Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC RBC DNA HEA 35 AG 11 BLD GRP
$758
$569
$720
1
clean
LIVER DIS 10 ASSAYS W/ASH
—
—
$503
1
clean
HC LIVER DISEASE TEN ASSAYS NASH
$604
$453
$503
1
clean
ONCO PRST8 3 GENE UR ALG
—
—
$760
1
clean
Other Professional Services
—
—
$75
3
clean
Other Professional Services
—
—
$90
3
clean
Other Professional Services
—
—
$75
3
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$75
3
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$60
3
clean
ONC MRNA 5 GEN RSK URTHL CA
—
—
$760
1
clean
ONC MRNA 5 GEN RECR URTHL CA
—
—
$760
1
clean
Other Professional Services
—
—
$75
3
clean
ANESTH, LENS SURGERY
$82
$62
—
0
clean
Other Professional Services
—
—
$90
3
clean
Other Professional Services
—
—
$90
3
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$60
3
clean
ADRNL CORTCL TUM BCHM ASY 25
—
—
$1,305
1
clean
Other Professional Services
—
—
$75
3
clean
Other Professional Services
—
—
$105
3
clean
Other Professional Services
—
—
$60
3
clean
ONC BLADDER MRNA 219 GEN ALG
—
—
$3,490
1
clean
Other Professional Services
—
—
$75
3
clean
Other Professional Services
—
—
$90
3
clean
Other Professional Services
—
—
$90
3
clean
Other Professional Services
—
—
$105
3
clean
ONC THYR 10 MICRORNA SEQ ALG
—
—
$3,002
1
clean
Other Professional Services
—
—
$75
3
clean
Other Professional Services
—
—
$105
3
clean
Other Professional Services
—
—
$165
3
clean
Other Professional Services
—
—
$150
3
clean
Other Professional Services
—
—
$75
3
clean
Other Professional Services
—
—
$135
3
clean
Other Professional Services
—
—
$135
3
clean
Other Professional Services
—
—
$225
3
clean
Other Professional Services
—
—
$195
3
clean
Other Professional Services
—
—
$150
3
clean
Other Professional Services
—
—
$90
3
clean
ONC AML DNA DETCJ/NONDETCJ
—
—
$249
1
clean
GLYCA NUC MR SPECTRSC QUAN
—
—
$34
1
clean
ONC THYR DNA&MRNA 112 GENES
—
—
$3,600
1
clean
HC JAK2 GENE TRGT SEQ ALYS 12-15
$172
$129
$122
1
clean
HC RX METAB ADVRS TRGT SEQ ALYS
$891
$668
$742
1
clean
PR ANESTH,SKIN SURG HEAD/NECK
$82
$62
—
0
clean
Other Professional Services
—
—
$90
3
clean
Other Professional Services
—
—
$45
3
clean
HC MYCOBACTERIA AMPLIF NA PROBE
$559
$420
$466
2
clean
Other Professional Services
—
—
$150
3
clean
Other Professional Services
—
—
$75
3
clean
HC NEURO CSF PRION PRTN QUAL
$325
$243
$541
1
clean
TRGT GEN SEQ DNA 324 GENES
—
—
$3,500
1
clean
PR ANESTH,SKIN SURG THORAX/EXTR
$82
$62
—
0
clean
Other Professional Services
—
—
$75
3
clean
Other Professional Services
—
—
$75
3
clean
Other Professional Services
—
—
$195
3
clean
Other Professional Services
—
—
$60
3
clean
B BRGDRFERI ANTB 5 PRTN IGM
—
—
$17
1
clean
HC CT PERFUSION W/CONTRAST CBF
$3,185
$2,389
$331
10
clean
B BRGDRFERI ANTB 12 PRTN IGG
—
—
$17
1
clean
TBRF B GRP ANTB 4 PRTN IGM
—
—
$15
1
clean
TBRF B GRP ANTB 4 PRTN IGG
—
—
$15
1
clean
Other Professional Services
—
—
$75
3
clean
Other Professional Services
—
—
$45
3
clean
ONC BRST DUX CARC IS 12 GENE
—
—
$3,873
1
clean
Other Professional Services
—
—
$90
3
clean
Other Professional Services
—
—
$150
3
clean
Other Professional Services
—
—
$195
3
clean
ONC PRST8 MRNA 17 GENE ALG
—
—
$3,873
1
clean
Other Professional Services
—
—
$225
3
clean
Other Professional Services
—
—
$90
3
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$120
3
clean
Other Professional Services
—
—
$165
3
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$105
3
clean
Other Professional Services
—
—
$105
3
clean
Other Professional Services
—
—
$270
3
clean
Other Professional Services
—
—
$180
3
clean
Other Professional Services
—
—
$225
3
clean
Other Professional Services
—
—
$225
3
clean
Other Professional Services
—
—
$225
3
clean
Other Professional Services
—
—
$255
3
clean
BONE SRGRY CMPTR FLUOR IMAGE
—
—
$165
6
clean
Other Professional Services
—
—
$150
3
clean
BONE SRGRY CMPTR CT/MRI IMAG
