Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC RBC Antigen Typing Dna Hea Gene Analysis 35 Antigens Whole Blood Reference
$349
$227
$284
177
clean
HC Warde Liver Disease Ten Biochemical Assays Serum (Nash)
$392
$254
$319
248
clean
HC Warde Flt3 Mutation Assay
$383
$249
$312
228
clean
HC Warde 3700116 Neurology Prion Protein Detection Quaking-Induced Confirmational Conversion CSF Ql
$513
$333
$418
177
clean
HC Computed Tomography Cerebral Perfusion W/Contrast
$1,531
$995
$722
236
clean
HC External Infectious Disease Microbial Cell-Free Dna Plasma Untargeted Next-Generation Sequencing
$1,800
$1,170
$1,466
177
clean
HC Infectious Disease Pathogen Specific Nucleic Acid 22 Targets Including Sars-Cov-2 Qual (Biofire 2.1)
$1,382
$898
$652
248
clean
HC Atherectomy Transluminal Peripheral Iliac Each Vessel
$22,172
$14,412
$18,059
252
clean
HC Infectious Disease Pathogen Specific Rna Sars-Cov-2/Inf a&B Upper Resp Spec Detected or Not
$425
$276
$233
228
clean
HC Infectious Disease Pathogen Specific Rna Sars-Cov-2/Inf a&B/Rsv Upper Resp Spec Detected or Not
$523
$340
$247
240
clean
HC Programming Device Evaluation Iterative Adj Implantable Cardiac Contractility Modulation System
$48
$31
$37
177
clean
PR P-Dev Eval Icd Sys W Substrnl Eltrd W/ Iterative Adjst Impl Dev Rev/Rprt
—
—
$37
88
clean
HC Programming Device Evaluation Icd System Substenal Electrode in Person Anyls Rvw Rpt Phys/Qhp
$48
$31
$37
177
clean
PR Dev Eval W Adjust Impl Dev Test Perm Value Anlys Leadless Pmk Dual Cmbr|PROFESSIONAL COMPONENT
—
$73
$58
90
clean
HC Programming Device Evaluation Iterative Adj Leadless Pacemaker Phys/Qhp
$48
$31
$39
248
clean
HC Evaluation Programming Device W/Adjustment Leadless Pacemaker Single-Cardiac Chamber Physcian/Qhp
$48
$31
$27
248
clean
HC Aspiration Fine Needle (Fna) Biopsy W/Ultrasound Guidance 1st Lesion
—
$1,701
$1,192
103
clean
HC Aspiration Fine Needle (Fna) Biopsy W/Ultrasound Guidance 1st Lesion
$2,258
$1,468
$1,192
252
clean
HC Aspiration Fine Needle (Fna) Biopsy W/Ultrasound Guidance Each Additional Lesion
$1,692
$1,100
$893
228
clean
HC Aspiration Fine Needle (Fna) Biopsy W/Fluoroscopic Guidance 1st Lesion
$2,258
$1,468
$1,065
228
clean
HC Aspiration Fine Needle (Fna) Biopsy W/CT Guidance 1st Lesion
$2,979
$1,936
$1,096
252
clean
HC Aspiration Fine Needle (Fna) Biopsy W/CT Guidance Each Additional Lesion
$2,026
$1,317
$1,650
228
clean
HC Aspiration Fine Needle (Fna) Biopsy W/MRI Guidance 1st Lesion
$2,594
$1,686
$1,223
248
clean
HC Aspiration Fine Needle (Fna) Biopsy W/MRI Guidance Each Additional Lesion
$1,946
$1,265
$1,238
228
clean
HC Incision & Drainage Abscess Simple/Single|BILATERAL PROCEDURE
$481
$313
$392
325
clean
HC Incision & Drainage Abscess Simple/Single
—
$424
$47
1,694
clean
HC Incision & Drainage Abscess Complicated/Multiple
—
$8,919
$59
3,386
clean
HC Incision & Drainage Abscess Complicated/Multiple
$521
$339
$424
252
clean
HC Incision & Drainage Foreign Body Subcutaneous Tissues Simple
—
$10,495
$685
103
clean
PR Incision & Removal Foreign Body Subcutaneous Tissues Complicated
—
—
$82
748
clean
HC Incision & Drainage Hematoma/Seroma/Fluid Collection
$2,665
$1,732
$2,171
252
clean
HC Incision & Drainage Hematoma/Seroma/Fluid Collection
—
$14,430
$2,755
103
clean
HC Puncture Aspiration Abscess/Hematoma/Bulla/Cyst
—
$698
$43
1,694
clean
HC Puncture Aspiration Abscess/Hematoma/Bulla/Cyst
$555
$361
$452
252
clean
PR Debr Skn/Subq Tiss/Musc/Fsc Necrotizing Sft Tiss Infec Gent&Peri&Abdwall
—
—
$307
748
clean
PR Debr Incl Rem Foreign Mat Site Opn Fx &/Opn Dislc Skn&Subq T/M/F Musc&Bn
—
$9,525
$176
851
clean
HC Debridement Subcutaneous Tissue <= 20 Sq Cm|BILATERAL PROCEDURE
$888
$577
$658
330
clean
HC Debridement Subcutaneous Tissue <= 20 Sq Cm
—
$577
$27
1,694
clean
HC Debridement Muscle/Fascia <= 20 Sq Cm
—
$1,220
$67
3,382
clean
HC Debridement Muscle/Fascia <= 20 Sq Cm
$1,210
$787
$986
252
clean
HC Debridement Bone <= 20 Sq Cm
—
$12,029
$2,374
103
clean
HC Debridement Subcutaneous Tissue Each Additional 20 Sq Cm
—
$1,256
$22
852
clean
HC Debridement Subcutaneous Tissue Each Additional 20 Sq Cm
$637
$414
$300
228
clean
PR Debridement Muscle/Fascia Each Additional 20 Sq Cm
—
$96
$35
1,595
clean
HC Debridement Muscle/Fascia Each Additional 20 Sq Cm
$667
$434
$433
228
clean
HC Paring/Cutting Benign Hyperkeratotic Lesion Single
$219
$142
$132
252
clean
HC Biopsy Skin Tangential Single Lesion
$441
$287
$266
252
clean
HC Biopsy Skin Tangential Additional Lesion
$355
$231
$263
228
clean
HC Biopsy Skin Punch Single Lesion
$487
$317
$327
252
clean
HC Biopsy Skin Punch Single Lesion
—
$723
$19
1,696
clean
