 - 3.0 Cm
$253
$253
$65
1,556
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 2.1 - 3.0 Cm
$3,235
$2,103
$10
888
clean
PR Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 3.1 - 4.0 Cm
—
$434
$74
778
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 0.5 Cm
—
$14,783
$44
1,639
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb 0.6 - 1.0 Cm
—
$16,381
$54
1,639
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb 1.1 - 2.0 Cm
—
$15,533
$60
1,639
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb 2.1 - 3.0 Cm
—
$17,369
$72
1,639
clean
PR Exc Skin/Subq Tiss Hidradenitis Perianal Peri/Umb Simple/Imtmd Rpr
—
$17,928
$124
861
clean
PR Excision Malignant Lesion Trunk/Arms/Legs 1.1 - 2.0 Cm
—
$457
$62
778
clean
HC Excision Malignant Lesion Trunk/Arms/Legs 2.1 - 3.0 Cm
$1,545
$1,004
$723
110
clean
PR Excision Malignant Lesion Trunk/Arms/Legs > 4.0 Cm
—
$905
$123
778
clean
HC Excision Malignant Lesion Scalp/Neck/Hands/Feet/Genitalia 2.1 - 3.0 Cm
$4,786
$3,111
$1,687
110
clean
PR Excision Malignant Lesion Scalp/Neck/Hands/Feet/Genitalia > 4.0 Cm|ASSISTANT AT SURGERY SERVICE
$89
$89
$89
1,556
clean
HC Avulsion Nail Plate Partial/Complete Simple Single Nail Plate
—
$11,653
$205
83
clean
PR Excision Pilonidal Cyst/Sinus Simple
—
$537
$80
778
clean
PR Excision Pilonidal Cyst/Sinus Complicated
$1,320
$23,814
$253
1,639
clean
Replacement Tissue Expander W/Permanent Implant
—
$48,444
$357
3,278
clean
Removal Tissue Expander W/O Insertion Implant
$2,510
$28,863
$106
3,195
clean
Removal Tissue Expander W/O Insertion Implant|MULTIPLE PROCEDURES
$1,255
$1,255
$80
3,890
clean
HC Removal Drug Delivery Implant
—
$11,732
$456
83
clean
PR Removal Drug Delivery Implant|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES
$25
$25
$28
2,334
clean
HC Repair Superficial Wounds Simple Scalp/Neck/Axillae/Genitalia/Trunk/Extermities <= 2.5 Cm
$1,707
$1,110
$27
888
clean
HC Repair Superficial Wounds Simple Scalp/Neck/Axillae/Genitalia/Trunk/Extermities <= 2.5 Cm
$179
$1,707
$27
860
clean
PR Repair Superficial Wd Simple Scalp/Neck/Ax/Gent/Trunk/Ext 2.6-7.5 Cm
—
$191
$32
778
clean
PR Repair Sprfcl Wd Simple Scalp/Neck/Axillae/Genitalia/Trunk 7.6-12.5 Cm
—
$285
$41
778
clean
PR Repair Sprfcl Wd Simple Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 2.5 Cm
$149
$149
$29
778
clean
PR Repair Sprfcl Wd Simple Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 2.5 Cm|MULTIPLE PROCEDURES
$149
$149
$29
778
clean
PR Repair Sprfcl Wd Simple Face/Ears/Eyelids/Nose/Lips/Muc Memb 2.6-5.0 Cm
—
$190
$33
778
clean
PR Repair Sprfcl Wd Simple Face/Ears/Eyelids/Nose/Lips/Muc Memb 5.1-7.5 Cm
—
$298
$43
778
clean
PR Repair Sprfcl Wd Simple Face/Ears/Eyelids/Nose/Lips/Muc Memb 7.6-12.5 Cm
—
$347
$57
778
clean
HC Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities <= 2.5 Cm
$341
$17,110
$61
1,639
clean
PR Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities 2.6 - 7.5 Cm
$427
$427
$75
778
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 Scalp/Axillae/Trunk/Extremities > 30.0 Cm
—
$740
$136
778
clean
PR Repair Intermediate Wounds Neck/Hands/Feet/Ext Genitalia <= 2.5 Cm
$321
$321
$59
778
clean
PR Repair Intermediate Wounds Neck/Hands/Feet/Ext Genitalia <= 2.5 Cm|MULTIPLE PROCEDURES
$321
$321
$48
1,556
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
$16,316
$77
861
clean
HC Repair Intermediate Wounds Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 2.5 Cm
—
$16,381
$68
861
clean
HC Repair Intermediate Wounds Face/Ears/Eyelids/Nose/Lips/Muc Memb 2.6 - 5.0 Cm
—
$17,369
$78
861
clean
PR Repair Intermediate Wd Face/Ears/Eyelids/Nose/Lips/Muc Memb 7.6-12.5 Cm
—
$631
$89
778
clean
HC Repair Complex Wound Trunk 2.6 - 7.5 Cm
—
$20,630
$96
861
clean
PR Repair Complex Wound Trunk Each Additional <=5.0 Cm
—
$20,630
$54
861
clean
HC Repair Complex Wound Scalp/Arms/Legs 2.6 - 7.5 Cm
$570
$21,284
$98
861
clean
PR Repair Complex Wound Scalp/Arms/Legs 2.6 - 7.5 Cm|MULTIPLE PROCEDURES
$570
$570
$98
778
clean
PR Repair Complex Wound Scalp/Arms/Legs Each Additional <= 5.0 Cm
$176
$176
$61
778
clean
PR Repair Complex Wd Frhd/Cheeks/Chin/Mouth/Neck/Ax/Gent/Hand/Ft 1. -2.5 Cm|MULTIPLE PROCEDURES
—
$860
$93
1,556
clean
HC Repair Complex Wound Forehead/Cheeks/Chin/Mouth/Neck/Axillae/Genitalia/Hands/Feet 1.1 - 2.5 Cm
$4,910
$3,192
$415
110
clean
HC Repair Complex Wound Forehead/Cheeks/Chin/Mouth/Neck/Axillae/Genitalia/Hands/Feet 2.6 - 7.5 Cm
$671
$15,419
$123
1,639
clean
PR Repair Complex Wound Forehead/Cheeks/Chin/Mouth/Neck/Axillae/Genitalia/Hands/Feet Ea Addl <=5.0cm
$274
$274
$93
778
clean
PR Repair Complex Wound Eyelids/Nose/Ears/Lips 2.6 - 7.5 Cm
—
$686
$143
778
clean
HC Closure Secondary Surgical Wound/Dehiscence Extensive/Complicated
$1,783
$16,737
$331
861
clean
PR Closure Secondary Surgical Wound/Dehiscence Extensive/Complicated|ASSISTANT SURGEON
$285
$285
$275
1,556
clean
PR Adj Tissue Transfer/Rearrangement Trunk Defect 10.1 Sq Cm to 30.0 Sq Cm
$1,473
$28,110
$268
1,639
clean
HC Transfer/Rearrangement Adjacent Tissue Defect Scalp/Arms/Legs 10.1 - 30.0 Sq Cm
—
$18,038
$2,968
83
clean
HC Transfer/Rearrangement Adjacent Tissue Defect Frhd/Cheeks/Chin/Mth/Neck/Ax/Genit/Hnd/Ft <= 10sqcm
—
$21,431
$247
1,639
clean
PR Trg/Rearng Adjacent Tiss Defect Frhd/Cheeks/Chin/Mth/Neck/ 10.1-30.0sqcm|MULTIPLE PROCEDURES
—
$2,514
$296
1,556
clean
PR Trf/Rearng Adjacent Tissue Defect Eyelids/Nose/Ears/Lips <= 10 Sq Cm
—
$1,596
$261
778
clean
HC Transfer/Rearrangement Adjacent Tissue Defect Eyelids/Nose/Ears/Lips >= 10.1 Sq Cm - 30.0 Sq Cm
—
$22,829
$331
861
clean