—
—
$253
6
clean
Other Professional Services
—
—
$225
3
clean
Other Professional Services
—
—
$300
3
clean
Other Professional Services
—
—
$375
3
clean
Other Professional Services
—
—
$375
3
clean
Other Professional Services
—
—
$270
3
clean
Other Professional Services
—
—
$300
3
clean
ONC MERKEL CLL CARC SRM QUAN
—
—
$323
1
clean
ONC MERKEL CLL CARC SRM +/-
—
—
$323
1
clean
Other Professional Services
—
—
$150
3
clean
Other Professional Services
—
—
$195
3
clean
TC MEAS 5 BMRK SFDI M-S ALYS
—
—
$25
1
clean
Other Professional Services
—
—
$150
3
clean
Other Professional Services
—
—
$195
3
clean
Other Professional Services
—
—
$225
3
clean
Other Professional Services
—
—
$120
3
clean
Other Professional Services
—
—
$105
3
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$45
3
clean
ANTB TP TOTAL&RPR IA QUAL
—
—
$31
1
clean
SYFLS TST NONTREPONEMAL ANTB
—
—
$18
1
clean
Other Professional Services
—
—
$195
3
clean
CANDIDA SPECIES PNL AMP PRB
—
—
$143
1
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$75
3
clean
PR ANESTHESIA UPPER GI ENDOSCOPIC PX NOS
$82
$62
—
0
clean
Other Professional Services
—
—
$90
3
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$90
3
clean
Other Professional Services
—
—
$105
3
clean
Other Professional Services
—
—
$105
3
clean
PERQ STENT/CHEST VERT ART
—
—
$749
20
clean
Other Professional Services
—
—
$225
3
clean
HC IG PARAPROTEIN QUAL BLD/UR
$138
$103
$43
1
clean
PR ANES INTRAPERITONEAL UPPER ABDOMEN W/LAPS NOS
$82
$62
—
0
clean
Other Professional Services
—
—
$195
3
clean
Other Professional Services
—
—
$120
3
clean
Other Professional Services
—
—
$450
3
clean
Other Professional Services
—
—
$165
3
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$75
3
clean
ONC LNG 5 CLIN RSK FACTR ALG
—
—
$3,520
1
clean
PR ANESTHESIA LOWER INTST ENDOSCOPIC PX NOS
$82
$62
—
0
clean
PR ANESTHESIA LOWER INTST ENDOSCOPIC PX SCR COLSC
$82
$62
—
0
clean
PR ANESTHESIA COMBINED UPPER&LOWER GI ENDOSCOPIC PX
$82
$62
—
0
clean
Other Professional Services
—
—
$75
3
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$90
3
clean
Other Professional Services
—
—
$90
3
clean
PR ANESTH,SURG LOWER ABDOMEN
$82
$62
—
0
clean
Other Professional Services
—
—
$105
3
clean
Other Professional Services
—
—
$120
3
clean
Other Professional Services
—
—
$120
3
clean
Other Professional Services
—
—
$90
3
clean
PR ANESTH,SURG LOW ABD,EXTRAPERINTONEAL
$82
$62
—
0
clean
Other Professional Services
—
—
$105
3
clean
Other Professional Services
—
—
$120
3
clean
Other Professional Services
—
—
$105
3
clean
Other Professional Services
—
—
$150
3
clean
Other Professional Services
—
—
$150
3
clean
Other Professional Services
—
—
$75
3
clean
Other Professional Services
—
—
$105
3
clean
Other Professional Services
—
—
$75
3
clean
Other Professional Services
—
—
$225
3
clean
Other Professional Services
—
—
$150
3
clean
ONC MLNMA PRAME & LINC00518
—
—
$760
1
clean
PR ANESTH,ANORECTAL SURGERY
$82
$62
—
0
clean
Other Professional Services
—
—
$105
3
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$90
3
clean
ONC CUTAN MLNMA MRNA 23 GENE
—
—
$1,950
1
clean
Other Professional Services
—
—
$45
3
clean
Other Professional Services
—
—
$75
3
clean
Other Professional Services
—
—
$75
3
clean
Other Professional Services
—
—
$75
3
clean
Other Professional Services
—
—
$75
3
clean
Other Professional Services
—
—
$45
3
clean
Other Professional Services
—
—
$45
3
clean
Other Professional Services
—
—
$90
3
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$90
3
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$90
3
clean
Other Professional Services
—
—
$45
3
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$90
3
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$60
3
clean
ESW MUSCSKEL SYS NOS
—
—
$257
6
clean
HERED COLON CA DO 15 GENES
—
—
$1,744
1
clean
NEPH CKD MULT ECLIA TUM NEC
