Service
Code
Listed
Cash
Negotiated
Rates
Checks
RBC DNA HEA 35 AG 11 BLD GRP
$2,364
$1,005
$794
15
clean
TRGT GEN SEQ DNA 324 GENES
$10,517
$4,470
$3,806
16
clean
CT PERFUSION W/CONTRAST CBF
$3,171
$1,348
$2,050
4
clean
PERQ SACRAL AUGMT UNILAT INJ
$16,149
$6,863
$9,411
16
clean
PERQ SACRAL AUGMT BILAT INJ
$13,551
$5,759
$8,783
26
clean
HARVEST AND INJECTIONS OF PLATELET RICH PLASMA USING IMAGING GUIDANCE
$4,361
$1,854
$682
15
clean
TRLUML PERIP ATHRC ILIAC ART
$82,060
$34,875
$23,775
16
clean
RESPIRATORY INFECTIOUS AGENT DETECTION BY RNA FOR SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID 19); INFLUENZA A; INFLUENZA B; AND RESPIRATORY SYNCYTIAL VIRUS; UPPER RESPIRATORY SPECIMEN; EACH REPORTED AS DETECT
$401
$171
$794
6
clean
TMVI PERCUTANEOUS APPROACH
$5,678
$2,413
$4,221
4
clean
ABLTJ MAL BRST TUM PERQ CRTX
$23,362
$9,929
$4,739
13
clean
FLUORESCENCE WOUND IMAGING FOR BACTERIA; FIRST ANATOMIC SITE
$925
$393
$277
38
clean
FLUORESCENCE WOUND IMAGING FOR BACTERIA; EACH ADDITIONAL ANATOMIC SITE
$370
$157
$794
3
clean
ABLTJ IRE 1+TUM ORGAN PERQ
$31,837
$13,531
$12,867
13
clean
IRE ABLTJ 1+TUMORS OPEN
$31,837
$13,531
$12,867
13
clean
NCNTC IFR SPCTRSC O/T PAD 1
$120
$51
$48
24
clean
TCAT INS 2CHMBR LDLS PM CMPL
$107,581
$45,722
$23,316
13
clean
TCAT INS 2CHMBR LDLS PM RA
$107,581
$45,722
$23,316
13
clean
TCAT INS 2CHMBR LDLS PM RV
$107,581
$45,722
$23,316
13
clean
TCAT INS 1CHMBR LDLS PM RA
$107,581
$45,722
$24,981
16
clean
NCNTC IFR SPCTRSC O/T PAD EA
$120
$51
$794
1
clean
FNA BX W/US GDN 1ST LES
$2,788
$1,185
$908
56
clean
FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE; EACH ADDITIONAL GROWTH
$161
$68
$51
42
clean
FNA BX W/CT GDN 1ST LES
$2,303
$979
$924
16
clean
DRAINAGE OF FLUID COLLECTION IN SOFT TISSUE USING IMAGING GUIDANCE
$2,090
$888
$1,011
32
clean
PLACEMENT OF SOFT TISSUE LOCATING DEVICE USING X-RAY; FIRST GROWTH
$3,198
$1,359
$918
16
clean
PLMT SFT TISS LOCLZJ DEV EA
$382
$162
$47
15
clean
SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS
$812
$345
$260
44
clean
COMPLICATED OR MULTIPLE DRAINAGE OF SKIN ABSCESS
$4,361
$1,854
$533
70
clean
I&D PILONIDAL CYST SIMPLE
$836
$355
$918
32
clean
COMPLICATED DRAINAGE OF CYST OF TAILBONE
$4,695
$1,995
$908
44
clean
INC&RMVL FB SUBQ TISS SMPL
$1,397
$594
$527
48
clean
INC&RMVL FB SUBQ TISS COMP
$7,476
$3,177
$2,142
32
clean
DRAINAGE OF BLOOD OR FLUID ACCUMULATION
$4,695
$1,995
$2,142
48
clean
ASPIRATION OF ABSCESS; BLOOD; OR CYST
$812
$345
$533
85
clean
COMPLEX DRAINAGE OF WOUND INFECTION AFTER SURGERY
$7,338
$3,119
$3,767
16
clean
DEBRIDE SKIN AT FX SITE
$2,331
$991
$935
16
clean
DBRDMT SUBQ TIS 1ST 20SQCM/<
$1,397
$594
$533
145
clean
DBRDMT MUSC&/FSCA 1ST 20/<
$1,397
$594
$948
60
clean
DBRDMT BONE 1ST 20 SQ CM/<
$3,889
$1,653
$2,117
72
clean
DBRDMT SUBQ TISS EACH ADDL
$109
$46
$28
85
clean
REMOVAL OF MUSCLE AND/OR TISSUE; EACH ADDITIONAL 20.0 SQ CM OR LESS
$2,315
$984
$52
81
clean
REMOVAL OF BONE; EACH ADDITIONAL 20.0 SQ CM OR LESS
$410
$174
$93
81
clean
REMOVAL OF NONCANCER THICKENED SKIN GROWTH; 1 GROWTH
$4,199
$1,785
$260
32
clean
REMOVAL OF NONCANCER THICKENED SKIN GROWTH; 2-4 GROWTHS
$3,562
$1,514
$260
28
clean
BIOPSY OF RELATED SKIN GROWTH; FIRST GROWTH
$692
$294
$492
56
clean
TANGNTL BX SKIN EA SEP/ADDL
$99
$42
$23
15
clean
PUNCH BIOPSY; FIRST SKIN GROWTH
$692
$294
$492
72
clean
PUNCH BX SKIN EA SEP/ADDL
$477
$203
$27
15
clean
INCISION BIOPSY; FIRST SKIN GROWTH
$692
$294
$890
60
clean
INCAL BX SKN EA SEP/ADDL
$477
$203
$32
15
clean
REMOVAL OF SKIN TAG; 1-15 SKIN TAGS
$3,562
$1,514
$260
32
clean
SHAVING OF SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 1.1-2.0 CM
$2,980
$1,266
$527
16
clean
EXC TR-EXT B9+MARG 0.5 CM<
$3,055
$1,298
$918
16
clean
EXC TR-EXT B9+MARG 0.6-1 CM
$2,206
$938
$527
32
clean
EXC TR-EXT B9+MARG 1.1-2 CM
$2,242
$953
$918
32
clean
EXC TR-EXT B9+MARG 2.1-3CM
$5,449
$2,316
$935
32
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 3.1-4.0 CM
$9,888
$4,202
$2,142
16
clean
EXC TR-EXT B9+MARG >4.0 CM
$7,358
$3,127
$2,142
32
clean
EXC H-F-NK-SP B9+MARG 0.5/<
$3,889
$1,653
$1,999
60
clean
EXC H-F-NK-SP B9+MARG 0.6-1
$3,889
$1,653
$935
32
clean
EXC H-F-NK-SP B9+MARG 1.1-2
$6,034
$2,564
$2,142
32
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 2.1-3.0 CM
$1,781
$757
$2,142
16
clean
EXC H-F-NK-SP B9+MARG 3.1-4
$7,358
$3,127
$2,142
32
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; MORE THAN 4.0 CM
$7,125
$3,028
$3,767
16
clean
EXC FACE-MM B9+MARG 0.6-1 CM
$2,206
$938
$918
32
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 1.1-2.0 CM
$1,454
$618
$935
16
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 3.1-4.0 CM
$8,506
$3,615
$2,142
16
clean
REMOVAL OF SKIN AND TISSUE OF ANUS OR NAVEL FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR
$5,743
$2,441
$3,767
16
clean
EXC TR-EXT MAL+MARG 0.5 CM/<
$3,828
$1,627
$935
16
clean
EXC TR-EXT MAL+MARG 0.6-1 CM
$2,242
$953
$918
16
clean
REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 1.1-2.0 CM
$2,238
$951
$527
48
clean
EXC TR-EXT MAL+MARG 2.1-3 CM
$3,828
$1,627
$929
44
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
$5,290
$2,248
$935
32
clean
EXC TR-EXT MAL+MARG >4 CM
$7,476
$3,177
$2,142
32
clean
EXC S/N/H/F/G MAL+MRG 0.6-1
$5,813
$2,471
$935
32
clean
REMOVAL OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 1.1-2.0 CM
$7,125
$3,028
$935
16
clean
REMOVAL OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 2.1-3.0 CM
$3,562
$1,514
$2,142
16
clean
REMOVAL OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; MORE THAN 4.0 CM
$9,888
$4,202
$3,767
16
clean
REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.6-1.0 CM
$3,756
$1,596
$918
16
clean
REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 1.1-2.0 CM
$1,914
$814
$918
16
clean
REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.1-3.0 CM
$2,375
$1,009
$2,142
16
clean
REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 3.1-4.0 CM
$2,375
$1,009
$2,142
16
clean
REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; MORE THAN 4.0 CM
$2,375
$1,009
$3,767
16
clean
TRIM NAIL(S) ANY NUMBER
$344
$146
$77
16
clean
DEBRIDE NAIL 6 OR MORE
$477
$203
$77
16
clean
SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL
$520
$221
$260
68
clean
SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; EACH ADDITIONAL NAIL
$463
$197
$17
39
clean
REMOVAL OF BLOOD ACCUMULATION UNDER FINGERNAIL OR TOENAIL
$215
$91
$175
58
clean
PERMANENT REMOVAL FINGERNAIL OR TOENAIL
$2,176
$925
$527
104
clean
REPAIR OF FINGERNAIL OR TOENAIL BED
$703
$299
$948
45
clean
EXCISION OF NAIL FOLD TOE
$477
$203
$527
56
clean
SIMPLE REMOVAL OF CYST OF TAILBONE
$9,888
$4,202
$3,767
16
clean
EXTENSIVE REMOVAL OF CYST OF TAILBONE
$5,743
$2,441
$3,767
16
clean
COMPLICATED REMOVAL OF CYST OF TAILBONE
$7,125
$3,028
$3,767
16
clean
INJECT SKIN LESIONS </W 7
$477
$203
$260
32
clean
REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT IMPLANT
$6,271
$2,665
$9,043
12
clean
REMOVAL OF TISSUE EXPANDER
$7,338
$3,119
$3,620
12
clean
INSERTION DRUG DLVR IMPLANT
$1,621
$689
$175
15
clean
REMOVE DRUG IMPLANT DEVICE
$357
$152
$586
30
clean
REMOVE/INSERT DRUG IMPLANT
$1,621
$689
$586
15
clean
RPR S/N/AX/GEN/TRNK 2.5CM/<
$724
$308
$263
57
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM
$703
$299
$263
58
clean
RPR S/N/AX/GEN/TRK7.6-12.5CM
$724
$308
$260
32
clean
RPR S/N/A/GEN/TRK12.6-20.0CM
$724
$308
$527
32
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 20.1-30.0 CM
$703
$299
$527
32
clean
RPR S/N/AX/GEN/TRNK >30.0 CM
$724
$308
$265
32
clean
RPR F/E/E/N/L/M 2.5 CM/<
$571
$243
$263
61
clean
RPR F/E/E/N/L/M 2.6-5.0 CM
$571
$243
$263
61
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 5.1-7.5 CM
$555
$236
$263
45
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 7.6-12.5 CM
$555
$236
$263
45
clean
RPR FE/E/EN/L/M 12.6-20.0 CM
$908
$386
$527
16
clean
SIMPLE CLOSURE OF SURFACE WOUND REOPENING
$2,545
$1,082
$948
56
clean
INTMD RPR S/A/T/EXT 2.5 CM/<
$1,676
$712
$527
48
clean
INTMD RPR S/A/T/EXT 2.6-7.5
$1,676
$712
$533
61
clean
INTMD RPR S/TR/EXT 7.6-12.5
$1,676
$712
$527
60
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 12.6-20.0 CM
$1,627
$692
$577
48
clean
INTMD RPR S/A/T/EXT 20.1-30
$1,676
$712
$959
32
clean
INTMD RPR S/TR/EXT >30.0 CM
$8,891
$3,779
$2,676
32
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 2.5 CM OR LESS
$884
$376
$527
76
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 2.6-7.5 CM
$1,627
$692
$533
61
clean
INTMD RPR N-HF/GENIT7.6-12.5
$1,676
$712
$959
16
clean
INTMD RPR N-HF/GENIT12.6-20
$1,368
$581
$959
16
clean
INTMD RPR N-HF/GENIT20.1-30
$1,434
$609
$886
32
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS
$2,871
$1,220
$527
72
clean
INTMD RPR FACE/MM 2.6-5.0 CM
$1,676
$712
$543
48
clean
INTMD RPR FACE/MM 5.1-7.5 CM
$1,676
$712
$527
32
clean
INTMD RPR FACE/MM 7.6-12.5CM
$1,676
$712
$577
32
clean
INTMD RPR FACE/MM 12.6-20 CM
$1,676
$712
$527
16
clean
CMPLX RPR S/A/L 2.6-7.5 CM
$1,676
$712
$558
32
clean
CMPLX RPR S/A/L ADDL 5 CM/>
$1,665
$708
$88
32
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$1,676
$712
$527
16
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$2,622
$1,114
$577
32
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$532
$226
$133
16
clean
CMPLX RPR E/N/E/L 1.1-2.5 CM
$2,407
$1,023
$959
16
clean
CMPLX RPR E/N/E/L 2.6-7.5 CM
$2,622
$1,114
$959
32
clean
CMPLX RPR E/N/E/L ADDL 5CM/<
$617
$262
$148
16
clean
EXTENSIVE OR COMPLICATED REPAIR OF SURFACE WOUND REOPENING
$5,743
$2,441
$4,247