HC Biopsy Skin Punch Additional Lesion
$413
$268
$302
228
clean
HC Biopsy Skin Incisional Single Lesion
$687
$447
$409
252
clean
PR Biopsy Skin Incisional Single Lesion
—
—
$23
748
clean
HC Biopsy Skin Incisional Additional Lesion
$480
$312
$391
228
clean
HC Removal Skin Tags Fibrocutaneous Any Area <= 15 Lesions
—
$8,690
$32
851
clean
HC Excision Benign Lesion Trunk/Arms/Legs 0.6 - 1.0 Cm
—
$11,059
$45
851
clean
HC Excision Benign Lesion Trunk/Arms/Legs 1.1 - 2.0 Cm
—
$11,310
$49
1,695
clean
HC Excision Benign Lesion Trunk/Arms/Legs 2.1 - 3.0 Cm
—
$10,817
$64
852
clean
HC Excision Benign Lesion Trunk/Arms/Legs 3.1 - 4.0 Cm
—
$12,648
$72
1,696
clean
HC Excision Benign Lesion Trunk/Arms/Legs > 4.0 Cm
—
$14,112
$109
1,698
clean
PR Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia <= 0.5 Cm
—
—
$36
749
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 0.6 - 1.0 Cm
—
$11,917
$47
852
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 1.1 - 2.0 Cm
—
$11,059
$59
852
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 2.1 - 3.0 Cm
—
$13,545
$51
2,542
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 3.1 - 4.0 Cm
—
$11,670
$79
852
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 0.5 Cm
—
$10,906
$46
851
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb 0.6 - 1.0 Cm
—
$11,115
$57
852
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb 1.1 - 2.0 Cm
—
$11,288
$1,192
103
clean
PR Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb 2.1 - 3.0 Cm
—
—
$76
749
clean
PR Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb 3.1 - 4.0 Cm
—
$605
$95
751
clean
HC Excision Malignant Lesion Face/Ears/Eyelids/Nose/Lips > 4.0 Cm
—
$13,079
$161
852
clean
HC Trimming Nondystrophic Nails Any Number
$178
$116
$78
252
clean
HC Debridement Nail(S) Any Method(S) 1 - 5 Nails
$161
$105
$85
252
clean
HC Debridement Nail(S) Any Method(S) 6 or More Nails
$194
$126
$138
252
clean
PR Avulsion Nail Plate Partial/Complete Simple Single Nail Plate
—
—
$24
749
clean
HC Excision Nail/Nail Matrix Partial/Complete Permanent Removal
—
$9,593
$45
852
clean
HC Excision Pilonidal Cyst or Sinus Simple
—
$9,777
$4,797
103
clean
Replacement Tissue Expander W/Permanent Implant
—
$21,712
$370
1,704
clean
HC Treatment of Superficial Wound Dehiscence Simple Closure
—
$15,623
$1,067
103
clean
HC Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities <= 2.5 Cm
—
$8,594
$63
1,696
clean
HC Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities 2.6 - 7.5 Cm
—
$12,648
$78
1,696
clean
HC Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities 7.6 - 12.5 Cm
—
$14,112
$86
852
clean
HC Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities 12.6 - 20.0 Cm
—
$12,811
$107
852
clean
HC Repair Intermediate Wounds Neck/Hands/Feet/Genitalia 2.6 - 7.5 Cm
—
$13,545
$80
852
clean
HC Repair Intermediate Wounds Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 2.5 Cm
—
$10,906
$71
852
clean
HC Repair Intermediate Wounds Face/Ears/Eyelids/Nose/Lips/Muc Memb 2.6 - 5.0 Cm
—
$11,998
$82
852
clean
PR Repair Complex Wound Scalp/Arms/Legs 2.6 - 7.5 Cm|MULTIPLE PROCEDURES
—
—
$103
1,593
clean
PR Repair Complex Wound Scalp/Arms/Legs Each Additional <= 5.0 Cm
—
—
$66
749
clean
HC Repair Complex Wound Forehead/Cheeks/Chin/Mouth/Neck/Axillae/Genitalia/Hands/Feet 2.6 - 7.5 Cm
—
$13,079
$121
1,698
clean
PR Repair Complex Wound Eyelids/Nose/Ears/Lips 2.6 - 7.5 Cm
—
—
$134
749
clean
PR Closure Secondary Surgical Wound/Dehiscence Extensive/Complicated|MULTIPLE PROCEDURES
—
$2,208
$257
2,441
clean
HC Transfer/Rearrangement Adjacent Tissue Defect Frhd/Cheeks/Chin/Mth/Neck/Ax/Genit/Hnd/Ft <= 10sqcm
—
$13,615
$260
852
clean
HC Transfer/Rearrangement Adjacent Tissue Defect Eyelids/Nose/Ears/Lips <= 10 Sq Cm
—
$16,084
$2,340
103
clean
HC Transfer/Rearrangement Adjacent Tissue Defect Any Area 30.1 - 60 Sq Cm
—
$21,379
$209
4,230
clean
PR Adj Tiss Xfer or Rearng Any Area Each Addl 30.0 Sq Cm or Part Thereof
—
$21,379
$55
2,542
clean
PR Prep/Creation Surg Recipient Site Open Wound Trunk/Arms/Legs <=100 Sqcm
—
$90
$55
2,440
clean
HC Preparation/Creation Surg Recipient Site Open Wnd Face/Scalp/Mth/Neck/Ears/Genit/Hnd/Ft<=100sqcm
—
$15,279
$222
852
clean
HC Graft Full Thickness Frhd/Cheeks/Chin/Mth/Neck/Ax/Genit/Hnd/Ft <= 20 Sq Cm
—
$12,689
$331
852
clean
HC Application Skin Substitute Graft Trunk/Arms/Legs <100 Sq Cm 1st 25 Sq Cm
—
$3,491
$36
851
clean
HC Application Skin Substitute Graft Trunk/Arms/Legs <100 Sq Cm 1st 25 Sq Cm
$3,445
$2,239
$2,806
252
clean
HC Application Skin Substitute Graft Trunk/Arms/Legs < 100 Sq Cm Each Additional 25 Sq Cm
$551
$358
$260
228
clean
