Service
Code
Listed
Cash
Negotiated
Rates
Checks
RBC DNA HEA 35 AG 11 BLD GRP
—
—
$720
8
clean
LIVER DIS 10 ASSAYS W/ASH
—
—
$503
8
clean
LIVER DIS 10 ASSAYS W/NASH
—
—
$503
8
clean
ONCO PRST8 3 GENE UR ALG
—
—
$760
8
clean
ONC MRNA 5 GEN RSK URTHL CA
—
—
$760
8
clean
ONC MRNA 5 GEN RECR URTHL CA
—
—
$760
8
clean
ADRNL CORTCL TUM BCHM ASY 25
—
—
$1,305
8
clean
ONC BLADDER MRNA 219 GEN ALG
—
—
$3,490
8
clean
ONC THYR 10 MICRORNA SEQ ALG
—
—
$3,002
8
clean
ONC AML DNA DETCJ/NONDETCJ
—
—
$249
8
clean
GLYCA NUC MR SPECTRSC QUAN
—
—
$34
8
clean
ONC THYR DNA&MRNA 112 GENES
—
—
$3,600
8
clean
JAK2 GENE TRGT SEQ ALYS
—
—
$122
8
clean
RX METAB ADVRS TRGT SEQ ALYS
—
—
$742
8
clean
TPMT NUDT15 GENES
—
—
$466
8
clean
NEURO CSF PRION PRTN QUAL
—
—
$541
8
clean
TRGT GEN SEQ DNA 324 GENES
—
—
$3,500
8
clean
B BRGDRFERI ANTB 5 PRTN IGM
—
—
$17
8
clean
B BRGDRFERI ANTB 12 PRTN IGG
—
—
$17
8
clean
TBRF B GRP ANTB 4 PRTN IGM
—
—
$15
8
clean
TBRF B GRP ANTB 4 PRTN IGG
—
—
$15
8
clean
ONC BRST DUX CARC IS 12 GENE
—
—
$3,873
8
clean
ONC PRST8 MRNA 17 GENE ALG
—
—
$3,873
8
clean
ONC MERKEL CLL CARC SRM QUAN
—
—
$323
8
clean
ONC MERKEL CLL CARC SRM +/-
—
—
$323
8
clean
TC MEAS 5 BMRK SFDI M-S ALYS
—
—
$25
8
clean
ANTB TP TOTAL&RPR IA QUAL
—
—
$31
8
clean
SYFLS TST NONTREPONEMAL ANTB
—
—
$18
8
clean
CANDIDA SPECIES PNL AMP PRB
—
—
$143
8
clean
IG PARAPROTEIN QUAL BLD/UR
—
—
$43
8
clean
ONC LNG 5 CLIN RSK FACTR ALG
—
—
$3,520
8
clean
ONC MLNMA PRAME & LINC00518
—
—
$760
8
clean
ONC CUTAN MLNMA MRNA 23 GENE
—
—
$1,950
8
clean
ESW MUSCSKEL SYS NOS
—
—
$247
8
clean
HERED COLON CA DO 15 GENES
—
—
$1,744
8
clean
NEPH CKD MULT ECLIA TUM NEC
—
—
$950
8
clean
TOUCH QUANT SENSORY TEST
—
—
$37
8
clean
GSTR EMPTG 7 TIMED BRTH SPEC
—
—
$874
8
clean
VIBRATE QUANT SENSORY TEST
—
—
$37
8
clean
COOL QUANT SENSORY TEST
—
—
$59
8
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
—
$4,950
8
clean
HEAT QUANT SENSORY TEST
—
—
$37
8
clean
IADI 16S&18S RRNA GENES
—
—
$356
8
clean
TRNSPLJ DON-DRV CLL-FR DNA
—
—
$2,753
8
clean
CRD CERAMIDES LIQ CHROM PLSM
—
—
$84
8
clean
HERED BRST CA RLTD DO PANEL
—
—
$1,304
8
clean
NFCT DS DNA UNTRGT NGNRJ SEQ
—
—
$2,126
8
clean
GI IBS IA ANTI-CDTB&VINCULIN
—
—
$112
8
clean
LIVER DS 10 BIOCHEM ASY SRM
—
—
$503
8
clean
ONC SLD TUM ALYS BRCA1 BRCA2
—
—
$3,030
8
clean
ONC SOLID TUMOR 30 PRTN TRGT
—
—
$1,305
8
clean
EXC RECTAL TUMOR ENDOSCOPIC
—
—
$6,078
8
clean
PERQ SACRAL AUGMT UNILAT INJ
—
—
$7,265
8
clean
PERQ SACRAL AUGMT BILAT INJ
—
—
$7,265
8
clean
POST VERT ARTHRPLST 1 LUMBAR
—
—
$12,854
8
clean
NFCT DS 22 TRGT SARS-COV-2
—
—
$417
9
clean
NEURO ALZHEIMER CELL AGGREGJ
—
—
$2,215
8
clean
CLEAR EYELID GLAND W/HEAT
—
—
$133
8
clean
NEURO ALZHEIMER QUAN IMAGING
—
—
$511
8
clean
NJX PLATELET PLASMA
—
—
$447
8
clean
TRLUML PERIP ATHRC BRCHIOCPH
—
—
$11,558
8
clean
TRLUML PERIP ATHRC ILIAC ART
—
—
$18,354
8
clean
TRGT GEN SEQ ALYS PNL 311+
—
—
$3,500
8
clean
Lab Fee Schedule #674
—
—
$143
17
clean
HC NFCT DS RNA 4 TARGETS SARSCOVID FLU RSV
$229
$92
$143
25
clean
TRGT GEN SEQ ALYS PNL 55-74
—
—
$5,000
8
clean
ONC THYR MUT ALYS 10 GEN&37
—
—
$1,266
8
clean
ONC SLD ORG NEO DNA 505 GENE
—
—
$2,920
8
clean
ONC LUNG MRNA QUAN PCR 11&3
—
—
$3,873
8
clean
ONC BRST DUX CARC 7 PROTEINS
—
—
$5,435
8
clean
CRD CAD ALYS 3 PRTN 3 PARAM
—
—
$391
8
clean
CRD CV DS ALY 4 PRTN PLM ALG
—
—
$391
8
clean
NFCT DS BCT QUAN ANTMCRB SC
—
—
$8
8
clean
AI DS SLE ALYS 8 IGG AUTOANT
—
—
$841
8
clean
ONC CUTAN SQ CLL CA MRNA 40
—
—
$8,500
8
clean
NEPH RNA PSTTRNSPL PERPH BLD
—
—
$2,650
8
clean
TRGT GEN SEQ ALYS PNL 83+
—
—
$5,000