16
clean
REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$3,562
$1,514
$2,676
16
clean
REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN; 10.1-30.0 SQ CM
$5,138
$2,184
$2,676
16
clean
REPAIR OF WOUND OF SCALP; ARMS; OR LEGS BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$7,125
$3,028
$2,676
16
clean
REPAIR OF WOUND OF SCALP; ARMS; OR LEGS BY TRANSFERRING SKIN; 10.1-30.0 SQ CM
$8,506
$3,615
$2,676
16
clean
REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$7,125
$3,028
$2,676
16
clean
REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET BY TRANSFERRING SKIN; 10.1-30.0 SQ CM
$8,506
$3,615
$2,676
16
clean
REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIPS BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$9,888
$4,202
$2,676
16
clean
REPAIR OF WOUND BY TRANSFERRING SKIN; 30.1-60.0 SQ CM
$9,088
$3,863
$4,596
16
clean
REPAIR OF WOUND BY TRANSFERRING SKIN; EACH ADDITIONAL 30.0 SQ CM
$4,944
$2,101
$233
15
clean
WOUND PREP F/N/HF/G
$2,496
$1,061
$577
16
clean
PARTIAL THICKNESS SELF SKIN GRAFT TO TRUNK; ARMS; OR LEGS; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS
$9,888
$4,202
$2,676
16
clean
EPIDRM AGRFT T/A/L 1ST 100
$8,187
$3,479
$2,676
16
clean
EPDRM AGRFT F/S/N/H/F/G/M 1
$7,586
$3,224
$2,676
16
clean
FULL THICKNESS SKIN GRAFT TO FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 20.0 SQ CM OR LESS
$3,562
$1,514
$2,645
28
clean
FULL THICKNESS SKIN GRAFT TO NOSE; EARS; EYELIDS; OR LIPS; 20.0 SQ CM OR LESS
$8,506
$3,615
$2,676
16
clean
APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF TRUNK; ARMS; OR LEGS; 25.0 SQ CM OR LESS OF WOUND 100.0 SQ CM OR LESS
$4,842
$2,058
$959
56
clean
SKIN SUB GRAFT T/A/L ADD-ON
$888
$377
$19
30
clean
SKIN SUB GRFT T/ARM/LG CHILD
$3,670
$1,560
$2,676
16
clean
SKN SUB GRFT T/A/L CHILD ADD
$2,410
$1,024
$50
15
clean
SKIN SUB GRAFT FACE/NK/HF/G
$4,987
$2,119
$948
68
clean
SKIN SUB GRAFT F/N/HF/G ADDL
$888
$377
$28
15
clean
SKN SUB GRFT F/N/HF/G CHILD
$3,670
$1,560
$2,676
16
clean
SKN SUB GRFT F/N/HF/G CH ADD
$2,410
$1,024
$62
15
clean
TRANSFER OF SKIN FLAP TO EYELIDS; NOSE; EARS; OR LIPS
$3,756
$1,596
$2,676
16
clean
CREATION OF MUSCLE GRAFT TO TRUNK
$6,325
$2,688
$4,596
16
clean
GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO TRUNK; BREASTS; SCALP; ARMS; OR LEGS; 50.0 CC OR LESS
$6,271
$2,665
$4,596
16
clean
GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO TRUNK; BREASTS; SCALP; ARMS; OR LEGS; EACH ADDITIONAL 50.0 CC
$6,271
$2,665
$161
15
clean
IMPLANTATION OF BIOLOGIC IMPLANT TO SOFT TISSUE
$5,293
$2,250
$233
15
clean
REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN
$8,822
$3,749
$8,513
28
clean
EXTENSIVE REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN
$6,519
$2,771
$1,494
4
clean
SUCTION ASSISTED REMOVAL OF FAT OF BODY
$1,210
$514
$4,596
16
clean
FIRST DEGREE BURN TREATMENT
$463
$197
$260
44
clean
DRESS/DEBRID P-THICK BURN S
$713
$303
$260
44
clean
DRESS/DEBRID P-THICK BURN M
$713
$303
$260
16
clean
DRESS/DEBRID P-THICK BURN L
$713
$303
$527
16
clean
INCISION OF BURN SCAB INITI
$723
$307
$492
13
clean
DESTRUCT B9 LESION 1-14
$477
$203
$260
32
clean
DESTRUCT LESION 15 OR MORE
$682
$290
$260
32
clean
CHEM CAUT OF GRANLTJ TISSUE
$713
$303
$260
28
clean
OTHER PROCEDURE ON SKIN; MUCOUS MEMBRANE; AND TISSUE
$9,779
$4,156
$260
12
clean
ASPIRATION OF CYST OF BREAST; FIRST CYST
$3,140
$1,335
$908
40
clean
PUNCTURE ASPIR CYST BRST EA
$817
$347
$23
15
clean
DRAINAGE OF ABSCESS OF BREAST
$5,743
$2,441
$2,117
28
clean
BX BREAST 1ST LESION STRTCTC
$4,167
$1,771
$2,167
64
clean
BX BREAST ADD LESION STRTCTC
$264
$112
$77
27
clean
BX BREAST 1ST LESION US IMAG
$4,167
$1,771
$2,344
52
clean
BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; EACH ADDITIONAL GROWTH
$2,147
$912
$72
39
clean
BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI; FIRST GROWTH
$4,387
$1,864
$2,344
52
clean
BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI; EACH ADDITIONAL GROWTH
$4,387
$1,864
$83
66
clean
BIOPSY OF BREAST THROUGH INCISION
$4,361
$1,854
$4,880
12
clean
REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE
$7,125
$3,028
$5,020
76
clean
REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER; FIRST GROWTH
$5,743
$2,441
$4,880
24
clean
REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER; EACH ADDITIONAL GROWTH
$5,635
$2,395
$182
15
clean
PLACEMENT OF LOCATING DEVICE IN BREAST USING IMAGING GUIDANCE; FIRST GROWTH
$347
$147
$1,999
63
clean
PLACEMENT OF LOCATING DEVICE IN BREAST USING IMAGING GUIDANCE; EACH ADDITIONAL GROWTH
$276
$117
$46
54
clean
PERQ DEV BREAST 1ST STRTCTC
$2,699
$1,147
$929
15
clean
PERQ DEV BREAST ADD STRTCTC
$218
$93
$54
15
clean
PLACEMENT OF LOCATING DEVICE IN BREAST USING ULTRASOUND GUIDANCE; FIRST GROWTH
