Service
Code
Listed
Cash
Negotiated
Rates
Checks
PR Anes Procedures on External Middle & Inner Ear Incl Bx Otoscopy
—
$630
$630
232
clean
PR Anesthesia Intraoral Including Biopsy Not Otherwise Specified
—
$756
$756
231
clean
HC Mayo Analysis Gene Jak2 Targeted Sequence Exons 12-15
$839
$839
$786
43
clean
HC Mayo Targeted Sequence Analysis Drug Metabolism Adverse Drug Reactions and Response
$1,042
$1,042
$976
43
clean
PR Anes All Procedures Muscles & Nerves Head Neck & Posterior Trunk Nos
—
$882
$882
232
clean
PR Anes Proc on Integumentary Sys Extremities Anterior Trunk & Perineum Nos
—
$630
$630
231
clean
PR Anes Upper GI Endo Proc Encoscope Introduced Prox to Duodenum Nos
—
$756
$756
232
clean
PR Anesthesia for Hernia Repairs in Upper Abdomen Not Otherwise Specified
—
$1,008
$1,008
232
clean
PR Anes Hernia Repairs Upper Abd Lumb & Vnt Hernias and/or Wound Dehiscence
—
$630
$630
232
clean
HC Mayo Mpu Immunoglobulin Paraprotein Ql Immunoprecip Mass Spectrometry Blood Urine Incl Isotype
$143
$143
$134
43
clean
PR Anes for Intraperitoneal Proc Upper Abd Incl Laparoscopy Nos
—
$1,638
$1,638
232
clean
PR Anes Lower Intestinal Endo Proc Endo Introduced Distal to Duodenum Nos
—
$756
$756
232
clean
PR Anes Lower Intest Endo Proc Endoscope Intro Dist Duod Scrn Colonoscopy
—
$630
$630
232
clean
PR Anes Combined Upr & Lwr GI Endo Proc Endo Intro Both Prox & Dis to Duod
—
$1,008
$1,008
232
clean
PR Anesthesia for Hernia Repairs in Lower Abdomen Not Otherwise Specified
—
$1,134
$1,134
232
clean
PR Anes for Intraperitoneal Procedures in Lower Abd Incl Lap Nos
—
$1,386
$1,386
232
clean
PR Anes for Extraperitoneal Proc in Lower Abd Incl Urinary Tract Nos
—
$1,134
$1,134
232
clean
PR Anesthesia for Lithotripsy Extracorporeal Shock Wave Without Water Bath
—
$1,134
$1,134
232
clean
HC Anesthesia for Lithotripsy Extracorporeal Shock Wave W/O Water Bath (Restricted Method II CAH)
$600
$600
$562
42
clean
PR Anesthesia for Anorectal Procedure
—
$1,008
$1,008
232
clean
PR Anesthesia for Transurethral Procedures Including Urethrocystoscopy Nos
—
$756
$756
232
clean
HC Anesthesia for Transurethral Procedures Incl/Urethrocystoscopy Nos (Restricted Method II CAH)
$400
$400
$375
42
clean
HC Anesthesia for Transurethral Procedures/Transurethral Resection of Prostate (Rest Method II CAH)
$600
$600
$562
42
clean
PR Anesthesia for Transurethral Procedures Including Urethrocystoscopy Turp
—
$1,386
$1,386
232
clean
PR Anes Transurethral Proc W Fragmentation Man and/or Rem Urtrl Calculus
—
$1,008
$1,008
232
clean
PR Anes Proc on Male Genitalia (Including Open Urethral Procedures) Nos
—
$882
$882
232
clean
PR Anes Bone Marrow Aspiration and/or Bx Anterior/Posterior Iliac Crest
—
$1,008
$1,008
232
clean
PR Anesthesia Open Procedures Involving Hip Joint Total Hip Arthroplasty
—
$1,726
$1,726
232
clean
HC Anesthesia for Open Procedures Hip Joint/Total Hip Arthroplasty (Restricted Method II CAH)
$900
$900
$843
42
clean
HC Anesthesia for Closed Procedures on Upper 2/3 of Femur (Restricted Method II CAH)
$500
$500
$469
42
clean
PR Anesthesia Open Procedures Involving Upper Two-Thirds Femur Nos
—
$1,159
$1,159
232
clean
HC Anes All Proc Nrv/Musc/Tendons/Fascia/Bursae Knee and/or Popliteal Area(Rest Bcpl Meth II CAH)
$400
$400
$375
42
clean
HC Anesthesia for Closed Procedures on Knee Joint (Restricted Method II CAH)
$500
$500
$469
42
clean
HC Anes Open Procedures on Upper Ends of Tibia/Fibula &/or Patella (Restricted Method II CAH)
$500
$500
$469
42
clean
PR Anesthesia All Open Proc Upper Ends of Tibia Fibula and/or Patella
—
$1,134
$1,134
232
clean
PR Anesthesia Open/Surgical Arthroscopic Proc Knee Joint Nos
—
$819
$819
232
clean
HC Anesthesia for Open or Surgical Arthroscopic Proc Knee Joint Nos (Restricted Method II CAH)
$500
$500
$469
42
clean
PR Anes Open/Surg Arthroscopic Proc Knee Joint Total Knee Arthroplasty
—
$1,764
$1,764
232
clean
HC Anesthesia for Open or Surgical Arthroscopic Proc Knee Joint(Tka) (Restricted Method II CAH)
$400
$400
$375
42
clean
PR Anesthesia for Arthroscopic Procedures of Ankle and/or Foot
—
$882
$882
232
clean
