Service
Code
Listed
Cash
Negotiated
Rates
Checks
Jak2 Exons 12 - 15 Sequencing
$1,178
$884
$937
2
clean
Jak2 Exons 12 - 15 Sequencing
$1,178
$884
$710
2
clean
Ig Paraprotein Qual Imprcip&Ms Bld/UR W/Isotype
$105
$79
$74
4
clean
Ig Paraprotein Qual Imprcip&Ms Bld/UR W/Isotype
$105
$79
$81
4
clean
Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2
$2,097
$1,573
$1,667
2
clean
Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2
$2,097
$1,573
$1,483
3
clean
Nfct Ds Rna 4 Targets Upper Respiratory Specimen
$478
$359
$296
3
clean
Nfct Ds Rna 4 Targets Upper Respiratory Specimen
$478
$359
$338
3
clean
Neurofilament Light Chain Digital Ia Plasma Quan
$1,758
$1,319
$962
1
clean
MAYO Glycine receptor alpha1 IgG, serum
$1,027
$770
$636
1
clean
Mayo, Kelch-Like Protein 11 Antibody, Cell Binding Assay, Serum
$1,027
$770
$636
1
clean
Fine Needle Aspiration Bx W/US Gdn 1st Lesion
$1,004
$753
$579
7
clean
Fine Needle Aspiration Bx W/US Gdn 1st Lesion
$1,004
$753
$835
22
clean
Fine Needle Aspiration Bx W/US Gdn Ea Addl
$809
$607
$316
2
clean
Image-Guided Catheter Fluid Collection Drainage
$654
$491
$861
1
clean
I&D Abscess Smp
$376
$282
$283
2
clean
I&D Abscess Smp
$376
$282
$236
5
clean
I&D Abscess Cplx
$468
$351
$359
1
clean
Incision/Remove FB Subq Smp
$550
$413
$430
2
clean
Aspiration Abscess/Hema/Bulla/Cyst
$444
$333
$474
3
clean
Debride Skin/Subq Tissue/Muscle
$957
$718
$727
1
clean
Exc Lesn Bgn Trunk/Arm/Leg 1.1-2.0
$1,092
$819
$1,328
2
clean
Exc Lesn Bgn Trunk/Arm/Leg 2.1-3.0
$1,092
$819
$663
1
clean
Exc Lesn Bgn Trunk/Arm/Leg >4.0cm
$3,223
$2,417
$1,573
1
clean
Exc Lesn Bgn Trunk/Arm/Leg >4.0cm
$3,223
$2,417
$3,223
1
clean
Exc Lesn Bgn Sclp/Hnd/Gen 1.1-2.0cm
$1,092
$819
$2,061
1
clean
Exc Lesn Bgn Sclp/Hnd/Gen 2.1-3.0cm
$3,223
$2,417
$1,924
1
clean
Exc Lesn Bgn Sclp/Hnd/Gen >4.0cm
$4,884
$3,663
$3,399
1
clean
Exc Lesn Mal Trunk/Arm/Leg 1.1-2.0
$1,092
$819
$474
1
clean
Exc Lesn Mal Trunk/Arm/Leg 2.1-3.0
$1,092
$819
$658
1
clean
Exc Lesn Mal Trunk/Arm/Leg >4.0cm
$3,223
$2,417
$1,924
1
clean
Exc Lesn Mal Sclp/Hnd/Gen 1.1-2.0cm
$1,092
$819
$1,060
1
clean
Exc Lesn Mal Sclp/Hnd/Gen 1.1-2.0cm
$1,092
$819
$835
2
clean
Exc Lesn Mal Sclp/Hnd/Gen 2.1-3.0cm
$1,803
$1,352
$1,262
1
clean
Exc Lesn Mal Sclp/Hnd/Gen 3.1-4.0cm
$3,223
$2,417
$2,061
1
clean
Exc Lesn Mal Face/Ear/Lip 1.1-2.0cm
$1,092
$819
$835
1
clean
Exc Lesn Mal Face/Ear/Lip 2.1-3.0cm
$1,940
$1,455
$1,169
1
clean
Exc Cyst Pilonidal Smp
$4,884
$3,663
$2,720
1
clean
Exc Cyst Pilonidal Smp
$4,884
$3,663
$3,455
1
clean
Removal Non-Biodegradable Drug Delivery Implant
$387
$290
$271
1
clean
Closure of Split Wound Simple - 12020
$1,074
$806
$647
1
clean
Rpr Lac Intermd Scalp/Axil <2.5cm
$669
$502
$1,993
1
clean
Rpr Lac Intermd Scalp/Axil 2.6-7.5
$818
$614
$577
2
clean
Rpr Lac Intermd Scalp/Axil 7.6-12.5
$822
$617
$474
1
clean
Rpr Lac Intermd Scalp/Axil >30.0cm
$1,238
$929
$1,238
1
clean
Rpr Lac Intermd Hnd/Ft/Gen <2.5cm
$709
$532
$427
1
clean
Rpr Lac Intermd Hnd/Ft/Gen 2.6-7.5
$813
$610
$508
1
clean
Rpr Lac Intermd Face/Ear/Lip <2.5cm
$756
$567
$474
1
clean
Rpr Lac Intermd Face/Ear/Lip5.1-7.5
$873
$655
$474
1
clean
Rpr Lac Cplx Trunk 2.6-7.5cm
$1,151
$863
$483
1
clean
Trnsf Tissue Any Area 30.1-60 Sqcm
$6,354
$4,766
$3,830
1
clean
Trnsf Tissue Any Area 30.1-60 Sqcm
$6,354
$4,766
$3,163
1
clean
Destruct Benign Lesion Up to 14 Les
$265
$199
$160
1
clean
Bx Breast 1st Lesion Strtctc
$1,973
$1,480
$1,924
1
clean
Bx Breast 1st Lesion US Imag
$1,973
$1,480
$1,924
1
clean
Bx Breast 1st Lesion MR Imag
$1,973
$1,480
$1,924
1
clean