PR Adjacent Tissue Transfer or Rearrangement Any Area Defect 30.1 Sq Cm to 60 Sq Cm|ASSISTANT SURGEON
$306
$306
$58
1,556
clean
HC Transfer/Rearrangement Adjacent Tissue Defect Any Area 30.1 - 60 Sq Cm
$1,911
$36,606
$344
2,417
clean
PR Adj Tiss Xfer or Rearng Any Area Each Addl 30.0 Sq Cm or Part Thereof
$462
$49,799
$194
861
clean
PR Adj Tiss Xfer or Rearng Any Area Each Addl 30.0 Sq Cm or Part Thereof|ASSISTANT SURGEON
$74
$74
$31
1,556
clean
HC Preparation/Creation Surgical Recipient Site Open Wound Trunk/Arms/Legs <=100 Sqcm
$476
$25,512
$176
861
clean
PR Prep/Creation Surg Recipient Site Open Wound Trunk/Arms/Legs <=100 Sqcm|ASSISTANT SURGEON
$76
$76
$28
1,556
clean
PR Prep Site Trunk/Arm/Leg Addl 100 Sq Cm/1% Tbsa Infants/Children
—
$20,760
$35
861
clean
HC Preparation/Creation Surg Recipient Site Open Wnd Face/Scalp/Mth/Neck/Ears/Genit/Hnd/Ft<=100sqcm
—
$35,119
$215
861
clean
PR Split-Thickness Autograft Trunk/Arm/Leg 1st 100 Sq Cm/<Tbsa Infant/Child
$1,615
$26,072
$293
861
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 Stsg Trunk Arms Legs Each Add 100 Sq Cm/1% Body Area Infants/Children
—
$35,119
$88
861
clean
PR Autograft Stsg Face/Scalp/Mth/Neck/Ears/Genit/Hnd/Ft <= 100 Sq Cm
—
$35,119
$3,620
83
clean
PR Full Thickness Graft Free W Direct Clsr of Donor Site Trunk <= 20 Sq Cm
—
$59,729
$271
916
clean
PR Full Thickness Gft Free W Direct Clsr Donor Site Trunk Ea Addl 20 Sq Cm
—
$59,729
$6,784
138
clean
PR Ftsg Free Incl Dir Clsr of Donor Site Scalp/Arms &/or Legs <= 20 Sqcm
—
$35,373
$2,108
83
clean
HC Graft Full Thickness Frhd/Cheeks/Chin/Mth/Neck/Ax/Genit/Hnd/Ft <= 20 Sq Cm
—
$35,119
$316
861
clean
HC Application Skin Substitute Graft Trunk/Arms/Legs <100 Sq Cm 1st 25 Sq Cm
—
$7,362
$38
861
clean
HC Application Skin Substitute Graft Trunk/Arms/Legs <100 Sq Cm 1st 25 Sq Cm
$2,079
$1,351
$755
110
clean
HC Application Skin Substitute Graft Trunk/Arms/Legs < 100 Sq Cm Each Additional 25 Sq Cm
$2,079
$1,351
$721
28
clean
PR Appl Skin Sub Graft Trunk/Arms/Legs < 100 Sq Cm Ea Add 25 Sqcm High Cost
—
$45
$16
778
clean
HC Application Skin Substitute Graft Trunk/Arms/Legs >= 100 Sq Cm 1st 100 Sq Cm
$3,285
$2,135
$2,108
110
clean
PR Appl Skin Sub Graft Trunk/Arms/Legs >= 100 Sq Cm <= 100 Sq Cm High Cost|MULTIPLE PROCEDURES
—
$464
$87
833
clean
PR Appl Skin Sub Graft Trunk/Arm/Leg >= 100 Sqcm Ea Addl 100 Sqcm High Cost
—
$110
$40
778
clean
HC Application Skin Substitute Graft Face/Scalp/Neck/Genit/Hnd/Ft <100 Sq Cm 1st 25 Sq Cm
$6,238
$4,055
$39
1,666
clean
HC Application Skin Substitute Graft Face/Scalp/Neck/Genit/Hnd/Ft <100 Sq Cm 1st 25 Sq Cm
$183
$9,381
$43
860
clean
HC Application Skin Substitute Graft Face/Scalp/Neck/Genit/Hnd/Ft < 100 Sq Cm Ea Additional 25 Sq Cm
$3,204
$2,083
$1,112
28
clean
PR Formation of Direct or Tubed Pedicle W/WO Transfer Scalp Arms or Legs
—
$49,715
$8,350
83
clean
PR Forehead Flap With Preservation of Vascular Pedicle
—
$2,331
$395
1,556
clean
PR Musc Myocutaneous or Fasciocutaneous Flap Head & Neck W Named Vasc Pdcle
$2,252
$2,252
$472
778
clean
PR Musc Myocutaneous or Fasciocutaneous Flap Head & Neck W Named Vasc Pdcle|MULTIPLE PROCEDURES
$2,252
$2,252
$472
778
clean
PR Muscle Myocutaneous or Fasciocutaneous Flap Trunk|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES
$526
$526
$518
3,112
clean
PR Muscle Myocutaneous or Fasciocutaneous Flap Trunk|ASSISTANT AT SURGERY SERVICE
$526
$526
$98
1,556
clean
Showing the first 200 of 5,598 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
485 of 2,684 comparable items (18%) 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 $1,012 exceeds the gross charge $604
CPT 0575T/b
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 24071/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 49321/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 72100/b
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 83525/b
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 C1752/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 J2274/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 V2788/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 24075/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 36620/b
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 49322/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 72110/b
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 83540/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1753/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 J2290/b
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 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 25246/b
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 49324/b
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 72170/b
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 83605/b
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 C1755/b
info
mrf_item_fields_vary
this code and setting cover at least 16 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 J2300/b
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 36819/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 49324/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 72170/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 83615/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 C1757/b
info
mrf_item_fields_vary
this code and setting cover at least 158 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 J2305/b
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 10005/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27093/b
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 36820/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 49325/b