PR Anes for Proc on Nerves/Musc/Tndns/Fascia of Lwr Leg/Ankle/Foot Nos
—
$595
$595
232
clean
PR Anes Proc Nrvs/Musc/Tndns/Fascia Lwr Leg/Ank/Ft Rpr Rupt Achilles Tndn
—
$1,386
$1,386
232
clean
HC Anes Proc Nrvs/Musc/Tndns/Fascia Lwr Leg/Ank/Ft Rpr Rupt Achilles Tndn (Restricted Meth II CAH)
$100
$100
$94
42
clean
PR Anes Proc Nerves/Musc/Tndns/Fascia of Lwr Leg/Ank/Ft Gastroc Recession
—
$1,134
$1,134
232
clean
PR Anes Open Procedure on Bones of Lower Leg/Ankle/Foot Nos
—
$756
$756
232
clean
PR Anes Open Procedure on Bones of Lower Leg/Ankle/Foot Radical Resection
—
$1,260
$1,260
232
clean
HC Anes Closed Proc Hmrl Head/Neck Sc Jt/Ac Jt /Shld Jt (Restricted Method II CAH)
$400
$400
$375
42
clean
PR Anes Open/Surgical Arthroscopic Proc on Hmrl H&N Sc Jt Acj & Shld Jt Nos
—
$1,058
$1,058
232
clean
HC Anes Open/Surg Arthro Proc Hmrl Head/Neck Sc Jt/Ac Jt/Shld Jt Nos (Restricted Method II CAH)
$400
$400
$375
42
clean
PR Anes Proc on Nerves/Musc/Tndns Fascia & Bursae of Upr Arm &Elbow Nos
—
$718
$718
232
clean
HC Anesthesia Open or Surgical Arthroscopic Procedures of Elbow Nos (Restricted Method II CAH)
$600
$600
$562
42
clean
HC Anes All Procedures Nrv/Musc/Tndn/Fsc/Bursae Forearm/Wrist/Hand (Restricted Method II CAH)
$500
$500
$469
42
clean
PR Anes All Proc on Nrvs/Musc/Tndn Fascia &Bursae of Forearm Wrist & Hand
—
$756
$756
232
clean
PR Anes Open or Surg Arthro/Endo Proc on Dist R&U Wrist/Hand Joints Nos
—
$630
$630
232
clean
HC Anesthesia Distal Rad/Ulna Wrist/Hand Jt Open Nos (Restricted Method II CAH)
$600
$600
$562
42
clean
HC Anes Dx/Thera Nerve Blocks/Inj by Different Phys/Othr Qhp Not Prone POS (Rest Method II CAH)
$333
$333
$312
42
clean
HC Infectious Disease Pathogen Specific Nucleic Acid 22 Targets Including Sars-Cov-2 Qual (Biofire 2.1)
$469
$469
$439
43
clean
HC Infectious Disease Pathogen Specific Rna Sars-Cov-2/Inf a&B/Rsv Upper Resp Spec Detected or Not
$556
$556
$521
43
clean
PR Incision & Drainage Abscess Simple/Single
$417
$417
$58
777
clean
HC Incision & Drainage Abscess Complicated/Multiple (Restricted Method II CAH)
$470
$470
$440
43
clean
PR Incision & Drainage Abscess Complicated/Multiple
$705
$705
$84
780
clean
HC Incision & Drainage Cyst Pilonidal Simple
$2,111
$2,111
$1,978
43
clean
PR Incision & Removal Foreign Body Subcutaneous Tissues Simple|MULTIPLE PROCEDURES
$705
$705
$67
1,554
clean
HC Incision & Drainage Foreign Body Subcutaneous Tissues Complicated
$3,021
$3,021
$619
86
clean
PR Puncture Aspiration Abscess/Hematoma/Bulla/Cyst|MULTIPLE PROCEDURES
$430
$405
$53
1,555
clean
PR Debridement Subcutaneous Tissue <= 20 Sq Cm
$426
$426
$60
845
clean
HC Debridement Subcutaneous Tissue <= 20 Sq Cm
$426
$426
$399
43
clean
PR Paring/Cutting Benign Hyperkeratotic Lesion Single|MULTIPLE PROCEDURES
$426
$426
$34
1,555
clean
PR Paring/Cutting Benign Hyperkeratotic Lesions 2-4
$273
$273
$37
777
clean
PR Paring/Cutting Benign Hyperkeratotic Lesions > 4
$299
$299
$40
777
clean
PR Biopsy Skin Tangential Single Lesion|MULTIPLE PROCEDURES
$232
$232
$200
1,318
clean
PR Biopsy Skin Punch Single Lesion|MULTIPLE PROCEDURES
$416
$251
$44
1,555
clean
PR Removal Skin Tags Fibrocutaneous Any Area <= 15 Lesions
$303
$303
$36
777
clean
PR Removal Skin Tags Fibrocutaneous Any Area Each Additional10 Lesions
$61
$61
$20
777
clean
PR Excision Benign Lesion Trunk/Arms/Legs 0.6 - 1.0 Cm
$517
$517
$70
777
clean
PR Excision Benign Lesion Trunk/Arms/Legs 1.1 - 2.0 Cm
$258
$258
$46
845
clean
HC Excision Benign Lesion Trunk/Arms/Legs 1.1 - 2.0 Cm
$704
$704
$46
821
clean
PR Excision Benign Lesion Trunk/Arms/Legs 2.1 - 3.0 Cm|MULTIPLE PROCEDURES
$569
$569
$79
1,554
clean
PR Excision Benign Lesion Trunk/Arms/Legs 3.1 - 4.0 Cm
$372
$372
$68
845
clean
HC Excision Benign Lesion Trunk/Arms/Legs 3.1 - 4.0 Cm
$1,753
$1,753
$68
821
clean
HC Excision Benign Lesion Trunk/Arms/Legs > 4.0 Cm
—
$12,764
$3
68
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 0.5 Cm
—
$5,418
$2
68
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 0.5 Cm
$1,494
$1,494
$1,400
43
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb 0.6 - 1.0 Cm
—
$10,874
$3
68