Biopsy Breast Needle Perc W/O Guide
$1,156
$867
$1,924
1
clean
Perq Device Breast 1st Imag
$676
$507
$1,924
1
clean
Perq Device Breast Ea Imag, US Guidance
$374
$281
$835
1
clean
Biopsy Muscle Deep
$3,223
$2,417
$3,399
1
clean
Biopsy Muscle Needle Perc
$1,747
$1,310
$1,405
2
clean
Biopsy Muscle Needle Perc
$1,747
$1,310
$1,924
4
clean
Biopsy Bone Trocar/Needle Superfic
$1,803
$1,352
$1,924
1
clean
Biopsy Bone Trocar/Needle Superfic
$1,803
$1,352
$1,677
1
clean
Biopsy Bone Trocar/Needle Deep
$3,223
$2,417
$1,573
1
clean
Biopsy Bone Trocar/Needle Deep
$3,223
$2,417
$1,924
3
clean
Inject Single Tendon Origin/Insert
$477
$358
$351
1
clean
Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US
$507
$380
$351
2
clean
Arthrocentesis Aspir&/Inj Major Jt/Bursa W/US
$255
$191
$255
1
clean
Ablation Bone Tumor Perc W/CT
$10,632
$7,974
$15,279
2
clean
Exc Tumor Back/Flank Subq 3cm or Gr
$4,884
$3,663
$1,573
1
clean
Exc Tumor Back/Flank Subq 3cm or Gr
$4,884
$3,663
$2,061
2
clean
Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulation
$11,893
$8,920
$6,518
1
clean
Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulation
$11,893
$8,920
$8,483
5
clean
Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulj Lmbr
$12,771
$9,578
$8,483
2
clean
Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulj Each
$12,771
$9,578
$7,698
1
clean
Drain Abscess Finger Simple
$527
$395
$208
1
clean
Exc Tum/Vasc Mal Sft Tiss Hand/Fngr Subq <1.5cm
$1,404
$1,053
$1,306
1
clean
Control Nosebleed Posterior Initial
$400
$300
$135
1
clean
Laryngoscopy Flex
$422
$317
$188
1
clean
Laryngoscopy Flex
$422
$317
$299
3
clean
Bronchoscopy Including Brushing
$2,675
$2,006
$2,082
2
clean
Bronchoscopy Including Brushing
$2,675
$2,006
$2,048
5
clean
Bronchoscopy W/Lav Bronch Alveolar
$2,360
$1,770
$1,566
3
clean
Bronchoscopy W/Lav Bronch Alveolar
$2,360
$1,770
$2,048
5
clean
Bronchoscopy W/Bx Sgl/Multi Sites
$2,439
$1,829
$2,048
3
clean
Bronchoscopy W/Bx Sgl/Multi Sites
$2,439
$1,829
$1,566
1
clean
Bronchoscopy W/Bx Transbronchia Sgl
$2,675
$2,006
$2,866
2
clean
Bronchoscopy W/Bx Transbronchia Sgl
$2,675
$2,006
$2,995
2
clean
Bronchoscopy W/Asp Tree Initial
$671
$503
$1,232
3
clean
Bronchoscopy W/Asp Tree Initial
$671
$503
$2,048
1
clean
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux
$998
$749
$4,378
1
clean
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux
$6,244
$4,683
$6,063
1
clean
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux
$6,244
$4,683
$4,378
1
clean
Biopsy Pleura Needle Perc
$2,130
$1,598
$1,924
1
clean
Core Needle Bx Lung/Mediastinum Perq W/Img
$2,785
$2,089
$1,599
3
clean
Core Needle Bx Lung/Mediastinum Perq W/Img
$2,785
$2,089
$1,924
7
clean
Insert Cath Pleural Indwel/Tunl W/
$6,112
$4,584
$3,937
2
clean
Rmvl Ndwellg Tun Pleural Cath W/Cuf
$1,364
$1,023
$709
1
clean
Rmvl Ndwellg Tun Pleural Cath W/Cuf
$1,364
$1,023
$778
2
clean
Thoracentesis W/O Imaging Guidance
$1,364
$1,023
$786
1
clean
Thoracentesis W/Imaging Guidance
$1,311
$983
$734
3
clean
Pleur Drain W/Insrt Cath W/Image
$2,062
$1,547
$1,845
1
clean
Lyse Chest Fibrin Init Day
$1,364
$1,023
$734
1
clean
Lyse Chest Fibrin Subq Day
$273
$205
$734
1
clean
Upgrade Pacemaker Implanted
$8,191
$6,143
$12,427
1
clean
Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode
$5,239
$3,929
$3,737
1
clean
Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode
$5,239
$3,929
$2,377
1
clean
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb
$6,480
$4,860
$9,827
1
clean
Relocate Pocket Skin for Pacemaker
$5,895
$4,421
$2,172
1
clean
Remove/Rplc Perm Pm Gen Dual Sys