—
—
$950
1
clean
TOUCH QUANT SENSORY TEST
—
—
$106
6
clean
GSTR EMPTG 7 TIMED BRTH SPEC
—
—
$875
1
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
—
$4,950
1
clean
Other Professional Services
—
—
$75
3
clean
Other Professional Services
—
—
$90
3
clean
HC IADI 16S&18S RRNA GENES
$1,245
$934
$356
1
clean
Other Professional Services
—
—
$45
3
clean
Other Professional Services
—
—
$225
3
clean
Other Professional Services
—
—
$150
3
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$120
3
clean
Other Professional Services
—
—
$180
3
clean
TRNSPLJ DON-DRV CLL-FR DNA
—
—
$2,753
1
clean
HC CRD CERAMIDES LIQ CHROM PLSM
$364
$273
$84
1
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$60
3
clean
Other Professional Services
—
—
$90
3
clean
Other Professional Services
—
—
$150
3
clean
Showing the first 200 of 18,899 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 88307/b
warn
mrf_negotiated_above_gross
highest negotiated rate $594 exceeds the gross charge $501
CPT 88312/b
warn
mrf_negotiated_above_gross
highest negotiated rate $232 exceeds the gross charge $134
CPT 88321/b
warn
mrf_negotiated_above_gross
highest negotiated rate $180 exceeds the gross charge $121
CPT 88325/b
warn
mrf_negotiated_above_gross
highest negotiated rate $289 exceeds the gross charge $195
CPT 99309/b
warn
mrf_negotiated_above_gross
highest negotiated rate $168 exceeds the gross charge $159
CPT 99310/b
warn
mrf_negotiated_above_gross
highest negotiated rate $240 exceeds the gross charge $236
CPT 88333/b
warn
mrf_negotiated_above_gross
highest negotiated rate $188 exceeds the gross charge $121
CPT 75805/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,831 exceeds the gross charge $2,190
CPT 88348/b
warn
mrf_negotiated_above_gross
highest negotiated rate $999 exceeds the gross charge $974
CPT 99401/b
warn
mrf_negotiated_above_gross
highest negotiated rate $39 exceeds the gross charge $10
CPT 88365/b
warn
mrf_negotiated_above_gross
highest negotiated rate $366 exceeds the gross charge $353
CPT A4217/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $2
CPT A4246/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3 exceeds the gross charge $2
CPT S9123/b
warn
mrf_negotiated_above_gross
highest negotiated rate $73 exceeds the gross charge $19
CPT S9124/b
warn
mrf_negotiated_above_gross
highest negotiated rate $62 exceeds the gross charge $19
CPT 88374/b
warn
mrf_negotiated_above_gross
highest negotiated rate $593 exceeds the gross charge $398
CPT A4320/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6 exceeds the gross charge $0
CPT A4322/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $0
CPT 88377/b
warn
mrf_negotiated_above_gross
highest negotiated rate $815 exceeds the gross charge $374
CPT A4331/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $1
CPT A4333/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3 exceeds the gross charge $1
CPT 0035U/b
warn
mrf_negotiated_above_gross
highest negotiated rate $541 exceeds the gross charge $325
CPT 88380/b
warn
mrf_negotiated_above_gross
highest negotiated rate $256 exceeds the gross charge $138
CPT A4334/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $2
CPT 78579/b
warn
mrf_negotiated_above_gross
highest negotiated rate $355 exceeds the gross charge $329
CPT 88381/b
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $271
CPT A4340/b
warn
mrf_negotiated_above_gross
highest negotiated rate $41 exceeds the gross charge $2
CPT A4344/b
warn
mrf_negotiated_above_gross
highest negotiated rate $22 exceeds the gross charge $2
CPT A4349/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3 exceeds the gross charge $0
CPT 0282U/b
warn
mrf_negotiated_above_gross
highest negotiated rate $720 exceeds the gross charge $568
CPT A4358/b
warn
mrf_negotiated_above_gross
highest negotiated rate $8 exceeds the gross charge $1