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb 0.6 - 1.0 Cm
$2,209
$2,209
$2,070
43
clean
PR Debridement Nail(S) Any Method(S) 1 - 5 Nails|MULTIPLE PROCEDURES
$739
$739
$76
1,554
clean
PR Debridement Nail(S) Any Method(S) 6 or More Nails
$186
$186
$41
777
clean
PR Avulsion Nail Plate Partial/Complete Simple Single Nail Plate
$480
$480
$51
845
clean
HC Excision Nail/Nail Matrix Partial/Complete Permanent Removal
$449
$449
$421
43
clean
PR Excision Nail/Nail Matrix Partial/Complete Permanent Removal
$666
$666
$72
777
clean
PR Wedge Excision Skin of Nail Fold
$687
$687
$74
777
clean
PR Excision Pilonidal Cyst/Sinus Simple
—
$530
$80
777
clean
PR Insertion Drug Delivery Implant Non-Biodegradable|ASSISTANT AT SURGERY SERVICE
$330
$288
$90
2,332
clean
PR Removal Drug Delivery Implant|MULTIPLE PROCEDURES
$370
$39
$51
2,333
clean
PR Removal With Reinsertion Drug Delivery Implant
$523
$523
$85
777
clean
PR Repair Sprfcl Wounds Simple Scalp/Neck/Axillae/Gent/Trunk/Ext <= 2.5 Cm|MULTIPLE PROCEDURES
$309
$467
$84
1,555
clean
HC Repr Super Wnd Smp Scalp/Neck/Axillae/Genitalia/Trnk/Extrem<=2.5cm(Restricted Method II CAH)
$309
$309
$290
43
clean
PR Repair Superficial Wd Simple Scalp/Neck/Ax/Gent/Trunk/Ext 2.6-7.5 Cm
$374
$374
$53
777
clean
HC Repair Superficial Wounds Simple Scalp/Neck/Axillae 2.6-7.5cm (Restricted Method II CAH)
$374
$374
$350
43
clean
HC Repr Sprfcl Wnd Smp Scalp/Neck/Ax/Gent/Trnk/Extrem 7.6-12.5cm (Restricted Method II CAH)
$434
$434
$407
43
clean
PR Repair Sprfcl Wd Simple Scalp/Neck/Axillae/Genitalia/Trunk 7.6-12.5 Cm
—
$177
$41
777
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
821
clean
PR Repair Sprfcl Wd Simple Face/Ears/Eyelids/Nose/Lips/Muc Memb 2.6-5.0 Cm
$386
$386
$56
780
clean
HC Repr Super Wnd Smp Face/Ears/Eyelids/Nose/Lips/Muc Memb 2.6-5.0cm(Restricted Method II CAH)
$386
$386
$362
43
clean
HC Repr Super Wnds Smp Face/Ears/Eyelids/Nose/Lips/Muc Memb 5.1 - 7.5 Cm(Rest Method II CAH)
$424
$424
$397
43
clean
HC Repr Sprfcl Wounds Smp Face/Ears/Eyelids/Nose/Lips/Mm 7.6-12.5 Cm (Restricted Method II CAH)
$479
$479
$449
43
clean
HC Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities <= 2.5 Cm
—
$12,764
$3
68
clean
HC Repair Intermediate Wounds Face/Ears/Eyelids/Nose/Lips/Muc Memb 2.6 - 5.0 Cm(Rest Method II CAH)
$384
$384
$360
43
clean
HC Transfer/Rearrangement Adjacent Tissue Defect Scalp/Arms/Legs 10.1 - 30.0 Sq Cm
—
$9,436
$3
68
clean
HC Transfer/Rearrangement Adjacent Tissue Defect Eyelids/Nose/Ears/Lips <= 10 Sq Cm
—
$10,416
$3
68
clean
HC Preparation/Creation Surg Recipient Site Open Wnd Face/Scalp/Mth/Neck/Ears/Genit/Hnd/Ft<=100sqcm
$1,246
$1,246
$1,168
43
clean
PR Prep Surg Recipient Open Wd Face/Scalp/Mth/Neck/Feet/Hands <=100sqcm
—
$733
$215
778
clean
PR Appl Skin Sub Graft Trunk/Arms/Legs < 100 Sq Cm <= 25 Sq Cm High Cost|MULTIPLE PROCEDURES
—
$267
$38
1,556
clean
HC Application Skin Substitute Graft Trunk/Arms/Legs <100 Sq Cm 1st 25 Sq Cm
$3,628
$3,628
$3,399
43
clean
PR Appl Skin Sub Graft Face/Scalp/Neck/Gent < 100 Sqcm <= 25 Sqcm High Cost
$183
$183
$43
1,556
clean
HC Application Skin Substitute Graft Face/Scalp/Neck/Genit/Hnd/Ft <100 Sq Cm 1st 25 Sq Cm
$2,769
$2,769
$6
821
clean
PR Removal of Sutures or Staples Not Requiring Anesthesia
$37
$37
$12
777
clean
PR Destruction Premalignant Lesions 1st Lesion
$223
$223
$65
1,554
clean
PR Destruction Benign Lesions Up to 14 Lesions
$376
$376
$50
777
clean
HC Cauterization Chemical Granulation Tissue
$2,753
$2,753
$2,580
43
clean
PR Exploration of Penetrating Wound (Separate Procedure) Abdomen/Flank/Back
$561
$561
$107
777
clean
PR Exploration of Penetrating Wound (Separate Procedure) Abdomen/Flank/Back|ASSISTANT AT SURGERY SERVICE
$90
$90
$17
778
clean
HC Injection Carpal Tunnel Therapeutic Rt
$799
$799
$749
129
clean
PR Injection Single Tendon Sheath or Ligament Aponeurosis
$201
$201
$49
1,555
clean
HC Injection(S) Tendon Sheath/Ligament Aponeurosis Single Bl
$1,199
$1,199
$211
258
clean
HC Injection(S) Tendon Origin/Insert Single
$799
$799
$178
86
clean
PR Injection(S) Tendon Origin/Insert Single
$136
$136
$32
1,555
clean