PR Appl Skin Sub Graft Face/Scalp/Neck/Gent < 100 Sqcm <= 25 Sqcm High Cost|ASSISTANT AT SURGERY SERVICE
—
$29
$30
2,439
clean
HC Application Skin Substitute Graft Face/Scalp/Neck/Genit/Hnd/Ft <100 Sq Cm 1st 25 Sq Cm
$3,445
$2,239
$2,712
252
clean
PR Muscle Myocutaneous or Fasciocutaneous Flap Trunk
—
$38,370
$193
4,981
clean
PR Grafting of Autologous Fat by Lipo 50 Cc or Less
—
$16,305
$226
1,694
clean
PR Grafting of Autologous Fat by Lipo Ea Addl 50 Cc
—
$16,305
$123
851
clean
PR Implantation of Biologic Implant for Soft Tissue Reinforcement
—
$64,112
$5,510
103
clean
PR Blepharoplasty Upper Eyelid|BILATERAL PROCEDURE
—
$14,165
$2,871
103
clean
PR Blepharoplasty Upper Eyelid With Excessive Skin Weighting Down Lid|BILATERAL PROCEDURE
—
$14,976
$3,518
103
clean
PR Excision Excessive Skin Subq Tissue Abd Infraumbilical Panniculectomy
—
$24,670
$267
4,234
clean
PR Excision Excessive Skin/Subcutaneous Tissue Other Area
—
—
$327
749
clean
PR Excision Excessive Skin and Subcutaneous Tissue Abdomen
—
$24,670
$2,536
103
clean
PR Dressing Change Under Anesthesia
—
—
$19
749
clean
PR Removal of Sutures or Staples Not Requiring Anesthesia
—
—
$15
482
clean
HC Cauterization Chemical Granulation Tissue
—
$222
$17
852
clean
HC Cauterization Chemical Granulation Tissue
$341
$222
$212
252
clean
HC Puncture Aspiration Cyst Breast
$1,125
$731
$916
252
clean
HC Puncture Aspiration Cyst Breast Each Additional
$357
$232
$168
228
clean
HC Injection Only Mammary Ductogram/Galactogram Rt
$1,200
$780
$971
684
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Lt
—
$3,113
$1,708
103
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Rt
$4,346
$2,825
$2,135
1,047
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guide Ea Addl Lesion Lt
$3,781
$2,458
$2,678
456
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Rt|BILATERAL PROCEDURE
$3,848
$2,501
$1,868
1,047
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guide Ea Addl Lesion Lt
$3,264
$2,122
$2,461
456
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous MRI Guidance 1st Lesion Lt
$7,316
$4,755
$2,556
756
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous MRI Guide Ea Addl Lesion Lt
$4,991
$3,244
$2,603
456
clean
HC Excision Cyst/Fibroadenoma/Other Benign/Malignant Tumor Open Male/Female >= 1 Lesion Rt|BILATERAL PROCEDURE
$4,416
$2,870
$4,567
975
clean
HC Excision Cyst/Fibroadenoma/Other Benign/Malignant Tumor Open Male/Female >= 1 Lesion Lt|BILATERAL PROCEDURE
—
$13,339
$270
2,645
clean
HC Excision Lesion Breast Identified by Preop Placement Radiological Marker Open Single Lesion Lt
—
$14,501
$218
3,390
clean
PR Exc Breast Les ID Preop Placement Radiological Marker Open Ea Add Les
—
—
$142
749
clean
HC Placement Localization Device(S) Breast Percutaneous Mammographic Guidance 1st Lesion Rt|BILATERAL PROCEDURE
$1,912
$1,243
$1,473
975
clean
HC Placement Localization Device(S) Breast Percutaneous Mammographic Guide Ea Addl Lesion Lt
$1,894
$1,231
$1,347
456
clean
HC Placement Localization Device(S) Breast Percutaneous Stereotactic Guidance 1st Lesion Lt
$2,017
$1,311
$825
756
clean
HC Placement Localization Device(S) Breast Percutaneous Stereotactic Guide Ea Addl Lesion Rt
$1,802
$1,171
$1,198
456
clean
HC Placement Localization Device(S) Breast Percutaneous Ultrasound Guidance 1st Lesion Rt|BILATERAL PROCEDURE
$2,079
$1,351
$1,601
975
clean
HC Placement Localization Device(S) Breast Percutaneous Ultrasound Guide Ea Addl Lesion Lt
$2,355
$1,531
$1,918
456
clean
HC Placement Breast Localization Device(S) Percutaneous First Lesion Including Magnetic Resonance Guidance Bl
$3,296
$2,142
$1,036
756
clean
PR Mastectomy for Gynecomastia
—
$14,200
$303
1,696
clean
PR Mastectomy Partial
—
$16,985
$213
6,766
clean
PR Mastectomy Simple Complete|BILATERAL PROCEDURE
—
$35,872
$252
8,462
clean
PR Mastopexy
—
$26,192
$349
6,772
clean
PR Breast Reduction
—
$25,570
$278
6,774
clean
Breast Augmentation With Implant|BILATERAL PROCEDURE
—
$27,635
$300
4,236
clean
PR Removal Intact Breast Implant
—
$16,526
$245
852
clean
Rmvl Ruptured Breast Implant W/Implant Contents|BILATERAL PROCEDURE
—
$4,596
$284
957
clean
PR Insertion Breast Implant Same Day of Mastectomy|BILATERAL PROCEDURE
—
$64,112
$8,390
103
clean
PR Insertion/Replacement Breast Implant Separate Day From Mastectomy
—
$27,272
$370
5,177
clean
PR Tissue Expander Placement Breast Reconstruction|BILATERAL PROCEDURE
—
$25,631
$510
6,667
clean
PR Rev Breast Imp Capsule Incl Capsulotomy/Capsulorrhaphy/Part Capsulectomy|BILATERAL PROCEDURE
—
$20,346
$442
1,704
clean
PR Revision of Reconstructed Breast
—
$21,712
$528
3,394
clean
PR Exploration of Penetrating Wound (Separate Procedure) Extremity