CPT A4367/b
warn
mrf_negotiated_above_gross
highest negotiated rate $9 exceeds the gross charge $2
CPT A4371/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5 exceeds the gross charge $1
CPT A4373/b
warn
mrf_negotiated_above_gross
highest negotiated rate $9 exceeds the gross charge $2
CPT 90460/b
warn
mrf_negotiated_above_gross
highest negotiated rate $33 exceeds the gross charge $12
CPT A4388/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6 exceeds the gross charge $3
CPT 10040/b
warn
mrf_negotiated_above_gross
highest negotiated rate $111 exceeds the gross charge $36
CPT A4389/b
warn
mrf_negotiated_above_gross
highest negotiated rate $8 exceeds the gross charge $7
CPT A4408/b
warn
mrf_negotiated_above_gross
highest negotiated rate $13 exceeds the gross charge $2
CPT A4410/b
warn
mrf_negotiated_above_gross
highest negotiated rate $12 exceeds the gross charge $1
CPT A4414/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $1
CPT A4430/b
warn
mrf_negotiated_above_gross
highest negotiated rate $12 exceeds the gross charge $8
CPT A4625/b
warn
mrf_negotiated_above_gross
highest negotiated rate $8 exceeds the gross charge $0
CPT A5056/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6 exceeds the gross charge $5
CPT A5073/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $3
CPT A5114/b
warn
mrf_negotiated_above_gross
highest negotiated rate $10 exceeds the gross charge $1
CPT 11403/b
warn
mrf_negotiated_above_gross
highest negotiated rate $323 exceeds the gross charge $62
CPT 11443/b
warn
mrf_negotiated_above_gross
highest negotiated rate $386 exceeds the gross charge $74
CPT 11603/b
warn
mrf_negotiated_above_gross
highest negotiated rate $413 exceeds the gross charge $98
CPT 11621/b
warn
mrf_negotiated_above_gross
highest negotiated rate $320 exceeds the gross charge $75
CPT 42825/b
warn
mrf_negotiated_above_gross
highest negotiated rate $616 exceeds the gross charge $500
CPT 11642/b
warn
mrf_negotiated_above_gross
highest negotiated rate $390 exceeds the gross charge $330
CPT 11643/b
warn
mrf_negotiated_above_gross
highest negotiated rate $486 exceeds the gross charge $393
CPT A6215/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $2
CPT 43244/b
warn
mrf_negotiated_above_gross
highest negotiated rate $544 exceeds the gross charge $500
CPT 95861/b
warn
mrf_negotiated_above_gross
highest negotiated rate $342 exceeds the gross charge $149
CPT 95864/b
warn
mrf_negotiated_above_gross
highest negotiated rate $496 exceeds the gross charge $392
CPT A6232/b
warn
mrf_negotiated_above_gross
highest negotiated rate $9 exceeds the gross charge $1
CPT 95867/b
warn
mrf_negotiated_above_gross
highest negotiated rate $228 exceeds the gross charge $172
CPT A6257/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2 exceeds the gross charge $0
CPT 81105/b
warn
mrf_negotiated_above_gross
highest negotiated rate $122 exceeds the gross charge $100
CPT 95872/b
warn
mrf_negotiated_above_gross
highest negotiated rate $402 exceeds the gross charge $122
CPT 81106/b
warn
mrf_negotiated_above_gross
highest negotiated rate $122 exceeds the gross charge $100
CPT 81107/b
warn
mrf_negotiated_above_gross
highest negotiated rate $122 exceeds the gross charge $100
CPT 95873/b
warn
mrf_negotiated_above_gross
highest negotiated rate $151 exceeds the gross charge $90
CPT 81108/b
warn
mrf_negotiated_above_gross
highest negotiated rate $122 exceeds the gross charge $100
CPT A6407/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3 exceeds the gross charge $1
CPT 46260/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,098 exceeds the gross charge $1,060
CPT 81109/b
warn
mrf_negotiated_above_gross
highest negotiated rate $122 exceeds the gross charge $100
CPT 95874/b
warn
mrf_negotiated_above_gross
highest negotiated rate $163 exceeds the gross charge $82
CPT 81110/b
warn
