Service
Code
Listed
Cash
Negotiated
Rates
Checks
Respiratory Pathogen Panel Lc
$1,213
$1,092
$1,062
4
clean
10040 Acne Surgery
$150
$135
$132
4
clean
10060 Incision/drainage Of Abcess Mort
$2,355
$2,120
$706
12
clean
10061 Incision And Drainage Of Abscess; Complicated Or Multiple
$360
$324
$315
4
clean
10120-subcutaneous Tissue Simple
$1,534
$1,381
$420
8
clean
10121 Incision And Removal Of Foreign Body, Subcutaneous Tissues; Complicated
$170
$153
$149
4
clean
10140-i&d Hematoma/seroma/fluid
$3,525
$3,173
$3,085
4
clean
10160-aspiration Abscess/cyst/hematoma
$2,814
$2,533
$2,463
4
clean
11042 Debridement, Subcutaneous Tissue; First 20 Sq Cm Or Less
$170
$153
$149
4
clean
11055 Trim Skin Lesion Mort
$930
$837
$175
8
clean
11056 Trim Skin Lesion 2 To 4 Mort
$1,200
$1,080
$219
8
clean
11102 Tangential Biopsy Of Skin (Shave,curette); Single Lesion
$175
$158
$154
4
clean
11104 Punch Bx Skin Single Lesion Mort
$2,520
$2,268
$484
8
clean
11106 Incal Bx Skn Single Lesion Mort
$2,400
$2,160
$2,100
4
clean
11200 Removal Of Skin Tags <W/15 Mort
$2,400
$2,160
$431
8
clean
11201 Remove Skin Tags Add-on Mort
$150
$135
$32
8
clean
11300 Shave Skin Leision 0.05< Mort
$452
$407
$114
8
clean
11301 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs; Lesion 0.6 To 1.0cm
$121
$109
$106
4
clean
11302 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs; Lesion 1.1 To 2.0cm
