Service
Code
Listed
Cash
Negotiated
Rates
Checks
10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE TechFee
$248
$248
$181
2
clean
11750 Excision of nail and nail matrix, partial or complete, for permanent removal
$492
$492
$319
3
clean
12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee
$303
$303
$173
8
clean
12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee
$272
$272
$156
5
clean
12004 SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM TechFee
$272
$272
$244
1
clean
12007 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK ProFee
$574
$574
$324
1
clean
12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee
$297
$297
$170
3
clean
12013 SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee
$314
$314
$176
3
clean
12014 SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee
$342
$342
$153
1
clean
12032 REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee
$582
$582
$329
1
clean
RT Intubation, Emergency CHARGE
$523
$523
$338
4
clean
RT Airway Suction CHARGE
$317
$317
$179
2
clean
Bill Only Venipuncture
$36
$36
$6
20
clean
36430 TRANSFUSION BLOOD/BLOOD COMPONENTS TechFee
$1,092
$1,092
$652
32
clean
ARTERIAL PUNCTURE
$288
$288
$163
5
clean
43235 GASTROSCOPY Charges
$2,659
$2,659
$2,369
1
clean
43239 GASTROSCOPY W/BIOPSY Charges
$2,659
$2,659
$1,523
5
clean
43450 ESOPHAGEAL DILATION Charges
$2,659
$2,659
$1,523
5
clean
45378 COLONOSCOPY Charges
$2,539
$2,539
$1,454
4
clean
45380 COLONOSCOPY W/BIOPSY Charges
$3,347
$3,347
$2,982
3
clean
45385 SNARE POLYPECTOMY Charges
$3,347
$3,347
$1,917
8
clean
XR Mandible Less Than 4 Views
$128
$128
$78
2
clean
XR Facial Bones < 3 Views
$135
$135
$29
1
clean
XR Facial Bones 3+ Views
$190
$190
$137
8
clean
XR Nasal Bones 3+ Views
$141
$141
$114
2
clean
XR Orbits Complete
$212
$212
$153
2
clean
XR Sinuses Paranasal < 3 Views
$128
$128
$92
6
clean
XR Sinuses Paranasal Complete
$199
$199
$114
15
clean
XR Skull < 4 Views
$180
$180
$130
6
clean
XR Skull Complete
$209
$209
$151
4
clean
XR Neck Soft Tissue
$165
$165
$119
9
clean
CT Brain/Head w/o Contrast
$1,128
$1,128
$709
22
clean
CT Brain/Head w/ Contrast
$1,322
$1,322
$960
2
clean
CT Brain/Head w/ + w/o Contrast
$1,432
$1,432
$1,031
5
clean
CT Orbits Sella w/o Contrast
$1,010
$1,010
$578
5
clean
CT Maxillofacial w/o Contrast
$1,128
$1,128
$812
13
clean
CT Maxillofacial w/ Contrast
$1,187
$1,187
$855
3
clean
CT Maxillofacial w/ + w/o Contrast
$1,474
$1,474
$1,126
1
clean
CT Neck Soft Tissue w/o Contrast
$1,010
$1,010
$727
5
clean
CT Neck Soft Tissue w/ Contrast
$1,213
$1,213
$874
8
clean
CT Neck Soft Tissue w/ + w/o Contrast
$1,491
$1,491
$845
1
clean
CT Angio Brain/Head
$2,533
$2,533
$1,538
6
clean
CT Angio Neck
$1,900
$1,900
$1,088
10
clean
MRA Brain/Head w/o Contrast
$2,368
$2,368
$1,507
1
clean
MRI Brain w/o Contrast
$2,367
$2,367
$1,561
11
clean
MRI Brain w/ Contrast
$2,890
$2,890
$1,863
1
clean
MRI Brain w/ + w/o Contrast
$3,709
$3,709
$2,124
11
clean
XR Chest 1 View
$162
$162
$101
21
clean
XR Chest 2 Views
$193
$193
$131
24
clean
XR Ribs 2 Views Left
$153
$153
$99
20
clean
XR Ribs w/ PA Chest Left
$212
$212
$122
26
clean
XR Ribs 3 Views Bilateral
$212
$212
$153
3
clean
XR Ribs w/ PA Chest Bilateral
$237
$237
$170
4
clean
XR Sternum 2+ Views
$153
$153
$112
2
clean
XR Sternoclavicular Joint(s)
$153
$153
$88
1
clean
CT Chest w/o Contrast
$1,128
$1,128
$646
15
clean
CT Chest w/ Contrast
$1,348
$1,348
$858
13
clean
CT Chest w/ + w/o Contrast
$1,618
$1,618
$1,046
4
clean
CT Low Dose Count Screening
$1,618
$1,618
$1,030
14
clean
CT Angio Chest
$1,943
$1,943
$1,040
30
clean
XR Spine Cervical 2 or 3 Views
$144
$144
$104
15
clean
XR Spine Cervical 4 or 5 Views
$267
$267
$192
11
clean
XR Spine Cervical 6+ Views
$317
$317
$204
2
clean
XR Spine Thoracic 2 Views
$160
$160
$115
13
clean
XR Spine Thoracolumbar 2+ Views
$160
$160
$115
6