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 72190/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 83655/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 93657/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 C1758/b
info
mrf_item_fields_vary
this code and setting cover at least 111 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 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 10005/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 27301/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 72202/b
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 83690/b
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 93750/b
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 C1759/b
info
mrf_item_fields_vary
this code and setting cover at least 24 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 10006/b
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 27301/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 36821/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 49325/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 72220/b
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 83700/b
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 93799/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 C1760/b
info
mrf_item_fields_vary
this code and setting cover at least 26 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 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 27327/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 49326/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 73000/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 83789/b
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 C1760/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 10035/b
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 27337/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 36830/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 73000/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 83835/b
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 93880/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT C1761/b
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 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 10060/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27337/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 73010/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 83874/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 C1762/b
info
mrf_item_fields_vary
this code and setting cover at least 200 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 27369/b
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 36832/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 49422/b
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 73020/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 83945/b
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 3 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT C1763/b
info
mrf_item_fields_vary
this code and setting cover at least 138 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 J2405/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 10061/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 27590/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73030/b
info
mrf_item_fields_vary
this code and setting cover at least 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 83970/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 C1764/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2426/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 27602/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 36901/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 49422/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 73030/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 83986/b
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 93923/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT C1765/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 10080/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 27602/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 49435/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 73040/b
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 C1766/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 J2440/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27613/b
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 73050/b
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 84075/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 93926/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT C1767/b
info
mrf_item_fields_vary
this code and setting cover at least 48 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 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, min differ, so no cross-line comparison was made for this item
CPT 10081/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 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 49436/b
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 73060/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 84100/b
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 C1768/b
info
mrf_item_fields_vary
this code and setting cover at least 354 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 J2540/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 10120/b
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 27829/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 73060/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 84144/b