mrf_negotiated_above_gross
highest negotiated rate $122 exceeds the gross charge $100
CPT 81111/b
warn
mrf_negotiated_above_gross
highest negotiated rate $122 exceeds the gross charge $100
CPT 81112/b
warn
mrf_negotiated_above_gross
highest negotiated rate $122 exceeds the gross charge $100
CPT 95887/b
warn
mrf_negotiated_above_gross
highest negotiated rate $177 exceeds the gross charge $126
CPT A6450/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2 exceeds the gross charge $0
CPT 81229/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,898 exceeds the gross charge $1,610
CPT 95907/b
warn
mrf_negotiated_above_gross
highest negotiated rate $193 exceeds the gross charge $132
CPT 81373/b
warn
mrf_negotiated_above_gross
highest negotiated rate $127 exceeds the gross charge $96
CPT 81405/b
warn
mrf_negotiated_above_gross
highest negotiated rate $524 exceeds the gross charge $293
CPT 81407/b
warn
mrf_negotiated_above_gross
highest negotiated rate $985 exceeds the gross charge $888
CPT A9516/b
warn
mrf_negotiated_above_gross
highest negotiated rate $291 exceeds the gross charge $260
CPT 81408/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,725 exceeds the gross charge $2,095
CPT 95913/b
warn
mrf_negotiated_above_gross
highest negotiated rate $611 exceeds the gross charge $429
CPT 92523/b
warn
mrf_negotiated_above_gross
highest negotiated rate $458 exceeds the gross charge $418
CPT A9582/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6,757 exceeds the gross charge $5,622
CPT 77003/b
warn
mrf_negotiated_above_gross
highest negotiated rate $217 exceeds the gross charge $102
CPT 95937/b
warn
mrf_negotiated_above_gross
highest negotiated rate $223 exceeds the gross charge $198
CPT 17111/b
warn
mrf_negotiated_above_gross
highest negotiated rate $180 exceeds the gross charge $42
CPT 17261/b
warn
mrf_negotiated_above_gross
highest negotiated rate $187 exceeds the gross charge $44
CPT 17262/b
warn
mrf_negotiated_above_gross
highest negotiated rate $237 exceeds the gross charge $54
CPT 17271/b
warn
mrf_negotiated_above_gross
highest negotiated rate $225 exceeds the gross charge $60
CPT 17272/b
warn
mrf_negotiated_above_gross
highest negotiated rate $260 exceeds the gross charge $63
CPT 77061/b
warn
mrf_negotiated_above_gross
highest negotiated rate $392 exceeds the gross charge $40
CPT 92975/b
warn
mrf_negotiated_above_gross
highest negotiated rate $828 exceeds the gross charge $594
CPT 17281/b
warn
mrf_negotiated_above_gross
highest negotiated rate $253 exceeds the gross charge $59
CPT 77063/b
warn
mrf_negotiated_above_gross
highest negotiated rate $115 exceeds the gross charge $39
CPT 20245/b
warn
mrf_negotiated_above_gross
highest negotiated rate $758 exceeds the gross charge $700
CPT 20520/b
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $142
CPT 95983/b
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $120
CPT 95984/b
warn
mrf_negotiated_above_gross
highest negotiated rate $96 exceeds the gross charge $75
CPT 93229/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,841 exceeds the gross charge $1,129
CPT 93260/b
warn
mrf_negotiated_above_gross
highest negotiated rate $170 exceeds the gross charge $99
CPT 93261/b
warn
mrf_negotiated_above_gross
highest negotiated rate $157 exceeds the gross charge $86
CPT 21012/b
warn
mrf_negotiated_above_gross
highest negotiated rate $762 exceeds the gross charge $700
CPT 85390/b
warn
mrf_negotiated_above_gross
highest negotiated rate $73 exceeds the gross charge $41
CPT 21555/b
warn
mrf_negotiated_above_gross
highest negotiated rate $691 exceeds the gross charge $530
CPT 93285/b
warn
mrf_negotiated_above_gross
highest negotiated rate $135 exceeds the gross charge $97
CPT 96574/b
warn
mrf_negotiated_above_gross
highest negotiated rate $514 exceeds the gross charge $82
CPT L1845/b
warn
mrf_negotiated_above_gross