8
clean
ONC NEO XOME&TRNS SEQ ALYS
—
—
$3,438
8
clean
Tear film imaging, unilateral or bilateral, with interpretation and report
—
—
$37
8
clean
ONC SLD ORGN TGSA DNA 84/+
—
—
$3,500
8
clean
ONC PLSM CELL DO&MYELOMA ID
—
—
$2,435
8
clean
ONC SLD TUM CRCG TUM CL SLCT
—
—
$2,435
8
clean
TRNSCTH RENAL SYMP DENRV BIL
—
—
$5,699
8
clean
ONC PRST8 MRNA HOXC6 & DLX1
—
—
$760
8
clean
ONC PAN CA ALYS MRD PLASMA
—
—
$2,920
8
clean
HEP NAFLD SEMIQ EVL 28 LIPID
—
—
$792
8
clean
PSYC GENOM ALYS PNL 15 GEN
—
—
$1,336
8
clean
RX METAB/PCX DNA 16 GEN ALYS
—
—
$1,336
8
clean
RX METAB/PCX DNA 25 GEN ALYS
—
—
$742
8
clean
RX METAB/PCX DNA 27GEN RX IA
—
—
$742
8
clean
RSA LOWER EXTR EXAM
—
—
$87
8
clean
NFCT DS BCT/VIRAL TRAIL IP10
—
—
$261
8
clean
APOL1 RISK VARIANTS
—
—
$137
8
clean
ONC OROP/ANAL 17 DNA DDPCR
—
—
$1,800
8
clean
BIA WHOLE BODY
—
—
$29
8
clean
NEURO ALYS ß-AMYL 1-42&1-40
—
—
$261
8
clean
ONC PRST8 CA ALYS ALL PSA
—
—
$760
8
clean
ONC LUNG ELISA 7 AUTOANT ALG
—
—
$783
8
clean
NEURFLMNT LT CHN DIG IA QUAN
—
—
$116
8
clean
ONC URTHL MRNA 5 GEN ALG
—
—
$760
8
clean
ONC BLDR 10 UR HRBR URTHL CA
—
—
$897
8
clean
ONC BLDR 10 PRB RECR BLDR CA
—
—
$897
8
clean
ONC OVRN BCHM ASY 7 PRTN ALG
—
—
$897
8
clean
ONC PRST8 CA IMG ALYS 128
—
—
$706
8
clean
VIS FIELD ASSMNT TECH SUPPT
—
—
$37
8
clean
TGSAP SL OR NEO DNA523&RNA55
—
—
$3,289
8
clean
ONC NONSM CLL LNG CA 37 GEN
—
—
$3,500
8
clean
NEU PRKSN MSFL a-SYNCLN PRTN
—
—
$541
8
clean
PFAS 16 PFAS COMPND LC MS/MS
—
—
$199
8
clean
HDR ELCTR NTRST/NTRCV BRCHTX
—
—
$697
8
clean
GI BARET ESPH DNA MTHYLN ALY
—
—
$1,755
8
clean
COLGN CRS-LINK CRN&PACHYMTRY
—
—
$2,380
8
clean
ONC PRST8 MRNA 18 GEN 1ST UR
—
—
$760
8
clean
ONC BRST SEMIQ MEAS THYM KN
—
—
$323
8
clean
ONC LUNG FLOW CYTMTRY 5 MRK
—
—
$760
8
clean
NEPH DBTC CKD MULT ECLIA ALG
—
—
$950
8
clean
INSJ/RPLC CARDIAC MODULJ SYS
—
—
$31,427
8
clean
ONC SLD TUM DNA 80 & RNA 36
—
—
$2,920
8
clean
PSYC GENOM ALYS PNL 15 GEN
—
—
$1,336
8
clean
CV DS ACS BLD ALG 5 YR SCORE
—
—
$391
8
clean
PRGRMG EVAL CARDIAC MODULJ
—
—
$37
8
clean
INTERRO EVAL CARDIAC MODULJ
—
—
$37
8
clean
ONC PAN SOLID TUM ALYS DNA
—
—
$1,904
8
clean
GI MALABS AAT CALPRO PNCRTC
—
—
$62
8
clean
GLY RCPTR ALPHA1 IGG SRM/CSF
—
—
$37
8
clean
KLHL11 ANTB SR/CSF ASY QUAL
—
—
$37
8
clean
ONC PRST8 5 DNA REG MRK PCR
—
—
$760
8
clean
RX METAB ADVRS VRNT ALYS 25
—
—
$417
8
clean
ABLTJ PERC LXTR/PERPH NRV
—
—
$1,955
8
clean
ABLTJ PERC PLEX/TRNCL NRV
—
—
$8,787
8
clean
NEURFLMNT LT CHN ULTRSENS IA
—
—
$114
8
clean
INSJ IMPLTBL GLUCOSE SENSOR
—
—
$52
8
clean
RMVL IMPLTBL GLUCOSE SENSOR
—
—
$61
8
clean
REMVL INSJ IMPLTBL GLUC SENS
—
—
$87
8
clean
INSJ AQUEOUS DRAIN DEV 1ST
—
—
$5,328
8
clean
VISUAL EP TEST FOR GLAUCOMA
—
—
$129
8
clean
ONC SLD TUM BLD/SLV 648 GENE
—
—
$4,500
8
clean
HERED PRST8 CA GSAP 23 GENES
—
—
$1,304
8
clean
FXJL ABL LSR 1ST 100 SQ CM
—
—
$740
8
clean
OCT MID EAR I&R UNILATERAL
—
—
$37
8
clean
ONC SOL TUM CFDNA&RNA NGS GM
—
—
$3,576
8
clean
OCT MID EAR I&R BILATERAL
—
—
$37
8
clean
EV FEMPOP ARTL REVSC
—
—
$11,558
8
clean
NEAR IFR 2IMG MIBMN GLND I&R
—
—
$59
8
clean
PATTERN ERG W/I&R
—
—
$48
8
clean
ESW INTEG WND HLG 1ST WND
—
—
$201
8
clean
INSJ/RPLCMT COMPL IIMS
—
—
$19,285
8
clean
PRGRMG DEV EVAL IIMS IP
—
—
$37
8
clean
INTERROG DEV EVAL IIMS IP
—
—
$37
8
clean
ANTMC GUIDE 3D PRINT 1ST GD
—
—
$133
8
clean
EVAC MEIBOMIAN GLND HEAT BI
—
—
$59
8
clean
INSJ/RPLCMT ICDS SS ELTRD
—
—
$31,427
8
clean
PRGRMG DEV EVAL ICDS SS IP
—
—
$37
8
clean
INTERROG DEV EVAL ICDS SS IP
—
—
$37
8
clean
REM INTERROG DEV ICDS TECH
—
—
$37
8
clean