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 93971/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 C1769/b
info
mrf_item_fields_vary
this code and setting cover at least 667 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 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 27880/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73070/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84145/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1770/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 J2560/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 10120/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 27882/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 37184/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 73070/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 84153/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max 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 C1771/b
info
mrf_item_fields_vary
this code and setting cover at least 32 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 J2590/b
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 28122/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 73080/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 84154/b
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 C1772/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 J2680/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 10140/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 28820/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 37184/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 49495/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 73080/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 84155/b
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 C1773/b
info
mrf_item_fields_vary
this code and setting cover at least 26 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 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 10160/b
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 28825/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 37187/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 49500/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 73090/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 84156/b
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 93979/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 C1776/b
info
mrf_item_fields_vary
this code and setting cover at least 2567 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 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 29445/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 37193/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 49505/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 73100/b
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 84157/b
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 C1777/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 J2710/b
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 10160/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 49505/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 73110/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 84165/b
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 93985/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT C1778/b
info
mrf_item_fields_vary
this code and setting cover at least 59 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 J2720/b
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 29515/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 37211/b
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 49507/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73110/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 84165/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 C1779/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 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, min, max differ, so no cross-line comparison was made for this item
CPT 10180/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 29580/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 37212/b
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 49553/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73120/b
info
mrf_item_fields_vary
this code and setting cover at least 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 84244/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 93986/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 C1781/b
info
mrf_item_fields_vary
this code and setting cover at least 489 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 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 11042/b
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 29580/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 49591/b
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 73130/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 84270/b
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 C1782/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 J2794/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 29581/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 37215/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 49591/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 73130/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 84305/b
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 93990/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 C1783/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 J2795/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