clean
XR Spine Scoliosis 2-3 Views
$144
$144
$104
5
clean
XR Spine Lumbosacral 2 or 3 Views
$162
$162
$116
18
clean
XR Spine Lumbosacral 4plus Views
$254
$254
$179
15
clean
XR Spine Lumbosacral w/ Bending 6+ Views
$321
$321
$206
2
clean
XR Spine Lumbosacral Bending 2-3 Views
$220
$220
$158
1
clean
CT Spine Cervical w/o Contrast
$1,123
$1,123
$731
14
clean
CT Spine Thoracic w/o Contrast
$1,123
$1,123
$809
5
clean
CT Spine Lumbar w/o Contrast
$1,128
$1,128
$812
11
clean
CT Spine Lumbar w/ Contrast
$1,364
$1,364
$771
1
clean
MRI Spine Cervical w/o Contrast
$2,397
$2,397
$1,726
12
clean
MRI Spine Cervical w/ Contrast
$2,897
$2,897
$1,873
2
clean
MRI Spine Thoracic w/o Contrast
$2,448
$2,448
$1,490
6
clean
MRI Spine Lumbar w/o Contrast
$2,431
$2,431
$1,530
15
clean
MRI Spine Cervical w/ + w/o Contrast
$3,507
$3,507
$2,525
1
clean
MRI Spine Thoracic w/ + w/o Contrast
$3,388
$3,388
$2,190
2
clean
MRI Spine Lumbar w/ + w/o Contrast
$3,414
$3,414
$2,078
4
clean
XR Pelvis 1 or 2 Views
$132
$132
$85
10
clean
XR Pelvis Complete 3+ Views
$187
$187
$116
1
clean
CT Pelvis w/o Contrast
$1,095
$1,095
$788
6
clean
CT Pelvis w/ Contrast
$1,366
$1,366
$984
3
clean
MRI Pelvis w/o Contrast
$2,448
$2,448
$630
1
clean
MRI Pelvis w/ + w/o Contrast
$3,388
$3,388
$1,318
1
clean
XR Sacroiliac Joints 3+ Views
$179
$179
$116
1
clean
XR Sacrum/Coccyx 2+ Views
$179
$179
$129
7
clean
XR Clavicle Left
$134
$134
$95
4
clean
XR Scapula Left
$135
$135
$87
8
clean
XR Shoulder 1 View Left
$135
$135
$87
10
clean
XR Shoulder Complete 2+ Views Left
$165
$165
$105
38
clean
XR Humerus Left
$128
$128
$81
24
clean
XR Elbow 2 Views Left
$168
$168
$121
14
clean
XR Elbow Complete 3+ Views Left
$177
$177
$120
20
clean
XR Forearm 2 Views Left
$127
$127
$88
26
clean
XR Wrist 2 Views Left
$132
$132
$76
6
clean
XR Wrist Complete 3+ Views Left
$165
$165
$113
24
clean
XR Hand 2 Views Left
$145
$145
$94
8
clean
XR Hand Complete 3+ Views Left
$144
$144
$92
30
clean
Fingers minimum of 2 Views
$165
$165
$119
132
clean
CT Elbow w/o Contrast Left
$961
$961
$616
48
clean
CT Elbow w/ Contrast Left
$1,128
$1,128
$746
24
clean
CT Elbow w/ + w/o Contrast Left
$1,416
$1,416
$1,001
24
clean
MRI UE Non Joint w/o Contrast Lt
$2,363
$2,363
$1,701
2
clean
MRI Shoulder w/o Contrast Left
$2,312
$2,312
$1,324
32
clean
XR Hip 1 View Left
$165
$165
$95
8
clean
XR Hip 2-3 Views w/AP Pelvis Left
$144
$144
$97
24
clean
XR Hips Min 5 Views w/AP Pelvis Bilat
$204
$204
$147
12
clean
XR Femur 2 Views Left
$135
$135
$92
20
clean
XR Knee 1 or 2 Views Left
$144
$144
$83
16
clean
XR Knee 3 Views Left
$169
$169
$99
30
clean
XR Knee Complete 4+ Views Left
$186
$186
$127
24
clean
XR Knee 1 View Standing AP Bilateral
$165
$165
$53
1
clean
XR Tibia/Fibula Left
$153
$153
$99
26
clean
XR Ankle 2 Views Left
$128
$128
$92
2
clean
XR Ankle Complete 3+ Views Left
$150
$150
$92
28
clean
XR Foot 2 Views Left
$150
$150
$108
2
clean
XR Foot Complete 3+ Views Left
$165
$165
$106
34
clean
XR Calcaneus Left
$135
$135
$77
16
clean
XR Toe(1st Digit) 2+ Views Left
$165
$165
$119
117
clean
CT Ankle w/o Contrast Left
$1,130
$1,130
$670
130
clean
CT Ankle w/ Contrast Left
$1,128
$1,128
$812
13
clean
CT Angio Lower Extremity Left
$1,639
$1,639
$1,460
2
clean
MRI Ankle w/o Contrast Left
$2,312
$2,312
$1,530
130
clean
MRI Ankle w/ + w/o Contrast Left
$3,237
$3,237
$1,742
10
clean
XR Abdomen KUB 1 View
$160
$160
$108
16
clean
XR Abdomen Complete w Decub and/or Erect
$190
$190
$137
9
clean
XR Abdomen Series + Chest 1 View
$254
$254
$183
8
clean
CT Abdomen w/o Contrast
$1,313
$1,313
$946
4
clean
CT Abdomen w/ Contrast
$1,339
$1,339
$891
4
clean
CT Abdomen w/ + w/o Contrast
$1,937
$1,937
$1,233
5
clean
CT Angio Abdomen and Pelvis
$1,898
$1,898
$1,389
2
clean
CT Abdomen and Pelvis w/o Contrast
$2,187
$2,187
$1,252
20
clean
CT Abdomen and Pelvis w/ Contrast