$4,212
$3,159
$12,427
4
clean
HC Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr
$15,642
$11,732
$38,071
2
clean
Rmvl Impltbl Dfb Plse Gen W/Repl Plse Gen 1 Lead
$5,846
$4,385
$26,654
1
clean
Rmvl Impltbl Dfb Plse Gen W/Rplcmt Plse Gen 2 Ld
$6,074
$4,556
$26,654
1
clean
HC Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld
$6,303
$4,727
$38,071
2
clean
Tcat Insj/Rpl Perm Leadless Pacemaker Rv W/Img
$8,017
$6,013
$22,646
1
clean
Insertion Subq Cardiac Rhythm Monitor W/Prgrmg
$7,795
$5,846
$9,827
1
clean
Removal Subcutaneous Cardiac Rhythm Monitor
$1,424
$1,068
$835
3
clean
Removal Subcutaneous Cardiac Rhythm Monitor
$1,424
$1,068
$663
1
clean
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr
$5,590
$4,193
$33,757
2
clean
Percutaneous Artery Thrombin Injection
$2,620
$1,965
$1,834
1
clean
Venipuncture
$16
$12
$15
2
clean
Venipuncture
$16
$12
$15
5
clean
Transfusion Blood/Comp
$782
$587
$519
7
clean
Transfusion Blood/Comp
$782
$587
$599
2
clean
Insert Cath Cv Tunlw/O Port >5yrs
$4,779
$3,584
—
0
clean
Insert Device Cv W/Port > 5 Yrs
$4,642
$3,482
$3,737
1
clean
Insert Device Cv W/Port > 5 Yrs
$4,642
$3,482
—
0
clean
Insert Cath Periph Cv W/O Port >5
$2,283
$1,712
$1,845
1
clean
Insertion Picc W/Rs&I 5 Yr/>
$1,841
$1,381
$1,845
6
clean
Insertion Picc W/Rs&I 5 Yr/>
$1,841
$1,381
$1,251
1
clean
Repl Cath Cv W/Port/Pump
$5,409
$4,057
$3,348
1
clean
Repl Device Cv Tnl W/Port
$6,597
$4,948
$3,737
1
clean
Repl Picc W/O Port/Pump
$2,337
$1,753
$1,845
1
clean
Rem Tnld Cv Cath W/O Port/Pump
$1,308
$981
—
0
clean
Rem Tnld Cv Cath W/O Port/Pump
$1,308
$981
$734
1
clean
Rem Tnld Cv Access W/Port/Pump
$2,270
$1,703
$709
3
clean
Rem Tnld Cv Access W/Port/Pump
$2,270
$1,703
$1,845
6
clean
Collect Blood Port/Access Dvc
$225
$169
$153
12
clean
Collect Blood Port/Access Dvc
$225
$169
$166
2
clean
HC Collect Blood From Catheter Venous
$219
$164
$122
1
clean
HC Collect Blood From Catheter Venous
$219
$164
$153
5
clean
Declot Port Thrombolytic Agent
$509
$382
$309
2
clean
Declot Port Thrombolytic Agent
$509
$382
$394
8
clean
Punct Arterial
$266
$200
$158
7
clean
Punct Arterial
$266
$200
$122
1
clean
Prim Perc Thrombectomy Initial Vesl
$7,323
$5,492
$21,323
2
clean
Remvoe Vena Cava Filter Endovasc
$5,832
$4,374
$3,737
1
clean
Biopsy Transcatheter
$5,124
$3,843
$3,089
1
clean
Vasc Embolize/Occlude Artery
$20,900
$15,675
$21,323
1
clean
Vasc Embolize/Occlude Organ
$14,512
$10,884
$8,748
1
clean
Ligate/Biopsy Artery Temporal|BILATERAL PROCEDURE
$3,047
$2,285
$2,359
1
clean
Ligate/Biopsy Artery Temporal|BILATERAL PROCEDURE
$3,047
$2,285
$3,500
1
clean
Diagnostic Bone Marrow Biopsies & Aspirations
$339
$254
$3,399
2
clean
Biopsy/Exc Node Lymph Ndle Super
$1,748
$1,311
$1,924
2
clean
Dentoalveolar Unlstd Proc
$1,223
$917
$737
1
clean
Biopsy Gland Salivary Needle
$1,973
$1,480
$835
1
clean
Esophagoscopy W/Dilate Guide Wire
$3,212
$2,409
$2,253
1
clean
Egd Flex Dx W/Brushing/Washing
$1,588
$1,191
$1,113
8
clean
Egd Flex Dx W/Brushing/Washing
$1,588
$1,191
$816
2
clean
Egd Flex W/Submucosal Injection
$1,588
$1,191
$1,130
2
clean
Egd Flex Transoral W/Biopsy
$1,588
$1,191
$1,113
11
clean
Egd Flex Transoral W/Biopsy
$1,588
$1,191
$1,477
5
clean
Egd W/Band Ligate Varices Esop/Gast
$3,212
$2,409
$1,696
1
clean
Egd W/Band Ligate Varices Esop/Gast
$3,212
$2,409
$2,253
4
clean
Egd W/Dilate Gastr/Duodnl Strict
$3,212
$2,409
$2,161
2
clean
Egd Flex W/Place Gastrostomy Tube
$3,212
$2,409
$2,253
1
clean
Egd W/Dilate Esoph Over Guidewire
$1,588
$1,191
$1,113
6
clean
Egd W/Dilate Esoph Over Guidewire