HC Injection(S) Trigger Point(S) Single/Multiple 1 or 2 Muscle(S) (Restricted Method II CAH)
$184
$184
$172
43
clean
PR Injection(S) Trigger Point(S) Single/Multiple 1 or 2 Muscle(S)|BILATERAL PROCEDURE
$232
$143
$29
2,333
clean
HC Injection(S) Trigger Point(S) Single/Multiple >= 3 Muscle(S)(Rest Method II CAH)
$332
$332
$311
43
clean
HC Pt Needle Insertion W/O Injection 1 or 2 Muscles
$121
$121
$113
43
clean
HC Pt Needle Insertion W/O Injection 3 or More Muscles
$97
$97
$31
86
clean
PR Arthrocentesis/Aspiration/Injection Small Joint/Bursa WO U/S Guidance|BILATERAL PROCEDURE
$116
$116
$31
3,111
clean
HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/O Ultrasound Guidance Bl
$1,199
$1,199
$466
344
clean
PR Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa WO U/S Guid|BILATERAL PROCEDURE
$382
$382
$42
2,332
clean
HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Rt
$999
$999
$217
344
clean
HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Bl (Restricted Method II CAH)
$335
$335
$314
258
clean
PR Arthrocentesis/Aspiration/Injection Major Joint/Bursa W/O U/S Guidance|BILATERAL PROCEDURE
$446
$446
$39
1,697
clean
PR Arthrocentesis/Aspiration/Injection Major Joint/Bursa W U/S Guidance
$127
$127
$28
777
clean
HC Arthrocentesis/Aspiration/Injection Major Joint/Bursa W/Ultrasound Guidance Bl
$3,632
$3,632
$41
1,814
clean
PR Aspiration &/or Injection Ganglion Cyst(S) Any Location|MULTIPLE PROCEDURES
$223
$223
$33
1,554
clean
PR Removal of Implant Deep
$933
$933
$176
778
clean
HC Removal of Implant Deep (Restricted Method II CAH)
$1,371
$1,371
$77
2,420
clean
HC Bone Graft Any Donor Area Major or Large (Restricted Method II CAH)
$996
$996
$933
43
clean
PR Excision Tumor Soft Tissue Neck/Anterior Thorax Subfascial < 5 Cm
—
$8,945
$5
68
clean
HC Excision Tumor Soft Tissue Back/Flank Subcutaneous < 3 Cm
$3,528
$3,528
$3,306
43
clean
PR Excision Tumor Soft Tissue Back/Flank Subcutaneous < 3 Cm
$1,730
$1,730
$240
780
clean
HC Excision Tumor Soft Tissue Back/Flank Subcutaneous >= 3 Cm
—
$11,469
$3
68
clean
HC Injection for Shoulder Arthrogram or Enhanced CT/MRI Shoulder Arthography Bl
$824
$824
$502
258
clean
HC Injection for Shoulder Arthrogram or Enhanced CT/MRI Shoulder Arthography Rt
—
$6,740
$7
136
clean
HC Treatment Fracture Clavicular Closed W/O Manipulation Rt
$2,471
$2,471
$2,315
129
clean
HC Treatment Fracture Scalpular Closed W/O Manipulation Lt
$2,471
$2,471
$2,315
129
clean
HC Treatment Fracture Proximal Humeral Closed W/O Manipulation Bl
$3,707
$3,707
$2,315
129
clean
PR Closed Treatment of Shoulder Dislocation With Manipulation WO Anesthesia
—
$848
$163
777
clean
HC Biopsy Soft Tissue Arm/Elbow Superficial Lt
$4,861
$4,861
$4,555
129
clean
PR Excision Tumor/Soft Tissue Upper Arm/Elbow Area Subcutaneous >= 3 Cm
$907
$907
$172
845
clean
HC Excision Tumor Soft Tissue Upper Arm/Elbow Subcutaneous => 3cm Bl
$3,873
$3,873
$172
2,463
clean
PR Excision Tumor/Soft Tissue Upper Arm/Elbow Area Subcutaneous < 3 Cm|BILATERAL PROCEDURE
$1,167
$1,167
$197
1,554
clean
HC Treatment Fracture Supracondylar/Transcondylar Humeral Closed Without Manipulation Bl
$3,707
$3,707
$919
258
clean
HC Tx Fx Ulnar Open Proximal End Lt (Restricted Method II CAH)
$1,212
$1,212
$1,136
129
clean
PR Excision Ganglion Wrist Primary
$752
$752
$143
845
clean
PR Excision Ganglion Wrist Primary|MULTIPLE PROCEDURES
$752
$752
$143
778
clean
HC Treatment Fracture Radial Distal Closed W/O Manipulation Bl
$3,707
$3,707
$936
258
clean
PR Open Tx Distal Radial Extra-Artc Fx/Epiphyseal Sep W/Internal Fixn
$1,677
$1,677
$310
777
clean
HC Treatment Fx Radial Distal Open W/Internal Fixation Bl (Restricted Method II CAH)
$16,196
$16,196
$285
1,685
clean
HC Treatment Fx Radial Distal Open W/Internal Fixation 3+ Frag Rt (Restricted Method II CAH)
$2,370
$2,370
$249
4,797
clean
PR Open Tx Distal Radial I-Articular Fx/Epiphyseal Separ W/if 3/> Fragments
$2,359
$2,359
$430
777
clean
HC Treatment Fracture Carpal Scaphoid Closed W/O Manipulation Lt
$2,471
$2,471
$2,315
129
clean
HC Treatment Fracture Carpal Bone Closed W/O Manipulation Rt
$2,471
$2,471
$2,315
129
clean