—
$14,430
$1,310
103
clean
HC Biopsy Muscle Percutaneous Needle
$1,655
$1,076
$1,348
252
clean
HC Biopsy Bone Trocar/Needle Superficial
$1,900
$1,235
$1,548
252
clean
HC Biopsy Bone Trocar/Needle Superficial
—
$17,466
$37
1,698
clean
HC Injection Sinus Tract Diagnostic
$800
$520
$652
228
clean
PR Injection Carpal Tunnel Therapeutic
—
—
$24
749
clean
PR Injection Single Tendon Sheath or Ligament Aponeurosis
—
—
$16
749
clean
HC Injection(S) Tendon Sheath/Ligament Aponeurosis Single Lt
$495
$322
$403
756
clean
HC Injection(S) Tendon Origin/Insert Single
$502
$326
$409
252
clean
HC Injection(S) Trigger Point(S) Single/Multiple 1 or 2 Muscle(S)|BILATERAL PROCEDURE
—
$1,139
$500
206
clean
HC Injection(S) Trigger Point(S) Single/Multiple 1 or 2 Muscle(S)
$590
$384
$481
325
clean
HC Injection(S) Trigger Point(S) Single/Multiple >= 3 Muscle(S)
$599
$389
$488
325
clean
HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/O Ultrasound Guidance Rt
—
$16,654
$500
103
clean
HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/O Ultrasound Guidance Lt
$529
$344
$431
756
clean
HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/Ultrasound Guidance Bl
$891
$579
$484
756
clean
HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Rt
—
$1,479
$18
2,540
clean
HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Lt
$540
$351
$440
1,008
clean
HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/Ultrasound Guidance Bl
$1,329
$864
$1,082
1,041
clean
HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Rt|BILATERAL PROCEDURE
—
$1,738
$22
4,335
clean
HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Bl
$879
$571
$500
1,047
clean
HC Arthrocentesis/Aspiration/Injection Major Joint/Bursa W/Ultrasound Guidance Bl
$1,035
$673
$500
756
clean
HC Arthrocentesis/Aspiration/Injection Major Joint/Bursa W/Ultrasound Guidance Rt
—
$1,231
$500
103
clean
HC Aspiration &/or Injection Ganglion Cyst(S) Any Location
$371
$241
$175
252
clean
HC Removal of Implant Deep
—
$18,289
$136
3,388
clean
PR Application Multiplane (Pins/Wires > 1 Plane) External Fixation System
—
$28,796
$16,434
103
clean
PR Removal External Fixation System Under Anesthesia
—
$29,577
$156
852
clean
PR Bone Graft Any Donor Area Minor/Small
—
$42,653
$58
3,384
clean
PR Bone Graft Any Donor Area Major/Large|ASSISTANT AT SURGERY SERVICE
—
—
$88
1,498
clean
PR Computer-Assisted Surg Navigational Musculoskeletal Proc Image-Less
—
$29,879
$62
1,690
clean
PR Unlisted Procedure Musculoskeletal System General
—
$32,436
$306
100
clean
HC Excision Tumor Soft Tissue Face/Scalp Subcutaneous >= 2 Cm
—
$15,189
$2,755
103
clean
PR Excision Tumor Soft Tissue Face/Scalp Subfascial >= 2 Cm
—
$1,272
$169
1,595
clean
HC Treatment Fracture Nasal Bone Closed W/Manip W/Stabilization
—
$9,112
$4,333
103
clean
HC Excision Tumor Soft Tissue Neck/Anterior Thorax Subcutaneous >= 3 Cm
—
$13,516
$183
2,542
clean
PR Excision Tumor Soft Tissue Neck/Anterior Thorax Subfascial >= 5 Cm
—
$11,760
$237
1,696
clean
HC Excision Tumor Soft Tissue Neck/Anterior Thorax Subcutaneous < 3 Cm
—
$12,433
$142
852
clean
PR Excision Tumor Soft Tissue Neck/Anterior Thorax Subfascial < 5 Cm
—
$12,338
$236
852
clean
HC Excision Tumor Soft Tissue Back/Flank Subcutaneous < 3 Cm
—
$10,586
$4,198
103
clean
HC Excision Tumor Soft Tissue Back/Flank Subcutaneous >= 3 Cm
—
$10,874
$4,035
103
clean
HC Excision Tumor Soft Tissue Back/Flank Subfascial < 5 Cm
—
$13,903
$216
1,696
clean
PR Excision Tumor/Soft Tissue Back/Flank Subfascial >= 5 Cm
—
$13,042
$338
852
clean
PR Excision Tumor Soft Tissue Abdominal Wall Subfascial < 5 Cm|ASSISTANT AT SURGERY SERVICE
—
$1,428
$184
2,439
clean
PR Excision Tumor Soft Tissue Abdominal Wall Subfascial >= 5 Cm
—
$12,192
$301
2,542
clean
HC Excision Tumor Soft Tissue Abdominal Wall Subcutaneous >= 3 Cm
—
$10,670
$102
4,232
clean
HC Excision Tumor Soft Tissue Shoulder Subcutaneous>3 Cm Bl
—
$10,848
$137
3,388
clean
PR Excision Tumor/Soft Tissue Shoulder Area Subfascial >= 5 Cm
—
—
$317
749
clean
PR Claviculectomy Partial
—
$23,738
$268
852
clean
HC Injection for Shoulder Arthrogram or Enhanced CT/MRI Shoulder Arthography Rt
$1,193
$775
$563
684
clean
PR Transfer Muscle Any Type Shoulder or Upper Arm Single
—
$2,958
$566
751
clean
PR Repair Ruptured Musculotendinous Cuff Open Acute|MULTIPLE PROCEDURES
—
—
$267
3,281
clean
Showing the first 200 of 3,757 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
398 of 1,486 comparable items (27%) 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 $1,873 exceeds the gross charge $348