$1,588
$1,191
$1,206
4
clean
Egd Flex W/Balloon Dilation <30mm
$3,212
$2,409
$2,987
5
clean
Egd Flex W/Balloon Dilation <30mm
$3,212
$2,409
$2,253
9
clean
Egd W/Remove Tumor/Polyp Snare
$3,212
$2,409
$1,696
1
clean
Egd W/Remove Tumor/Polyp Snare
$3,212
$2,409
$2,253
4
clean
Egd W/Control Bleeding
$3,212
$2,409
$2,253
3
clean
Egd W/Control Bleeding
$3,212
$2,409
—
0
clean
Ercp Diagnostic
$6,443
$4,832
$4,518
1
clean
Ercp W/Sphincterotomy/Papillotomy
$6,443
$4,832
$4,510
3
clean
Ercp W/Rem Calculi/Debris/Duct(S)
$6,443
$4,832
$4,242
2
clean
Egd Lesion Ablation
$3,212
$2,409
$2,253
3
clean
Egd Lesion Ablation
$3,212
$2,409
$1,696
1
clean
Perq Replacement Gtube Not Req Revj Gstrst Trc
$412
$309
$289
4
clean
Endo Small Intestine
$3,212
$2,409
—
0
clean
Endo Small Intest W/Biopsy
$3,212
$2,409
$1,696
1
clean
Endo Eval Small Intest Pouch Biopsy
$1,544
$1,158
—
0
clean
Endo Eval Small Intest Pouch Biopsy
$1,544
$1,158
$1,083
1
clean
Colonoscopy Thru Stoma
$1,544
$1,158
$852
1
clean
Colonoscopy Thru Stoma
$1,544
$1,158
$1,083
1
clean
Colonoscopy Stoma W/Snare
$1,997
$1,498
$1,400
1
clean
Sigmoidoscopy Flexible
$1,544
$1,158
$852
1
clean
Sigmoidoscopy Flexible
$1,544
$1,158
$1,083
3
clean
Sigmoidoscopy W/Biopsy
$1,544
$1,158
$1,083
4
clean
Sigmoidoscopy W/Biopsy
$1,544
$1,158
$1,176
2
clean
Sigmoidoscopy W/Control Bleeding
$1,997
$1,498
$1,400
1
clean
Sigmoidoscopy Flex W/Submucosal Inj
$1,544
$1,158
$1,083
1
clean
Sigmoidoscopy Flex W/Submucosal Inj
$1,544
$1,158
$1,176
2
clean
Sigmoidoscopy Rem Tumor/Polyp Snare
$1,997
$1,498
$1,120
1
clean
Sigmoidoscopy Rem Tumor/Polyp Snare
$1,997
$1,498
$1,400
1
clean
Sgmdsc Flx With Endoscopic Mucosal Resection
$4,644
$3,483
$4,509
1
clean
Sgmdsc Flx With Endoscopic Mucosal Resection
$4,644
$3,483
$3,256
1
clean
Sigmoidoscopy Flx With Band Ligation(S)
$1,997
$1,498
$1,400
4
clean
Showing the first 200 of 1,628 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 10030/b
warn
mrf_negotiated_above_gross
highest negotiated rate $861 exceeds the gross charge $654
CPT 10160/b
warn
mrf_negotiated_above_gross
highest negotiated rate $489 exceeds the gross charge $444
CPT 11402/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,993 exceeds the gross charge $1,092
CPT 11422/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,061 exceeds the gross charge $1,092
CPT 12031/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,993 exceeds the gross charge $669
CPT 19100/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,924 exceeds the gross charge $1,156
CPT 19281/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,924 exceeds the gross charge $676
CPT 19285/b
warn
mrf_negotiated_above_gross
highest negotiated rate $835 exceeds the gross charge $374
CPT 20205/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,399 exceeds the gross charge $3,223
CPT 20206/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,982 exceeds the gross charge $1,747
CPT 20220/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,924 exceeds the gross charge $1,803
CPT 20982/b
warn
mrf_negotiated_above_gross
highest negotiated rate $15,279 exceeds the gross charge $10,632
CPT 31628/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,378 exceeds the gross charge $2,675
CPT 31628/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,134 exceeds the gross charge $2,675
CPT 31645/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,048 exceeds the gross charge $671
CPT 31645/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,566 exceeds the gross charge $671