$141
$127
$124
4
clean
11303 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs; Lesion >2.0cm
$157
$141
$137
4
clean
11305 Dr-shave Skin Lesion 0.5cm Mort
$300
$270
$178
12
clean
11306 Shaving Of Epidermal Or Dermal Lesion; Scalp, Neck, Hands, Feet, Genitalia; 0.6-1.0cm
$123
$111
$108
4
clean
11307 Shave Skin Lesion 1.1-2.0 Cm Mort
$600
$540
$160
8
clean
11308 Shaving Of Epidermal Or Dermal Lesion; Scalp, Neck, Hands, Feet, Genitalia; >2.0cm
$153
$138
$134
4
clean
11310 Shave Skin Lesion 0.5 Cm/< Mort
$300
$270
$109
8
clean
11311 Shaving Of Lesion; Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 0.6-1.0cm
$113
$102
$99
4
clean
11312 Rhc Shaving Of Lesion; Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 1.1-2.0cm
$162
$146
$142
4
clean
11313 Shaving Of Lesion; Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; >2.0cm
$187
$168
$164
4
clean
11400 Excision, Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewhere), Trunk, A
$125
$113
$110
4
clean
11401 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; 0.6-1.0cm
$150
$135
$132
4
clean
11402-excision Lesion Benign Trunk/extremity 1.1-2.0 Cm
$2,637
$2,373
$466
8
clean
11403 Excision,benign Lesion Diamete Mort
$3,921
$3,529
$665
8
clean
11404 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; 3.1-4.0cm
$219
$197
$192
4
clean
11406 Excision, Benign Lesion Excise Mort
$2,079
$1,871
$460
8
clean
11420 Excision, Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewhere), Scalp, N
$124
$112
$109
4
clean
11421 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genitalia; 0.6-1.0cm
$159
$143
$139
4
clean
11422 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genitalia; 1.1-2.0cm
$177
$159
$155
4
clean
11423 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genitalia; 2.1-3.0cm
$204
$184
$179
4
clean
11424 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genitalia; 3.1-4.0cm
$236
$212
$207
4
clean
11426 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genitalia; > 4.0cm
$338
$304
$296
4
clean
11440 Excision Other Benign Lesion Mort
$2,067
$1,860
$368
8
clean
11441 Excision Benigh Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips, Excised Diameter 0.
$170
$153
$149
4
clean
11442 Excision, Benign Lesion Including Margins; Face, Ears, Eyelids, Nose, Lips; 1.0-2.0cm
$190
$171
$167
4
clean
11443 Excision, Benign Lesion Including Margins; Face, Ears, Eyelids, Nose, Lips; 2.1-3.0cm
$227
$204
$199
4
clean
11444 Excision, Benign Lesion Including Margins; Face, Ears, Eyelids, Nose, Lips; 3.1-4.0cm
$285
$257
$250
4
clean
11446 Excision, Benign Lesion Including Margins; Face, Ears, Eyelids, Nose, Lips; > 4.0cm
$397
$357
$347
4
clean
11640 Excision, Malignant Lesion Fac Mort
$1,464
$1,318
$1,281
4
clean
11719 Trimming Of Nondystrophic Nails, Any Number
$28
$25
$25
4
clean
11720 Debridement Of Nail(s) By Any Method(s); 1 To 5
$62
$56
$55
4
clean
11721 Debridement Of Nail(s) By Any Method(s); 6 Or More
$90
$81
$79
4
clean
11730 Removal Of Nail Plate Mort
$600
$540
$405
12
clean
11732 Remove Nail Plate Add-on Mort
$300
$270
$68
8
clean
11740-evacuation Subungual Hematoma
$523
$471
$458
4
clean
11750 Nail Bed Removal Mort
$2,013
$1,812
$442
8
clean
11760-repair Of Nail Bed
$1,104
$994
$966
4
clean
11982 Removal, Non-biodegradable Drug Delivery Implant
$425
$383
$372
4
clean
12001-scalp/neck/trunk/genital/extremity <= 2.5 Cm
$839
$755
$169
8
clean
12002-scalp/neck/trunk/genital/extremity 2.6-7.5 Cm
$839
$755
$229
8
clean
12004-scalp/neck/trunk/genital/extremity 7.6-12.5 Cm
$839
$755
$734
4
clean
12005-scalp/neck/trunk/genital/extremity 12.6-20.0 Cm
$810
$729
$709
4
clean
12006-scalp/neck/trunk/genital/extremity 20.1-30 Cm
$1,539
$1,385
$1,347
4
clean
12011-face/ear/eyelid/nose/lip Less Than/equal To 2.5 Cm
$839
$755
$734
4
clean
12013-face/ear/eyelid/nose/lip 2.6-5.0 Cm
$1,319
$1,187
$308
8
clean
12014-face/ear/eyelid/nose/lip 5.1-7.5 Cm
$2,304
$2,074
$2,016
4
clean
12015-face/ear/eyelid/nose/lip 7.6-12.5 Cm
$2,403
$2,163
$2,103
4
clean
12016-face/ear/eyelid/nose/lip 12.6-20.0 Cm
$3,120
$2,808
$2,730
4
clean
12021-superficial Dehiscence W/packing
$1,350
$1,215
$1,182
4
clean
12031-scalp/trunk/extremity Less Than/equal To 2.5 Cm
$4,362
$3,926
$3,817
4
clean
12032-scalp/trunk/extremity 2.6-7.5cm
$1,534
$1,381
$373
8
clean
12034-scalp/trunk/extremity 7.6-12.5 Cm
$1,549
$1,394
$1,356
4
clean
12035-scalp/trunk/extremity 12.6-20.0 Cm
$1,825
$1,643
$704
8
clean
12036-scalp/trunk/extremity 20.1-30.0 Cm
$2,206
$1,985
$1,930
4
clean
12041-neck/hand/feet/genital Less Than/equal To 2.5 Cm
$1,319
$1,187
$1,154
4
clean
12051-face/ear/eye/nose/lip Less Than/equal To 2.5 Cm
$1,022
$920
$895
4
clean
12052-face/ear/eye/nose/lip 2.6-5.0 Cm
$1,022
$920
$895
4
clean
12053-face/ear/eye/nose/lip 5.1-7.5 Cm
$3,752
$3,377
$3,283
4
clean
13132-face/neck/hand/feet/genital 2.6-7.5 Cm
$3,900
$3,510
$3,413
4
clean
13133-face/neck/hand/feet/genital Each Addl 5 Cm
$1,845
$1,661
$1,615
4
clean
16000-initial Treatment First Degree Burn
$750
$675
$657
4
clean
16020-burn Dressings/debridement Small
$1,508
$1,357
$1,316
8
clean