$2,705
$2,705
$1,549
20
clean
CT Abdomen and Pelvis w/ + w/o Contrast
$3,454
$3,454
$2,398
13
clean
MRI Abdomen w/o Contrast
$2,448
$2,448
$1,208
1
clean
MRI Abdomen w/ Contrast
$2,929
$2,929
$2,109
1
clean
MRI Abdomen w/ + w/o Contrast
$3,388
$3,388
$1,751
4
clean
CT Angio Abdomen Aorta + Iliofemoral
$2,533
$2,533
$1,638
4
clean
US Head/Neck Soft Tissue
$339
$339
$204
36
clean
US Breast Complete Left
$339
$339
$244
2
clean
US Breast Limited Bilat
$570
$570
$205
42
clean
US Abdomen Complete
$339
$339
$201
16
clean
76705 US Abdomen/Lower Back Limited
$317
$317
$208
126
clean
US AAA Screening
$339
$339
$244
1
clean
US Retroperitoneal Complete
$339
$339
$208
15
clean
US OB < 14 Weeks Single
$380
$380
$273
2
clean
JPH US OB TRANSVAGINAL
$570
$570
$403
4
clean
JPH US TRANSVAGINAL NON-OB
$570
$570
$410
24
clean
US Pelvic Non OB
$339
$339
$230
12
clean
US Bladder Scan
$380
$380
$273
3
clean
US Scrotum (Contents) w/ Doppler if ind
$339
$339
$244
4
clean
US Extremity Nonvascular Complete Left
$339
$339
$244
2
clean
US Extremity Nonvascular Limited Left
$339
$339
$244
18
clean
JPH MA SCREENING TOMO 3D BILAT
$283
$283
$204
21
clean
MG Mammo Digital Diagnostic Left
$209
$209
$151
14
clean
MG Mammo Digital Diagnostic Bilat
$260
$260
$149
7
clean
MG Mammo Digital Screening Bilateral
$221
$221
$150
40
clean
XR Bone Age Studies
$166
$166
$120
4
clean
BD Bone Density DEXA Axial Skeleton
$422
$422
$255
18
clean
Basic Metabolic Panel (BMP) FSI
$132
$132
$74
19
clean
Electrolytes FSI
$37
$37
$21
2
clean
Comprehensive Metabolic Panel (CMP) FSI
$165
$165
$93
46
clean
Lipid Profile FSI
$138
$138
$77
42
clean
Renal Function Panel FSI
$66
$66
$37
15
clean
Hepatitis Panel (4) REF
$163
$163
$48
9
clean
Hepatic Function Panel FSI
$51
$51
$16
12
clean
Acetaminophen Level FSI
$95
$95
$19
11
clean
Lamotrigine REF
$198
$198
$19
1
clean
Carbamazepine/Tegretol FSI
$83
$83
$15
4
clean
Digoxin Level FSI
$92
$92
$33
4
clean
Valproic Acid FSI
$94
$94
$53
6
clean
Levetiracetam REF
$231
$231
$13
5
clean
Lithium REF
$48
$48
$17
2
clean
Salicylate FSI
$48
$48
$19
11
clean
Oxcarbazepine (Trileptal),S REF
$77
$77
$13
1
clean
Phenobarbital REF
$50
$50
$22
2
clean
Phenytoin FSI
$79
$79
$13
5
clean
Phenytoin, Free REF
$89
$89
$14
1
clean
Tacrolimus by Immunoassay REF
$88
$88
$50
3
clean
Theophylline REF
$85
$85
$14
1
clean
Vancomycin Peak FSI
$91
$91
$33
24
clean
Drug Screen Urine Observation REF
$28
$28
$24
4
clean
Drugs of Abuse Scr ONLY, 8, WB REF
$220
$220
$74
34
clean
Urinalysis Complete with Culture if Indicated
$39
$39
$22
23
clean
Urinalysis Complete FSI
$39
$39
$8
49
clean
Urinalysis Microscopic FSI
$21
$21
$12
2
clean
Pregnancy Test Urine FSI
$28
$28
$9
17
clean
URINE VOLUME
$20
$20
$11
1
clean
DNA ENZYMATIC DIGESTION
$451
$451
$741
2
clean
Factor II, DNA Analysis REF
$169
$169
$66
1
clean
Hered.Hemochromatosis, DNA REF
$671
$671
$225
2
clean
MPL Mutation Analysis REF
$1,485
$1,485
$363
2
clean
Beta-Hydroxybutyrate REF
$94
$94
$8
1
clean
ACTH, Plasma REF
$181
$181
$109
4
clean
Albumin FSI
$29
$29
$16
4
clean
MICROALBUMIN URINE
$43
$43
$24
34
clean
Aldosterone, Lc/Ms/Ms REF
$264
$264
$41
17
clean
Showing the first 200 of 626 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 85044/b
warn
mrf_negotiated_above_gross
highest negotiated rate $95 exceeds the gross charge $26
CPT 90662/b
warn
mrf_negotiated_above_gross
highest negotiated rate $567 exceeds the gross charge $106
CPT 91320/b
warn
mrf_negotiated_above_gross
highest negotiated rate $380 exceeds the gross charge $312
CPT 92526/b
warn
mrf_negotiated_above_gross
highest negotiated rate $392 exceeds the gross charge $371
CPT 99202/b
warn
mrf_negotiated_above_gross
highest negotiated rate $296 exceeds the gross charge $121
CPT 99203/b
warn
mrf_negotiated_above_gross
highest negotiated rate $298 exceeds the gross charge $193