CPT 31652/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,378 exceeds the gross charge $998
CPT 32562/b
warn
mrf_negotiated_above_gross
highest negotiated rate $734 exceeds the gross charge $273
CPT 33214/b
warn
mrf_negotiated_above_gross
highest negotiated rate $12,427 exceeds the gross charge $8,191
CPT 33216/b
warn
mrf_negotiated_above_gross
highest negotiated rate $9,827 exceeds the gross charge $6,480
CPT 33228/b
warn
mrf_negotiated_above_gross
highest negotiated rate $12,800 exceeds the gross charge $4,212
CPT 33249/b
warn
mrf_negotiated_above_gross
highest negotiated rate $38,071 exceeds the gross charge $15,642
CPT 33262/b
warn
mrf_negotiated_above_gross
highest negotiated rate $26,654 exceeds the gross charge $5,846
CPT 33263/b
warn
mrf_negotiated_above_gross
highest negotiated rate $26,654 exceeds the gross charge $6,074
CPT 33264/b
warn
mrf_negotiated_above_gross
highest negotiated rate $38,071 exceeds the gross charge $6,303
CPT 33274/b
warn
mrf_negotiated_above_gross
highest negotiated rate $22,646 exceeds the gross charge $8,017
CPT 33285/b
warn
mrf_negotiated_above_gross
highest negotiated rate $9,827 exceeds the gross charge $7,795
CPT 33289/b
warn
mrf_negotiated_above_gross
highest negotiated rate $33,757 exceeds the gross charge $5,590
CPT 37184/b
warn
mrf_negotiated_above_gross
highest negotiated rate $21,323 exceeds the gross charge $7,323
CPT 37242/b
warn
mrf_negotiated_above_gross
highest negotiated rate $21,323 exceeds the gross charge $20,900
CPT 37609/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,500 exceeds the gross charge $3,047
CPT 38222/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,399 exceeds the gross charge $339
CPT 38505/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,924 exceeds the gross charge $1,748
CPT 43239/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,124 exceeds the gross charge $1,588
CPT 43248/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,447 exceeds the gross charge $1,588
CPT 45378/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,124 exceeds the gross charge $1,544
CPT 47000/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,924 exceeds the gross charge $1,748
CPT 47531/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,191 exceeds the gross charge $309
CPT 47535/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,191 exceeds the gross charge $929
CPT 47536/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,191 exceeds the gross charge $630
CPT 49180/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,924 exceeds the gross charge $1,729
CPT 49185/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,924 exceeds the gross charge $530
CPT 50432/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,095 exceeds the gross charge $918
CPT 50432/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,984 exceeds the gross charge $918
CPT 50434/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,432 exceeds the gross charge $746
CPT 54150/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,990 exceeds the gross charge $333
CPT 55874/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6,036 exceeds the gross charge $2,863
CPT 76830/o
warn
mrf_negotiated_above_gross
highest negotiated rate $528 exceeds the gross charge $452
CPT 77048/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,780 exceeds the gross charge $1,135
CPT 77049/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,771 exceeds the gross charge $1,130
CPT 77372/b
warn
mrf_negotiated_above_gross