16025-burn Dressings/debridement Medium
$1,500
$1,350
$1,313
4
clean
16030-burn Dressings/debridement Large
$1,508
$1,357
$1,320
4
clean
17000 Destruct Premalg Lesion Mort
$1,057
$951
$320
12
clean
17003 Destruction, Premalignant Lesions; Second Through 14 Lesions, Each
$30
$27
$27
4
clean
17004 Destruction, Premalignant Lesions, 15 Or More Lesions
$152
$137
$133
4
clean
17110destruction Benign; Up To 14
$2,949
$2,654
$597
8
clean
17250-chemical Cauterization Granulation Tissue
$1,500
$1,350
$1,313
4
clean
20520-removal Body Muscle Sheath; Simple
$754
$679
$660
4
clean
Amb Inj Med Admin Charge -> 20550: Injection(s); Tendon Sheath
$120
$108
$105
4
clean
20551 Inj Tendon Origin/insertion Mort
$215
$194
$124
8
clean
20552-inject Trigger Point 1-2 Muscles
$565
$509
$295
12
clean
20553 Tr Injection In Trigger Points Mort
$500
$450
$133
8
clean
20600 Arthrocentesis Small Joint Or Bursa Mort
$500
$450
$123
8
clean
20605-intermediate Aspiration/inj W/o Us
$565
$509
$295
12
clean
20610-major Joint Aspirate/inject W/o Us
$565
$509
$305
12
clean
Amb Inj Med Admin Charge -> 20611: Large Joint, Ultrasonic
$188
$169
$165
4
clean
23500clavicular W/o Manipulation
$3,201
$2,881
$2,801
4
clean
23650-shoulder W/o Anesthesia
$1,035
$932
$434
8
clean
24640-nursemaid Elbow
$3,099
$2,789
$636
8
clean
25500-radial Shaft W/o Manipulation
$4,320
$3,888
$3,780
4
clean
25530ulnar Shaft W/o Manipulation
$4,320
$3,888
$3,780
4
clean
25560-radial & Ulnar Shaft W/o Manipulation
$4,320
$3,888
$3,780
4
clean
25600-distal Radial W/o Manipulation
$5,649
$5,084
$4,943
4
clean
25605-distal Radial W/ Manipulation
$6,506
$5,855
$5,693
4
clean
25650closed Tx Ulnar Styloid Fracture
$1,455
$1,310
$1,274
4
clean
26600clsd Tx Metacarpal Fracture W/o Manip
$1,696
$1,526
$1,484
4
clean
26641-carpometacarpal Thumb
$3,201
$2,881
$2,801
4
clean
26700-metacarpophalangeal/knuckle
$2,403
$2,163
$2,103
4
clean
26720-phalanx Shaft W/o Manipulation
$3,201
$2,881
$2,801
4
clean
26725-phalanx Shaft W/ Manipulation
$4,350
$3,915
$3,807
4
clean
26750-distal Phalangeal W/o Manipulation
$1,696
$1,526
$1,484
4
clean
26770-interphalangeal Hand W/o Anesthesia
$3,159
$2,843
$2,764
4
clean
27096 Inj Proc For Saco Jt Floro Mort
$2,007
$1,806
$455
8
clean
27200-coccygeal
$565
$509
$495
4
clean
27603 Incision And Drainage, Leg Or Ankle; Deep Abscess Or Hematoma
$300
$270
$263
4
clean
27786-distal Fibular W/o Manipulation
$5,649
$5,084
$4,943
4
clean
28430talus W/o Manipulation
$4,320
$3,888
$3,780
4
clean
28470metatarsal W/o Manipulation
$5,649
$5,084
$4,943
4
clean
28515-phalanx W/ Manipulation; Not Great Toe
$1,975
$1,778
$1,729
4
clean
29065 Appl Cast Long Arm Cast
$1,665
$1,499
$1,457
4
clean
29075-cast Application Elbow To Finger (Short Arm)
$1,696
$1,526
$1,471
8
clean
29085-app Cast Hand And Lower Forearm (Gauntlet)
$1,696
$1,526
$1,484
4
clean
29105 Application Long Arm Splint Mort
$975
$878
$610
8
clean
29125 Application Short Arm Splint Mort
$942
$848
$537
12
clean
29126short Arm (Forearm To Hand)
$684
$616
$599
4
clean
29130-finger
$942
$848
$172
8
clean
29240strapping Of Shoulder
$1,273
$1,146
$1,004
8
clean
Pt Strapping Elbow, Wrist Units
$1,057
$951
$925
4
clean
29505-long Leg
$684
$616
$599
4
clean
29515-short Leg
$942
$848
$825
4
clean
Pt Strapping Knee Units
$1,057
$951
$925
4
clean
Pt Strapping Ankle, Foot Units
$1,057
$951
$925
4
clean
Pt Strapping Toes Units
$1,057
$951
$925
4
clean
Pt Unna Boot Units
$1,057
$951
$925
4
clean
29700 Removal Or Bivalving; Gauntlet, Boot Or Body Cast
$128
$115
$112
4
clean
29705-remove/bivalving Cast Full Arm/leg
$881
$793
$771
4
clean
29799unlisted Proc/cast/strap
$491
$442
$430
4
clean
30300-intranasal
$1,025
$923
$897
4
clean
30901-anterior Simple
$1,452
$1,307
$1,271
4
clean
30905-posterior Initial
$1,395
$1,256
$1,221
4
clean
30906-posterior Subsequent
$825
$743
$722
4
clean
31500-endotracheal Intubation
$1,211
$1,090
$775
8
clean
31502 Tracheotomy Tube Change Prior To Establishment Of Fistula Tract
$250
$225
$219
4
clean
N/t Suctioning
$2,470
$2,223
$2,162
4
clean
32551-insertion Chest Tube
$3,000
$2,700
$2,625
4
clean
32554-thoracentesis W/o Imaging Guidance
$1,421
$1,279
$1,244
4
clean
Pleural Drainage Percutaneous
$3,000
$2,700
$1,710
12
clean
Puncture Site
$18
$16
$16
12
clean
36430 Tr Blood Adm 0-24 Hours Mort
$3,578
$3,220
$2,242
16
clean
36556-central Line Greater Than/equal To 5 Years
$10,500
$9,450
$9,188
4
clean
36569-picc Line Insertion Greater Than/equal To 5 Years
$4,425
$3,983
$3,872
4
clean
Removal Tunneled Central Venou
$3,750
$3,375
$3,282
4
clean
Arterial Puncture
$263
$237
$231
8
clean
36680-place Needle Intraosseous Infusion
$423
$381
$371
4
clean
43761 Repositioning Of A Naso- Or Oro-gastric Feed
$300
$270
$263
4
clean
43762-replacement Of Gastrostomy Tube
$985
$887
$862
4
clean
46600 Anoscopy; Diagnostic, Including Collection Of Specimen(s) By Brushing Or Washing, When Perform
$375
$338
$329
4
clean
49082 Peritoneocentesis, Abdominal P Mort
$1,707
$1,536
$1,494
4
clean
49083-abdominal Paracentesis W/ Imaging Guide
$2,067
$1,860
$1,809
4
clean