ABLTJ MAL BRST TUM PERQ CRTX
—
—
$3,920
8
clean
ELEC ALYS CPLX PRGRMG IINS
—
—
$95
8
clean
R-T FLUOR WOUND IMG 1ST SITE
—
—
$216
8
clean
ABLT IRE 1+ O/T LV/PRST8 PRQ
—
—
$10,643
8
clean
ABLTJ IRE 1+TUMORS OPEN
—
—
$10,643
8
clean
REM OCT RTA TECHL SPRT MIN 8
—
—
$790
8
clean
EVASC VEN ARTLZ TIBL/PRNL VN
—
—
$44,100
8
clean
PERQ NJX ALGC FLUOR LMBR 1ST
—
—
$12,854
8
clean
PERQ NJX ALGC CT LMBR 1ST
—
—
$12,854
8
clean
CT BREAST W/3D BI C-/C+
—
—
$349
9
clean
NCNTC IFR SPCTRSC O/T PAD 1
—
—
$37
8
clean
TCAT RMVL/DBLK ICAR MAS PERQ
—
—
$5,699
8
clean
INSJ GTUBE PERQ MAG GASTRPXY
—
—
$1,921
8
clean
QUAN MR TIS WO MRI 1ORGN
—
—
$931
8
clean
QUAN MR TISS W/MRI 1ORGN
—
—
$931
8
clean
PRGRMG DEV EVAL SCRMS REMOTE
—
—
$37
8
clean
EGD FLX TRANSNASAL TUBE/CATH
—
—
$3,860
8
clean
TPRNL FOCAL ABLTJ MAL PRST8
—
—
$5,368
8
clean
ELEC IMPD SPECTRSC 1+SKN LES
—
—
$59
8
clean
IMPLT ANT SGM IO NBIO RX SYS
—
—
$4,138
8
clean
INSJ ANT SGM AQ DRG DEV 1+
—
—
$5,328
8
clean
ABLTJ B9 THYR NDUL PERQ LASR
—
—
$1,654
8
clean
HISTOTRIPSY MAL HEPATCEL TIS
—
—
$34,300
8
clean
BDY SURF MAPG PM/CVDFB F/UP
—
—
$37
8
clean
NJX B1 SUB MTRL SBCHDRL DFCT
—
—
$3,276
8
clean
QMRCP W/DX MRI SAME ANATOMY
—
—
$931
8
clean
INSTLJ FECAL MICROBIOTA SSP
—
—
$133
8
clean
TCAT INS 2CHMBR LDLS PM CMPL
—
—
$19,285
8
clean
TCAT INS 2CHMBR LDLS PM RA
—
—
$19,285
8
clean
TCAT INS 2CHMBR LDLS PM RV
—
—
$19,285
8
clean
PRGRMG EVL LDLS PM 2CHMBR IP
—
—
$37
8
clean
SUBRTA NJX RX AGT W/VTRC
—
—
$4,165
8
clean
REM MLT DAY UROFLOW SETUP
—
—
$133
8
clean
REM MLT DAY UROFLOW DEV SPLY
—
—
$129
8
clean
OPN INSJ/RPLCMT INS PTN SUBQ
—
—
$19,424
8
clean
OPN INSJ/RPLCMT INS PTN SUBF
—
—
$19,424
8
clean
REVJ/RMVL INS PTN SUBQ
—
—
$3,500
8
clean
TCAT INS 1CHMBR LDLS PM RA
—
—
$19,285
8
clean
PRGRMG EVL LDLS PM 1CHMBR IP
—
—
$37
8
clean
LOW NTSTY ESWT CORPUS CVRNSM
—
—
$250
8
clean
Showing the first 200 of 15,385 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 76937/o
warn
mrf_negotiated_above_gross
highest negotiated rate $205 exceeds the gross charge $90
CPT 77063/o
warn
mrf_negotiated_above_gross
highest negotiated rate $122 exceeds the gross charge $40
CPT 79005/o
warn
mrf_negotiated_above_gross
highest negotiated rate $995 exceeds the gross charge $631
CPT 80175/o
warn
mrf_negotiated_above_gross
highest negotiated rate $43 exceeds the gross charge $38
CPT 80177/o
warn
mrf_negotiated_above_gross
highest negotiated rate $43 exceeds the gross charge $38
CPT 80183/o
warn
mrf_negotiated_above_gross
highest negotiated rate $42 exceeds the gross charge $38
CPT 80299/o
warn
mrf_negotiated_above_gross
highest negotiated rate $77 exceeds the gross charge $66
CPT 80324/o
warn
mrf_negotiated_above_gross
highest negotiated rate $44 exceeds the gross charge $36
CPT 81162/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,752 exceeds the gross charge $2,081
CPT Q9969/o
warn
mrf_negotiated_above_gross
highest negotiated rate $16 exceeds the gross charge $10
CPT 81241/o
warn
mrf_negotiated_above_gross
highest negotiated rate $206 exceeds the gross charge $68
CPT 81256/o
warn
mrf_negotiated_above_gross
highest negotiated rate $446 exceeds the gross charge $154
CPT 81263/o
warn
mrf_negotiated_above_gross
highest negotiated rate $775 exceeds the gross charge $223
CPT 81275/o
warn
mrf_negotiated_above_gross
highest negotiated rate $642 exceeds the gross charge $461
CPT 81292/o
warn
mrf_negotiated_above_gross
highest negotiated rate $675 exceeds the gross charge $416
CPT 81298/o
warn
mrf_negotiated_above_gross
highest negotiated rate $642 exceeds the gross charge $416