highest negotiated rate $9,077 exceeds the gross charge $6,386
CPT 86870/b
warn
mrf_negotiated_above_gross
highest negotiated rate $427 exceeds the gross charge $224
CPT 86880/b
warn
mrf_negotiated_above_gross
highest negotiated rate $71 exceeds the gross charge $66
CPT 86900/b
warn
mrf_negotiated_above_gross
highest negotiated rate $158 exceeds the gross charge $91
CPT 86902/b
warn
mrf_negotiated_above_gross
highest negotiated rate $427 exceeds the gross charge $162
CPT 86905/b
warn
mrf_negotiated_above_gross
highest negotiated rate $427 exceeds the gross charge $135
CPT 86921/b
warn
mrf_negotiated_above_gross
highest negotiated rate $203 exceeds the gross charge $110
CPT 86923/b
warn
mrf_negotiated_above_gross
highest negotiated rate $210 exceeds the gross charge $159
CPT 88184/b
warn
mrf_negotiated_above_gross
highest negotiated rate $440 exceeds the gross charge $196
CPT 88333/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $254
CPT 94618/b
warn
mrf_negotiated_above_gross
highest negotiated rate $158 exceeds the gross charge $142
CPT 94640/b
warn
mrf_negotiated_above_gross
highest negotiated rate $242 exceeds the gross charge $215
CPT G0105/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,124 exceeds the gross charge $1,544
CPT G0121/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,124 exceeds the gross charge $1,544
CPT Q9969/b
warn
mrf_negotiated_above_gross
highest negotiated rate $10 exceeds the gross charge $1
warn
mrf_rate_without_estimate
48 of 48 percentage/algorithm rates across 30 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 10005/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 10005/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 differ, so no cross-line comparison was made for this item
CPT 10006/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 20610/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 32555/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 36573/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 differ, so no cross-line comparison was made for this item
CPT 43762/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 45330/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 62328/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 70480/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 70480/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 73200/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 74150/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 74150/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 76604/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 76981/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 80299/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, max differ, so no cross-line comparison was made for this item
CPT 80299/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 80339/o
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 81479/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81479/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, min, max differ, so no cross-line comparison was made for this item
CPT 87389/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 87389/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 87635/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 87635/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 88342/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 88342/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90471/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min 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 differ, so no cross-line comparison was made for this item