CPT 12031/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 64634/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 81372/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 84597/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 87581/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1726/b
info
mrf_item_fields_vary
this code and setting cover at least 123 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 J7517/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 12032/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 36556/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 64635/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 81373/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 84600/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 87591/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 C1727/b
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 J7674/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 12034/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 36558/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 64636/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 81374/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 84630/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 C1728/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 J8530/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 12035/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 36561/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 64640/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 81376/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 84681/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 87624/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 C1729/b
info
mrf_item_fields_vary
this code and setting cover at least 300 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 J8540/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 12042/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 64712/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 81381/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 84702/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 87625/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 C1730/b
info
mrf_item_fields_vary
this code and setting cover at least 100 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 J8610/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 12051/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 36571/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 64718/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 84703/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 87631/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 C1731/b
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 J9022/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 12052/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 64719/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 84999/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 87633/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 C1732/b
info
mrf_item_fields_vary
this code and setting cover at least 64 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 13132/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 64721/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 81400/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 85014/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 87634/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 C1733/b
info
mrf_item_fields_vary
this code and setting cover at least 45 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 13160/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 64772/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 81401/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 85018/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 87635/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 C1734/b
info
mrf_item_fields_vary
this code and setting cover at least 27 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 J9035/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 14040/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 64999/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 81402/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 C1741/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 14301/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 66984/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 81403/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 85210/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 C1747/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 14302/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 36591/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 69424/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 85220/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 87661/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 C1748/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 J9045/b