CPT 81459/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,990 exceeds the gross charge $2,058
CPT 81464/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,289 exceeds the gross charge $2,058
CPT 82136/o
warn
mrf_negotiated_above_gross
highest negotiated rate $240 exceeds the gross charge $90
CPT 82239/o
warn
mrf_negotiated_above_gross
highest negotiated rate $127 exceeds the gross charge $31
CPT 82261/o
warn
mrf_negotiated_above_gross
highest negotiated rate $108 exceeds the gross charge $91
CPT 82542/o
warn
mrf_negotiated_above_gross
highest negotiated rate $228 exceeds the gross charge $167
CPT 82787/o
warn
mrf_negotiated_above_gross
highest negotiated rate $40 exceeds the gross charge $37
CPT 84270/o
warn
mrf_negotiated_above_gross
highest negotiated rate $151 exceeds the gross charge $65
CPT 85303/o
warn
mrf_negotiated_above_gross
highest negotiated rate $101 exceeds the gross charge $91
CPT 85415/o
warn
mrf_negotiated_above_gross
highest negotiated rate $162 exceeds the gross charge $97
CPT 85597/o
warn
mrf_negotiated_above_gross
highest negotiated rate $177 exceeds the gross charge $50
CPT 85810/o
warn
mrf_negotiated_above_gross
highest negotiated rate $44 exceeds the gross charge $27
CPT 86005/o
warn
mrf_negotiated_above_gross
highest negotiated rate $58 exceeds the gross charge $37
CPT 86331/o
warn
mrf_negotiated_above_gross
highest negotiated rate $106 exceeds the gross charge $70
CPT 86334/o
warn
mrf_negotiated_above_gross
highest negotiated rate $114 exceeds the gross charge $47
CPT 86631/o
warn
mrf_negotiated_above_gross
highest negotiated rate $81 exceeds the gross charge $66
CPT 86632/o
warn
mrf_negotiated_above_gross
highest negotiated rate $76 exceeds the gross charge $71
CPT 86666/o
warn
mrf_negotiated_above_gross
highest negotiated rate $132 exceeds the gross charge $71
CPT 86710/o
warn
mrf_negotiated_above_gross
highest negotiated rate $80 exceeds the gross charge $69
CPT 86713/o
warn
mrf_negotiated_above_gross
highest negotiated rate $73 exceeds the gross charge $65
CPT 86870/o
warn
mrf_negotiated_above_gross
highest negotiated rate $359 exceeds the gross charge $342
CPT 86900/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $171
CPT 87324/o
warn
mrf_negotiated_above_gross
highest negotiated rate $64 exceeds the gross charge $38
CPT 87507/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,069 exceeds the gross charge $995
CPT 87633/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,645 exceeds the gross charge $646
CPT 87634/o
warn
mrf_negotiated_above_gross
highest negotiated rate $185 exceeds the gross charge $153
CPT 87637/o
warn
mrf_negotiated_above_gross
highest negotiated rate $282 exceeds the gross charge $229
CPT 88112/o
warn
mrf_negotiated_above_gross
highest negotiated rate $109 exceeds the gross charge $43
CPT 88172/o
warn
mrf_negotiated_above_gross
highest negotiated rate $103 exceeds the gross charge $43
CPT 88173/o
warn
mrf_negotiated_above_gross
highest negotiated rate $265 exceeds the gross charge $84
CPT 88189/o
warn
mrf_negotiated_above_gross
highest negotiated rate $312 exceeds the gross charge $68
CPT 88230/o
warn
mrf_negotiated_above_gross
highest negotiated rate $692 exceeds the gross charge $255
CPT 88235/o
warn
mrf_negotiated_above_gross
highest negotiated rate $924 exceeds the gross charge $799
CPT 88237/o
warn
mrf_negotiated_above_gross
highest negotiated rate $692 exceeds the gross charge $663
CPT 88262/o
warn
mrf_negotiated_above_gross
highest negotiated rate $617 exceeds the gross charge $255
CPT 88264/o
warn