51700 Irrigation Of Bladder Mort
$1,200
$1,080
$1,050
4
clean
51701-insert Bladder Cath Non-dwelling
$263
$237
$82
8
clean
51702-insertion Indwelling Catheter
$584
$526
$270
12
clean
51703-insert Indwelling Cath Complicated
$377
$339
$330
4
clean
51705 Change Of Cystostomy Tube Simple Mort
$450
$405
$394
4
clean
56420-i&d Bartholin Abscess
$1
$1
$1
3
clean
57135 Excision Of Vaginal Cyst Or Tumor
$400
$360
$350
4
clean
57160 Fitting And Insertion Of Pessary Or Other Intravaginal Support Device
$170
$153
$149
4
clean
58301 Removal Of Intrauterine Device (Iud)
$183
$165
$161
4
clean
59409-vaginal Delivery Only
$7,080
$6,372
$6,195
4
clean
59425 Antepartum Care Only; 4-6 Visits
$415
$374
$364
4
clean
59426 Antepartum Care Only; 7 Or More Visits
$700
$630
$613
4
clean
62270 Spinal Puncture,lumbar
$1,730
$1,557
$1,514
4
clean
62272 Lumbar Puncture/csf W/o Fluoro
$2,036
$1,832
$1,782
4
clean
62273 Epidural Blood Patch
$1,875
$1,688
$1,641
4
clean
62321 Epidural Lumbar W/guid Imag
$4,017
$3,615
$3,515
4
clean
Injection(s) of therapeutic substance
$4,128
$3,715
$1,530
9
clean
62329 Lumbar Puncture/csf With Fluoro
$2,625
$2,363
$2,297
4
clean
64400-injection Nerve Block Trigeminal
$936
$842
$819
4
clean
64405 Greater Occipital Nerve Block Mort
$3,735
$3,362
$3,269
4
clean
64479 Epidural Lumbar Subarach, C Or
$3,201
$2,881
$2,801
4
clean
Injection(s) of anesthetic into lower spine using imaging guidance
$4,110
$3,699
$1,488
6
clean
65205-conjuctival Superficial
$1,319
$1,187
$234
8
clean
65210external Eye
$1,749
$1,574
$1,531
4
clean
65220-corneal W/o Slit Lamp
$2,636
$2,372
$2,307
4
clean
65222-corneal W/slit Lamp
$2,636
$2,372
$2,307
4
clean
69200-external Auditory Canal
$349
$314
$116
8
clean
69209-cerumen Irrigation/lavage
$587
$528
$105
8
clean
69210 Remove Impacted Ear Wax Mort
$565
$509
$313
12
clean
Xr Foreign Body Localization Eye
$349
$314
$306
4
clean
Xr Mandible Less Than 4 Views
$547
$492
$479
4
clean
Xr Mandible Complete 4+ Views
$752
$677
$658
4
clean
Xr Mastoids Complete
$782
$704
$685
4
clean
Xr Facial Bones < 3 Views
$345
$311
$302
4
clean
Xr Facial Bones 3+ Views
$676
$608
$592
4
clean
Xr Nasal Bones 3+ Views
$527
$474
$461
4
clean
Xr Orbits Complete
$649
$584
$568
4
clean
Xr Sinuses Paranasal < 3 Views
$381
$343
$334
4
clean
Xr Skull < 4 Views
$510
$459
$447
4
clean
Xr Skull Complete
$752
$677
$658
4
clean
Xr Tmj Open And Closed Left
$488
$439
$427
8
clean
Showing the first 200 of 828 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
MS-DRG 406/i
warn
mrf_negotiated_above_gross
highest negotiated rate $3,812 exceeds the gross charge $3
MS-DRG 487/i
warn
mrf_negotiated_above_gross
highest negotiated rate $3,812 exceeds the gross charge $1
MS-DRG 781/i
warn
mrf_negotiated_above_gross
highest negotiated rate $3,812 exceeds the gross charge $2
MS-DRG 904/i
warn
mrf_negotiated_above_gross
highest negotiated rate $3,812 exceeds the gross charge $1
CPT 93225/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93227/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 93923/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 94640/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 94664/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 94727/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 96125/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 96360/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 96361/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 96365/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96366/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96367/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96372/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96374/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96375/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 96376/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 97535/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 97597/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 99211/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 99212/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 99213/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 99214/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 99291/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 99292/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 99407/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 10060/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 10120/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 11055/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 11056/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 11104/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 11200/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 11201/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 11300/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 11305/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 11307/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 11310/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 11402/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 11403/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 11406/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 11440/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 11730/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 11732/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 11750/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 12001/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 12002/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 12013/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 12032/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 12035/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 16020/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 17000/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17110/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 20551/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 20552/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 20553/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 20600/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 20605/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 20610/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 23650/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 24640/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 27096/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 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, min, max differ, so no cross-line comparison was made for this item
CPT 29105/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 29125/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 29130/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 29240/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 31500/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 32556/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 36430/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 50268/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 51701/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 51702/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 62323/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 64483/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 65205/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 65862/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 69200/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 69209/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 69210/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73000/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 73010/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 73030/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 73060/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 73070/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 73080/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 73090/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 73100/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 73110/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 73120/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 73130/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 73140/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 73552/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 73560/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 73562/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 73564/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 73590/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 73600/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 73610/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 73620/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 73630/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 73650/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 73660/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 76770/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 76942/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80061/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 80143/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 80306/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 81025/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 82784/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82803/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 83516/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84439/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 85018/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 86147/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 86235/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, min, max differ, so no cross-line comparison was made for this item
CPT 86765/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 86850/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 90471/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 93005/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