highest negotiated rate $899 exceeds the gross charge $0
CPT 23500/b
warn
mrf_negotiated_above_gross
highest negotiated rate $531 exceeds the gross charge $404
CPT 24600/b
warn
mrf_negotiated_above_gross
highest negotiated rate $789 exceeds the gross charge $772
CPT L3670/b
warn
mrf_negotiated_above_gross
highest negotiated rate $162 exceeds the gross charge $89
CPT 25600/b
warn
mrf_negotiated_above_gross
highest negotiated rate $753 exceeds the gross charge $375
CPT 93290/b
warn
mrf_negotiated_above_gross
highest negotiated rate $120 exceeds the gross charge $101
CPT 25650/b
warn
mrf_negotiated_above_gross
highest negotiated rate $709 exceeds the gross charge $529
CPT 25660/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,031 exceeds the gross charge $612
CPT L3906/b
warn
mrf_negotiated_above_gross
highest negotiated rate $430 exceeds the gross charge $363
CPT 25675/b
warn
mrf_negotiated_above_gross
highest negotiated rate $951 exceeds the gross charge $426
CPT L3913/b
warn
mrf_negotiated_above_gross
highest negotiated rate $289 exceeds the gross charge $194
CPT 93297/b
warn
mrf_negotiated_above_gross
highest negotiated rate $136 exceeds the gross charge $86
CPT L3915/b
warn
mrf_negotiated_above_gross
highest negotiated rate $566 exceeds the gross charge $501
CPT 26641/b
warn
mrf_negotiated_above_gross
highest negotiated rate $882 exceeds the gross charge $765
CPT 26670/b
warn
mrf_negotiated_above_gross
highest negotiated rate $725 exceeds the gross charge $362
CPT 93298/b
warn
mrf_negotiated_above_gross
highest negotiated rate $230 exceeds the gross charge $174
CPT 26700/b
warn
mrf_negotiated_above_gross
highest negotiated rate $725 exceeds the gross charge $682
CPT L5400/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,587 exceeds the gross charge $260
CPT 27265/b
warn
mrf_negotiated_above_gross
highest negotiated rate $955 exceeds the gross charge $837
CPT L8417/b
warn
mrf_negotiated_above_gross
highest negotiated rate $88 exceeds the gross charge $52
CPT 27550/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,074 exceeds the gross charge $525
CPT 27560/b
warn
mrf_negotiated_above_gross
highest negotiated rate $787 exceeds the gross charge $720
CPT 27619/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,058 exceeds the gross charge $1,000
CPT 27840/b
warn
mrf_negotiated_above_gross
highest negotiated rate $888 exceeds the gross charge $791
CPT 28495/b
warn
mrf_negotiated_above_gross
highest negotiated rate $342 exceeds the gross charge $265
CPT P9012/b
warn
mrf_negotiated_above_gross
highest negotiated rate $442 exceeds the gross charge $433
CPT P9037/b
warn
mrf_negotiated_above_gross
highest negotiated rate $885 exceeds the gross charge $861
CPT 64650/b
warn
mrf_negotiated_above_gross
highest negotiated rate $188 exceeds the gross charge $148
CPT 64721/b
warn
mrf_negotiated_above_gross
highest negotiated rate $985 exceeds the gross charge $536
CPT 87901/b
warn
mrf_negotiated_above_gross
highest negotiated rate $366 exceeds the gross charge $312
CPT 97802/b
warn
mrf_negotiated_above_gross
highest negotiated rate $53 exceeds the gross charge $48
CPT 97803/b
warn
mrf_negotiated_above_gross
highest negotiated rate $45 exceeds the gross charge $35
CPT 69100/b
warn
mrf_negotiated_above_gross
highest negotiated rate $104 exceeds the gross charge $37
CPT 88104/b
warn
mrf_negotiated_above_gross
highest negotiated rate $156 exceeds the gross charge $87
CPT G0270/b
warn
mrf_negotiated_above_gross
highest negotiated rate $45 exceeds the gross charge $21
CPT 30802/b
warn
mrf_negotiated_above_gross
highest negotiated rate $453 exceeds the gross charge $354
CPT 88108/b
warn
mrf_negotiated_above_gross
highest negotiated rate $142 exceeds the gross charge $89
CPT Q4180/b
warn
mrf_negotiated_above_gross
highest negotiated rate $373 exceeds the gross charge $148
CPT 98929/b
warn