$1,878
$798
$908
111
clean
PERQ DEV BREAST ADD US IMAG
$132
$56
$40
27
clean
PERQ DEV BREAST 1ST MR GUIDE
$2,699
$1,147
$1,081
15
clean
PERQ DEV BREAST ADD MR GUIDE
$261
$111
$69
15
clean
REMOVAL OF EXTRA BREAST TISSUE IN MALE
$15,996
$6,798
$4,880
12
clean
PARTIAL REMOVAL OF BREAST
$5,926
$2,518
$4,880
36
clean
Showing the first 200 of 4,325 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
717 of 1,855 comparable items (39%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $794 exceeds the gross charge $132
warn
mrf_rate_without_estimate
264,745 of 264,745 percentage/algorithm rates across 4,325 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 72070/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 86706/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 93882/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 J0248/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 J3480/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 29581/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 72072/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 86708/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 93922/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 J0256/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 72074/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 86709/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 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 differ, so no cross-line comparison was made for this item
CPT 29806/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 differ, so no cross-line comparison was made for this item
CPT 49465/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 72081/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 86735/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 93924/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 J0278/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 differ, so no cross-line comparison was made for this item
CPT J3489/o
info
mrf_item_fields_vary
this code and setting cover at least 23 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29807/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 49505/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 72100/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 86738/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 93925/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 J0280/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 differ, so no cross-line comparison was made for this item
CPT J3490/o
info
mrf_item_fields_vary
this code and setting cover at least 211 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29822/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 differ, so no cross-line comparison was made for this item
CPT 49507/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 72110/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 86747/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 93926/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 J0282/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 differ, so no cross-line comparison was made for this item
CPT J3535/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 29823/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 49520/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 72120/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 86753/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 93930/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 J0283/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 differ, so no cross-line comparison was made for this item
CPT J3590/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29824/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 72125/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 86757/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 93931/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 J0290/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7030/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 23071/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 29825/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 72127/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 86762/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93970/o
info
mrf_item_fields_vary
this code and setting cover at least 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 J0295/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 J7040/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 differ, so no cross-line comparison was made for this item
CPT 29826/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 72128/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 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 differ, so no cross-line comparison was made for this item