mrf_negotiated_above_gross
highest negotiated rate $824 exceeds the gross charge $663
CPT 88267/o
warn
mrf_negotiated_above_gross
highest negotiated rate $924 exceeds the gross charge $799
CPT 88309/o
warn
mrf_negotiated_above_gross
highest negotiated rate $502 exceeds the gross charge $429
CPT 88329/o
warn
mrf_negotiated_above_gross
highest negotiated rate $135 exceeds the gross charge $116
CPT 88341/o
warn
mrf_negotiated_above_gross
highest negotiated rate $338 exceeds the gross charge $185
CPT 88342/o
warn
mrf_negotiated_above_gross
highest negotiated rate $338 exceeds the gross charge $71
CPT 88344/o
warn
mrf_negotiated_above_gross
highest negotiated rate $338 exceeds the gross charge $185
CPT 88367/o
warn
mrf_negotiated_above_gross
highest negotiated rate $341 exceeds the gross charge $301
CPT 92557/o
warn
mrf_negotiated_above_gross
highest negotiated rate $97 exceeds the gross charge $88
CPT 92975/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,267 exceeds the gross charge $395
CPT 92977/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,267 exceeds the gross charge $1,186
CPT 93567/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,267 exceeds the gross charge $211
CPT 93797/o
warn
mrf_negotiated_above_gross
highest negotiated rate $620 exceeds the gross charge $318
CPT 93798/o
warn
mrf_negotiated_above_gross
highest negotiated rate $620 exceeds the gross charge $485
CPT 94625/o
warn
mrf_negotiated_above_gross
highest negotiated rate $440 exceeds the gross charge $245
CPT 94626/o
warn
mrf_negotiated_above_gross
highest negotiated rate $628 exceeds the gross charge $245
CPT 95813/o
warn
mrf_negotiated_above_gross
highest negotiated rate $315 exceeds the gross charge $97
CPT 95908/o
warn
mrf_negotiated_above_gross
highest negotiated rate $920 exceeds the gross charge $426
CPT 95909/o
warn
mrf_negotiated_above_gross
highest negotiated rate $920 exceeds the gross charge $426
CPT 95910/o
warn
mrf_negotiated_above_gross
highest negotiated rate $920 exceeds the gross charge $426
CPT 95912/o
warn
mrf_negotiated_above_gross
highest negotiated rate $920 exceeds the gross charge $638
CPT 96374/o
warn
mrf_negotiated_above_gross
highest negotiated rate $300 exceeds the gross charge $242
CPT 96401/o
warn
mrf_negotiated_above_gross
highest negotiated rate $528 exceeds the gross charge $223
CPT 96402/o
warn
mrf_negotiated_above_gross
highest negotiated rate $528 exceeds the gross charge $426
CPT 96411/o
warn
mrf_negotiated_above_gross
highest negotiated rate $528 exceeds the gross charge $215
CPT 96415/o
warn
mrf_negotiated_above_gross
highest negotiated rate $528 exceeds the gross charge $447
CPT 96417/o
warn
mrf_negotiated_above_gross
highest negotiated rate $528 exceeds the gross charge $426
CPT 97550/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $106
CPT 97551/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $49
CPT 97552/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $43
CPT 97802/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $105
CPT 97803/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $35
CPT 97804/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $73
CPT 99407/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $109
CPT A9504/o
warn
mrf_negotiated_above_gross
highest negotiated rate $253 exceeds the gross charge $76
CPT A9561/o
warn
mrf_negotiated_above_gross
highest negotiated rate $253 exceeds the gross charge $162
CPT A9606/o
warn
mrf_negotiated_above_gross
highest negotiated rate $253 exceeds the gross charge $190