mrf_negotiated_above_gross
highest negotiated rate $116 exceeds the gross charge $102
CPT 31505/b
warn
mrf_negotiated_above_gross
highest negotiated rate $110 exceeds the gross charge $16
CPT 88160/b
warn
mrf_negotiated_above_gross
highest negotiated rate $164 exceeds the gross charge $87
CPT Q4282/b
warn
mrf_negotiated_above_gross
highest negotiated rate $875 exceeds the gross charge $812
CPT 88161/b
warn
mrf_negotiated_above_gross
highest negotiated rate $168 exceeds the gross charge $87
CPT Q5004/b
warn
mrf_negotiated_above_gross
highest negotiated rate $555 exceeds the gross charge $226
CPT 88173/b
warn
mrf_negotiated_above_gross
highest negotiated rate $345 exceeds the gross charge $133
CPT 88182/b
warn
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $87
CPT 75571/b
warn
mrf_negotiated_above_gross
highest negotiated rate $235 exceeds the gross charge $105
CPT 88249/b
warn
mrf_negotiated_above_gross
highest negotiated rate $246 exceeds the gross charge $208
warn
mrf_rate_without_estimate
58,602 of 58,602 percentage/algorithm rates across 4,992 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 33999/b
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 70328/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 75600/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 78231/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88300/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93624/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 99234/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 H0010/b
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 J2805/o
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 Q5116/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 34701/b
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 70330/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 75605/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 78232/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88302/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93631/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 99235/b
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 H0015/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 differ, so no cross-line comparison was made for this item
CPT J2916/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q5117/o
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 34706/b
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 70332/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 75625/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 78258/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88304/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93640/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 99238/b
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 H0017/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 J2919/o
info
mrf_item_fields_vary
this code and setting cover at least 74 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q5118/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 34712/b
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 70336/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 75630/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 78261/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88305/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 93641/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 99239/b
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 H0035/b
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 J2930/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q5119/o
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 36005/b
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 70350/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 75635/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item