CPT 93971/o
info
mrf_item_fields_vary
this code and setting cover at least 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 J0330/o
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J7050/o
info
mrf_item_fields_vary
this code and setting cover at least 23 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 23120/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 29827/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 49592/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 72129/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 86777/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 93975/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 J0360/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J7060/o
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29828/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 72130/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 86778/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 93976/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 J0456/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7070/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 23350/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 72131/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 86780/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 93978/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 J0457/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 differ, so no cross-line comparison was made for this item
CPT 23430/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 72132/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 86787/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 93979/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 J0461/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7120/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 differ, so no cross-line comparison was made for this item
CPT 23472/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 72141/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 86788/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 93985/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 J0462/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7121/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 differ, so no cross-line comparison was made for this item
CPT 23500/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 29848/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 72146/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 86789/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 93990/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 J7131/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 differ, so no cross-line comparison was made for this item
CPT 23515/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 72148/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 86790/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 94010/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 J0475/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7165/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 23570/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 29875/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 72156/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 86800/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 94060/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 J7168/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 23600/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 29877/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 72157/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 86803/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 94070/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 J0490/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 J7169/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 differ, so no cross-line comparison was made for this item
CPT 23615/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 29879/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 49650/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 differ, so no cross-line comparison was made for this item
CPT 72158/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 94150/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 J0500/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 differ, so no cross-line comparison was made for this item