PR Percutaneous Skeletal Fixation of Ulnar Styloid Fracture
$1,122
$1,122
$211
777
clean
PR Percutaneous Skeletal Fixation of Ulnar Styloid Fracture|MULTIPLE PROCEDURES
$1,122
$1,122
$211
778
clean
HC Drainage Abscess Finger Simple
$887
$887
$323
86
clean
PR Drainage Abscess Finger Simple|ASSISTANT AT SURGERY SERVICE
$1,197
$904
$175
2,331
clean
PR Incision Tendon Sheath
$679
$679
$128
1,621
clean
HC Incision Tendon Sheath (Restricted Method II CAH)
$1,026
$1,026
$21
821
clean
PR Fasciectomy Palm Only W/WO Z-Plasty Other Local Tissue Rearng/Skin Graft
—
$10,575
$2
68
clean
HC Treatment Fracture Metacarpal Closed Single W/O Manipulation Each Bone (Rest Method II CAH)
$512
$512
$609
86
clean
HC Tx Fx Phalangeal Shaft Prox/Mid Phalanx Finger/Thumb Cls W/O Manip Ea (Rest Method II CAH)
$465
$465
$572
86
clean
HC Biopsy Soft Tissue of Pelvis and Hip Deep Superficial Rt
$3,939
$3,939
$3,691
129
clean
HC Injection Arthrography Hip Without Anesthesia Bl
$824
$824
$514
129
clean
HC Injection Sacroiliac Joint Anesthetic/Steroid W/ Image Guidance Rt (Restricted Method II CAH)
$900
$900
$843
129
clean
PR Injection Proc Sacroiliac Joint Anesthetic/Steroid With Image Guidance
—
$290
$96
1,622
clean
PR Arthroplasty Acetabular and Proximal Femoral Prosthetic Replacement|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES
$452
$452
$452
1,555
clean
HC Arthoplasty Acetabular & Proximal Femoral Prosthetic Repl Rt (Restricted Method II CAH)
$2,890
$2,890
$452
4,148
clean
PR Open Tx Femoral Fx Proximal End Neck Internal Fixn/Prosthetic Repl
$2,636
$2,636
$535
777
clean
HC Treatment Fracture Proximal Femur Neck Open Internal Fixn/Prosth Repl Bl (Rest Method II CAH)
$4,845
$4,845
$86
1,685
clean
HC Treatment Fracture Femoral Inter/Peri/Subtroch With Intramedullary Impl Lt (Rest Method II CAH)
$2,770
$2,770
$191
3,241
clean
PR Tx Inter/Peri/Subtrochanteric Femoral Fx W Im Impl W/WO Screws&/Cerclage
$2,708
$2,708
$638
777
clean
HC Treatment Hip Dislocation Traumatic Closed Requiring Anesthesia Bl (Rest Method II CAH)
$2,886
$2,886
$1,803
129
clean
HC Excision Tumor Soft Tissue Thigh/Knee Subcutaneous < 3 Cm Bl
$5,760
$5,760
$3,598
129
clean
PR Arthroplasty Knee Condyle&Plateau Med/Lat Cpts W/WO Patella Resurfacing
$2,821
$2,821
$738
845
clean
HC Arthro Knee/Condyle/Plateau Med/Lat W/or W/O Patella Resurf (Tka) Bl(Rest Method II CAH)
$4,253
$4,253
$299
4,797
clean
HC Treatment Fracture Femoral Shaft Open W/Ins Intramedullary Implant Lt (Restricted Method II CAH)
$3,190
$3,190
$2,989
129
clean
HC Treatment Fracture Femoral Distal Medial/Lateral Condoyle Closed WO Manipulation Lt
$2,471
$2,471
$2,315
129
clean
HC Treatment Fracture Femoral Supra/Transcondylar Open W/Intercondylar Extn Rt (Rest Method II CAH)
$2,920
$2,920
$2,736
129
clean
HC Treatment Fracture Patellar Closed W/O Manipulation Bl
$3,707
$3,707
$2,315
129
clean
PR Open Tx Patellar Fx W/if and/or Patellectomy and Soft Tissue Repair
$1,687
$1,687
$342
777
clean
PR Open Tx Patellar Fx W/if and/or Patellectomy and Soft Tissue Repair|ASSISTANT SURGEON
$270
$270
$119
2,334
clean
PR Incision and Drainage Leg or Ankle Deep Abscess or Hematoma
$891
$891
$166
778
clean
Showing the first 200 of 2,627 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 80361/b
warn
mrf_negotiated_above_gross
highest negotiated rate $114 exceeds the gross charge $109
CPT 26010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,706 exceeds the gross charge $1,197
CPT 86581/b
warn
mrf_negotiated_above_gross
highest negotiated rate $185 exceeds the gross charge $110
CPT 91320/b
warn
mrf_negotiated_above_gross
highest negotiated rate $168 exceeds the gross charge $151
CPT 93306/o
warn
mrf_negotiated_above_gross
highest negotiated rate $727 exceeds the gross charge $236
CPT 93308/o
warn
mrf_negotiated_above_gross
highest negotiated rate $288 exceeds the gross charge $85
CPT 94060/o
warn
mrf_negotiated_above_gross
highest negotiated rate $168 exceeds the gross charge $21
CPT 94726/o
warn
mrf_negotiated_above_gross
highest negotiated rate $160 exceeds the gross charge $25
CPT 94729/o
warn
mrf_negotiated_above_gross