CPT 0241U/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,645 exceeds the gross charge $229
CPT 10006/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,267 exceeds the gross charge $658
CPT 11042/o
warn
mrf_negotiated_above_gross
highest negotiated rate $530 exceeds the gross charge $230
CPT G0109/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $100
CPT G0269/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,267 exceeds the gross charge $914
CPT G0279/o
warn
mrf_negotiated_above_gross
highest negotiated rate $122 exceeds the gross charge $40
CPT 16020/o
warn
mrf_negotiated_above_gross
highest negotiated rate $437 exceeds the gross charge $170
CPT G0378/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,058 exceeds the gross charge $212
CPT 19084/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,267 exceeds the gross charge $950
CPT G0379/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,058 exceeds the gross charge $1,298
CPT 20501/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,267 exceeds the gross charge $609
CPT G0480/o
warn
mrf_negotiated_above_gross
highest negotiated rate $114 exceeds the gross charge $103
CPT 20551/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,267 exceeds the gross charge $545
CPT 20552/o
warn
mrf_negotiated_above_gross
highest negotiated rate $389 exceeds the gross charge $368
CPT 20611/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,267 exceeds the gross charge $545
CPT 24220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,267 exceeds the gross charge $678
CPT 25246/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,267 exceeds the gross charge $678
CPT 29280/o
warn
mrf_negotiated_above_gross
highest negotiated rate $327 exceeds the gross charge $169
CPT 36593/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,267 exceeds the gross charge $490
CPT 36598/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,267 exceeds the gross charge $759
CPT 43752/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,267 exceeds the gross charge $1,111
CPT 49451/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,267 exceeds the gross charge $1,069
CPT 49465/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,267 exceeds the gross charge $308
CPT 51798/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,267 exceeds the gross charge $171
CPT 58340/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,267 exceeds the gross charge $421
CPT 60300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,267 exceeds the gross charge $813
CPT 71271/o
warn
mrf_negotiated_above_gross
highest negotiated rate $565 exceeds the gross charge $283
CPT 72255/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,314 exceeds the gross charge $1,646
CPT L1832/o
warn
mrf_negotiated_above_gross
highest negotiated rate $685 exceeds the gross charge $339
CPT L3660/o
warn
mrf_negotiated_above_gross
highest negotiated rate $148 exceeds the gross charge $31
CPT L3670/o
warn
mrf_negotiated_above_gross
highest negotiated rate $125 exceeds the gross charge $112
CPT L4360/o
warn
mrf_negotiated_above_gross
highest negotiated rate $336 exceeds the gross charge $244
CPT M0220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $975 exceeds the gross charge $684
CPT 75898/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,161 exceeds the gross charge $326
CPT 76802/o
warn
mrf_negotiated_above_gross
highest negotiated rate $205 exceeds the gross charge $149
CPT 76820/o
warn
mrf_negotiated_above_gross
highest negotiated rate $205 exceeds the gross charge $173
warn