CPT 99212/b
warn
mrf_negotiated_above_gross
highest negotiated rate $351 exceeds the gross charge $152
CPT 99213/b
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $160
CPT 99214/b
warn
mrf_negotiated_above_gross
highest negotiated rate $349 exceeds the gross charge $167
CPT 99232/o
warn
mrf_negotiated_above_gross
highest negotiated rate $195 exceeds the gross charge $107
CPT J1940/b
warn
mrf_negotiated_above_gross
highest negotiated rate $15 exceeds the gross charge $7
CPT J1953/b
warn
mrf_negotiated_above_gross
highest negotiated rate $409 exceeds the gross charge $197
CPT J2310/b
warn
mrf_negotiated_above_gross
highest negotiated rate $108 exceeds the gross charge $44
CPT J2704/b
warn
mrf_negotiated_above_gross
highest negotiated rate $411 exceeds the gross charge $260
CPT J3030/b
warn
mrf_negotiated_above_gross
highest negotiated rate $269 exceeds the gross charge $58
MS-DRG 069/i
warn
mrf_negotiated_above_gross
highest negotiated rate $6,811 exceeds the gross charge $3,118
MS-DRG 071/i
warn
mrf_negotiated_above_gross
highest negotiated rate $15,457 exceeds the gross charge $13,571
MS-DRG 092/i
warn
mrf_negotiated_above_gross
highest negotiated rate $17,028 exceeds the gross charge $15,204
MS-DRG 101/i
warn
mrf_negotiated_above_gross
highest negotiated rate $23,838 exceeds the gross charge $8,075
MS-DRG 178/i
warn
mrf_negotiated_above_gross
highest negotiated rate $23,206 exceeds the gross charge $19,725
MS-DRG 191/i
warn
mrf_negotiated_above_gross
highest negotiated rate $7,734 exceeds the gross charge $5,802
MS-DRG 194/i
warn
mrf_negotiated_above_gross
highest negotiated rate $28,276 exceeds the gross charge $23,227
MS-DRG 292/i
warn
mrf_negotiated_above_gross
highest negotiated rate $44,274 exceeds the gross charge $18,660
MS-DRG 300/i
warn
mrf_negotiated_above_gross
highest negotiated rate $60,281 exceeds the gross charge $26,394
MS-DRG 309/i
warn
mrf_negotiated_above_gross
highest negotiated rate $31,723 exceeds the gross charge $16,963
MS-DRG 312/i
warn
mrf_negotiated_above_gross
highest negotiated rate $21,272 exceeds the gross charge $12,784
MS-DRG 389/i
warn
mrf_negotiated_above_gross
highest negotiated rate $19,035 exceeds the gross charge $8,132
MS-DRG 536/i
warn
mrf_negotiated_above_gross
highest negotiated rate $25,340 exceeds the gross charge $10,981
MS-DRG 554/i
warn
mrf_negotiated_above_gross
highest negotiated rate $88,571 exceeds the gross charge $34,758
MS-DRG 558/i
warn
mrf_negotiated_above_gross
highest negotiated rate $15,861 exceeds the gross charge $14,483
MS-DRG 561/i
warn
mrf_negotiated_above_gross
highest negotiated rate $54,491 exceeds the gross charge $23,816
MS-DRG 603/i
warn
mrf_negotiated_above_gross
highest negotiated rate $44,009 exceeds the gross charge $29,999
MS-DRG 605/i
warn
mrf_negotiated_above_gross
highest negotiated rate $92,032 exceeds the gross charge $64,258
MS-DRG 641/i
warn
mrf_negotiated_above_gross
highest negotiated rate $7,734 exceeds the gross charge $3,094
MS-DRG 683/i
warn
mrf_negotiated_above_gross
highest negotiated rate $29,653 exceeds the gross charge $13,750
MS-DRG 871/i
warn
mrf_negotiated_above_gross
highest negotiated rate $34,810 exceeds the gross charge $14,673
MS-DRG 884/i
warn
mrf_negotiated_above_gross
highest negotiated rate $54,488 exceeds the gross charge $26,395
MS-DRG 920/i
warn
mrf_negotiated_above_gross
highest negotiated rate $100,462 exceeds the gross charge $96,087
MS-DRG 947/i
warn
mrf_negotiated_above_gross
highest negotiated rate $85,158 exceeds the gross charge $57,720
MS-DRG 950/i
warn
mrf_negotiated_above_gross
highest negotiated rate $23,838 exceeds the gross charge $8,885
CPT 11750/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $492
CPT 45380/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,776 exceeds the gross charge $3,347
CPT 84165/b