highest negotiated rate $166 exceeds the gross charge $18
CPT J3030/b
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $41
CPT 38222/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,704 exceeds the gross charge $158
CPT A9543/b
warn
mrf_negotiated_above_gross
highest negotiated rate $66,805 exceeds the gross charge $55,035
CPT 11981/o
warn
mrf_negotiated_above_gross
highest negotiated rate $524 exceeds the gross charge $330
CPT 12001/o
warn
mrf_negotiated_above_gross
highest negotiated rate $467 exceeds the gross charge $309
CPT J0285/b
warn
mrf_negotiated_above_gross
highest negotiated rate $34 exceeds the gross charge $9
CPT 80349/b
warn
mrf_negotiated_above_gross
highest negotiated rate $114 exceeds the gross charge $96
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, min, max differ, so no cross-line comparison was made for this item
CPT J0490/b
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 Q5101/b
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 81003/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 J0572/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT Q5106/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26010/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 82088/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0612/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 Q5110/b
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 26055/b
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 82150/b
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 J0640/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q5115/b
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 26055/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 82247/b
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 J0665/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 Q5116/b
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 26600/b
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 82530/b
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 J0690/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q5117/b
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 26720/b
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, min, max differ, so no cross-line comparison was made for this item
CPT J0692/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 Q5119/b
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 27040/b
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 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 J0696/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 Q5123/b
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 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, min, max differ, so no cross-line comparison was made for this item
CPT J0696/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT Q9967/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 27096/b
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 84155/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 J0697/b
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 V2630/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 27096/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 85018/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 J0702/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT V2632/b
info
mrf_item_fields_vary
this code and setting cover at least 106 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27130/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85246/b
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 J0717/b
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 V2785/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27130/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 85610/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 J0736/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 V2787/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 27236/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 86300/b