CPT J7186/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 23620/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 49651/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 72170/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 94200/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 J0515/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7187/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 29881/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 differ, so no cross-line comparison was made for this item
CPT 72190/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 86870/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 94618/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 J0517/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 J7189/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 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 differ, so no cross-line comparison was made for this item
CPT 29882/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 72191/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 86880/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 94625/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 J7192/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 23655/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 29883/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72192/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 81001/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 86885/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 J0561/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 29888/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72193/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 81003/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 94726/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 J0583/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 differ, so no cross-line comparison was made for this item
CPT J7296/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 72194/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 81015/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 J0585/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 J7298/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 differ, so no cross-line comparison was made for this item
CPT 29999/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 72195/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, max differ, so no cross-line comparison was made for this item
CPT 86900/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 94729/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 J0586/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 J7300/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 24073/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 30300/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 72197/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 81240/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 86901/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 J0588/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7301/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 30901/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 72202/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 81241/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 86902/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 94799/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 J7307/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 30903/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 72220/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 81256/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 95782/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 J7336/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 24101/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 30905/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 73000/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 81270/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 86905/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 95805/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 J0601/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 24105/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 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 86920/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 differ, so no cross-line comparison was made for this item
CPT 95806/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 J0602/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7502/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 31500/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 differ, so no cross-line comparison was made for this item
CPT 51102/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