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 15002/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 69436/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 85230/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 87798/b
info
mrf_item_fields_vary
this code and setting cover at least 14 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 C1750/b
info
mrf_item_fields_vary
this code and setting cover at least 78 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 J9047/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 15004/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 36592/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 70030/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 85240/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 87799/b
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 C1751/b
info
mrf_item_fields_vary
this code and setting cover at least 329 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 J9055/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 15240/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 81420/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 differ, so no cross-line comparison was made for this item
CPT 85245/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 87801/b
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 C1752/b
info
mrf_item_fields_vary
this code and setting cover at least 33 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 J9060/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 15271/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 36598/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 70120/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 81422/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 85246/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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 15 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 15734/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 70130/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 85247/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 C1755/b
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, max differ, so no cross-line comparison was made for this item
CPT 15771/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 36600/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 81479/b
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 85250/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 C1757/b
info
mrf_item_fields_vary
this code and setting cover at least 162 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 J9075/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 15772/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 81503/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 85270/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 87899/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 C1758/b
info
mrf_item_fields_vary
this code and setting cover at least 95 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 J9100/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 15830/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 37211/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85280/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 87900/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 differ, so no cross-line comparison was made for this item
CPT C1759/b
info
mrf_item_fields_vary
this code and setting cover at least 24 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 J9155/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 37221/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 81511/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 85291/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 87901/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 differ, so no cross-line comparison was made for this item
CPT C1760/b
info
mrf_item_fields_vary