mrf_rate_without_estimate
68,560 of 68,560 percentage/algorithm rates across 458 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT J1160/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, 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 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 J1170/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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 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 J1190/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT Q9957/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, max differ, so no cross-line comparison was made for this item
CPT J1205/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, max differ, so no cross-line comparison was made for this item
CPT Q9958/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, max differ, so no cross-line comparison was made for this item
CPT J1230/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT Q9963/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, max differ, so no cross-line comparison was made for this item
CPT J1245/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, max differ, so no cross-line comparison was made for this item
CPT Q9965/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, max differ, so no cross-line comparison was made for this item
CPT J1250/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT Q9966/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 80307/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, max differ, so no cross-line comparison was made for this item
CPT J1265/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT Q9967/o
info
mrf_item_fields_vary
this code and setting cover at least 51 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1270/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, max differ, so no cross-line comparison was made for this item
CPT Q9968/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, max differ, so no cross-line comparison was made for this item
CPT J1303/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, max differ, so no cross-line comparison was made for this item
CPT J1325/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, max differ, so no cross-line comparison was made for this item
MS-DRG 001/i
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 J1327/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 002/i
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 J1335/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, max differ, so no cross-line comparison was made for this item
MS-DRG 003/i
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 J1364/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, max differ, so no cross-line comparison was made for this item
MS-DRG 004/i
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 J1380/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 005/i
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 J1442/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, max differ, so no cross-line comparison was made for this item
MS-DRG 006/i
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 J1447/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 007/i
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 J1450/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, max differ, so no cross-line comparison was made for this item
MS-DRG 008/i
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 J1451/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, max differ, so no cross-line comparison was made for this item