CPT 90472/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90792/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 91010/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 92960/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 92960/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 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 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 96372/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 differ, so no cross-line comparison was made for this item
CPT 99285/o
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 C1713/b
info
mrf_item_fields_vary
this code and setting cover at least 976 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1713/o
info
mrf_item_fields_vary
this code and setting cover at least 976 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1726/b
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1726/o
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1729/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 C1753/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 C1758/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1763/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1763/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 C1769/b
info
mrf_item_fields_vary
this code and setting cover at least 41 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1771/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 C1771/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 C1776/b
info
mrf_item_fields_vary
this code and setting cover at least 175 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1776/o
info
mrf_item_fields_vary
this code and setting cover at least 175 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1781/b
info
mrf_item_fields_vary
this code and setting cover at least 39 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1781/o
info
mrf_item_fields_vary
this code and setting cover at least 39 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1785/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1785/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 C1788/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1788/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 C1789/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1789/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 C1819/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 C1819/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 C1887/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 C1889/b
info
mrf_item_fields_vary
this code and setting cover at least 93 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1889/o
info
mrf_item_fields_vary
this code and setting cover at least 93 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1894/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 C1898/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 C1898/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 C2617/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C2617/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, min, 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 G0010/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 differ, so no cross-line comparison was made for this item
CPT Q4128/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4128/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 Q9969/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