this code and setting cover at least 29 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 J9171/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 17250/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 85300/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 87902/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C1761/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 J9173/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 37226/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 70544/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 85301/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 87906/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 differ, so no cross-line comparison was made for this item
CPT C1762/b
info
mrf_item_fields_vary
this code and setting cover at least 195 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 J9176/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 19000/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 37227/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 70545/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 82009/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 85302/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 C1763/b
info
mrf_item_fields_vary
this code and setting cover at least 137 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 J9177/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 19030/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 82010/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 85303/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 C1764/b
info
mrf_item_fields_vary
this code and setting cover at least 10 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 J9190/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 19081/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 37229/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 82017/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 85306/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 88120/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 C1765/b
info
mrf_item_fields_vary
this code and setting cover at least 9 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 J9201/b
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 19082/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 37230/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 82024/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85307/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 differ, so no cross-line comparison was made for this item
CPT C1766/b
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 19083/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 37231/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 82040/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 85335/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 88142/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 C1767/b
info
mrf_item_fields_vary
this code and setting cover at least 48 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 J9206/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 37258/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 82042/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 85366/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 C1768/b
info
mrf_item_fields_vary
this code and setting cover at least 340 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 J9217/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 19084/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 37260/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 82043/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 85379/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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 637 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 19085/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 37267/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 85384/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1770/b
info
mrf_item_fields_vary
this code and setting cover at least 11 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 J9227/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 37268/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 73000/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 82088/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 85385/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 C1771/b
info
mrf_item_fields_vary
this code and setting cover at least 31 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 J9228/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 19086/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 37269/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 73010/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 82103/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 85390/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