warn
mrf_negotiated_above_gross
highest negotiated rate $127 exceeds the gross charge $74
CPT 84439/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 84560/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 85018/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 85025/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 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 differ, so no cross-line comparison was made for this item
CPT 85305/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 85379/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 85384/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 85610/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85730/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 86003/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 86147/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 86225/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 86235/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 differ, so no cross-line comparison was made for this item
CPT 86256/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 86317/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 86376/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86592/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 86593/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 86611/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 86704/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 86800/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 86803/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 87070/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 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 differ, so no cross-line comparison was made for this item
CPT 87101/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 87428/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 87430/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 87491/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 87493/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 87591/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 87661/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 87798/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 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 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 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93005/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 94640/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 94760/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 96360/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 96365/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 96366/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 96367/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 96368/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 96372/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 96374/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 96375/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 96376/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 97110/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 A9270/b
info
mrf_item_fields_vary
this code and setting cover at least 28 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT G0008/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 G0402/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 G0438/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 differ, so no cross-line comparison was made for this item
CPT G0439/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 differ, so no cross-line comparison was made for this item
CPT J0561/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 J0696/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0737/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 J1200/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 J1642/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 J1650/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 differ, so no cross-line comparison was made for this item
CPT J2270/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 J2550/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 J2919/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3475/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 J3490/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 differ, so no cross-line comparison was made for this item
CPT J7030/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 J7042/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
MS-DRG 189/i
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
MS-DRG 190/i
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
MS-DRG 193/i
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
MS-DRG 640/i
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
MS-DRG 684/i
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
MS-DRG 690/i
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 71275/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 73221/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 73700/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 76642/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 76705/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 80053/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 80061/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 80305/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 80307/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 81003/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81025/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 81206/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 82024/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 82088/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 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 differ, so no cross-line comparison was made for this item
CPT 82157/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 82340/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 82384/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 82525/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 82533/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82542/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82570/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82607/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82627/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 82746/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 83516/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83519/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 differ, so no cross-line comparison was made for this item
CPT 83520/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 differ, so no cross-line comparison was made for this item
CPT 83735/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 83835/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83880/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 83970/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 84133/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 84144/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84146/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 84153/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84156/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84244/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 84300/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 84402/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 84403/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