MS-DRG 010/i
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 82150/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, max differ, so no cross-line comparison was made for this item
CPT J1453/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, max differ, so no cross-line comparison was made for this item
MS-DRG 011/i
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 J1459/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 012/i
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 J1561/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 013/i
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 J1568/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, max differ, so no cross-line comparison was made for this item
MS-DRG 014/i
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 82784/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, max differ, so no cross-line comparison was made for this item
CPT J1569/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, max differ, so no cross-line comparison was made for this item
MS-DRG 016/i
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 J1570/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 017/i
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 83615/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, max differ, so no cross-line comparison was made for this item
CPT J1572/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, max differ, so no cross-line comparison was made for this item
MS-DRG 018/i
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 J1573/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, max differ, so no cross-line comparison was made for this item
MS-DRG 019/i
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 J1580/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, max differ, so no cross-line comparison was made for this item
MS-DRG 020/i
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 J1595/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, max differ, so no cross-line comparison was made for this item
MS-DRG 021/i
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 J1602/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, max differ, so no cross-line comparison was made for this item
MS-DRG 022/i
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 J1610/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, max differ, so no cross-line comparison was made for this item
MS-DRG 023/i
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 J1611/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, max differ, so no cross-line comparison was made for this item
MS-DRG 024/i
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 J1626/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, max differ, so no cross-line comparison was made for this item
MS-DRG 025/i
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 J1630/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, max differ, so no cross-line comparison was made for this item
MS-DRG 026/i
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 J1631/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, max differ, so no cross-line comparison was made for this item
MS-DRG 027/i
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 J1640/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, max differ, so no cross-line comparison was made for this item
MS-DRG 028/i
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