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 J0741/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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 27245/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 86376/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0780/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross 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 27252/b
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 J0870/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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 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 86644/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0878/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27447/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86765/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0881/b
info
mrf_item_fields_vary
this code and setting cover at least 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 27447/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 86880/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0885/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27506/b
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 86886/b
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 J0895/b
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 27508/b
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 87081/b
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 J0896/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27513/b
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 87107/b
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 J0897/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27520/b
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 88184/b
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 J1010/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27524/b
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 88313/b
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 J1010/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, min, max differ, so no cross-line comparison was made for this item
CPT 27605/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90460/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1100/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27650/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 90461/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1100/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 27654/b
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 90471/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1110/b
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 27687/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90472/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1160/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27687/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 90473/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1165/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27760/b
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 90474/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1171/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 27766/b
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 90480/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1190/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27780/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90653/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1200/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 27786/b
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 90675/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1250/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 27814/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90677/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1271/b
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 27823/b
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 90707/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1303/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27829/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90714/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1308/b
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 gross, cash differ, so no cross-line comparison was made for this item
CPT 90715/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1335/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 28122/b
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 90732/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1364/b
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, min, max differ, so no cross-line comparison was made for this item
CPT 90734/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1447/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 28190/b
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 90744/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1450/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 28285/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 90746/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1561/b
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 28288/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 J1568/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 28298/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 92960/b
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 J1569/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 28470/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93005/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J1570/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 28730/b
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 93010/b
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 J1580/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 28730/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 93306/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 J1644/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 28740/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 J1650/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 28750/b
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 93306/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J1720/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 28750/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 93308/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 J1805/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 28820/b
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 J1815/b
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 28820/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 93308/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J1885/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 28825/b
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 93321/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 J1939/b
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 93325/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 J1953/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29065/b
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 93880/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 differ, so no cross-line comparison was made for this item
CPT J1956/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29075/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 93931/b
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 J2060/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29075/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 93970/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 differ, so no cross-line comparison was made for this item
CPT J2175/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29105/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 93971/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 differ, so no cross-line comparison was made for this item
CPT J2182/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29125/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 J2185/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29345/b
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 94060/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item