Service
Code
Listed
Cash
Negotiated
Rates
Checks
HB Nonalcoholic Steatohepatitis (Nash)-Fibrotest, S and P
$3,111
$778
$825
30
clean
HB Tpmt and Nudt15 Genotype
$382
$95
$302
30
clean
HB T-Tau Protein
$3,343
$836
$882
30
clean
PR CEREBRAL PERFUSION ANALYS CT W/BLOOD FLOW&VOLUME
$293
$147
$235
3
clean
PR CPTR-ASST MUSCSKEL NAVIGJ ORTHO FLUOR IMAGES
$286
$143
$123
2
clean
PR TCAT PLMT XTRC VRT CRTD STENT RS&I PRQ 1ST VSL
$8,703
$4,352
$1,393
9
clean
PR ANES INTRAPERITONEAL UPPER ABDOMEN W/LAPS NOS
$60
$30
—
0
clean
PR NJX PLTLT PLASMA W/IMG HARVEST/PREPARATION
$499
$250
$399
3
clean
PR TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA
$22,446
$11,223
$1,912
5
clean
PR PERC LAMINO-/LAMINECTOMY INDIR IMAG GUIDE LUMBAR
$8,930
$4,465
$7,144
3
clean
Perc Lamino-/Laminectomy Indir Imag Guide Lumbar
$8,930
$2,233
$5,480
23
clean
PR INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD
$40,077
$20,039
$32,062
3
clean
PR PRGRMG DEVICE EVALUATION CARDIAC MODULJ SYSTEM
$47
$24
$37
2
clean
PR INTERRO DEVICE EVALUATION CARDIAC MODULJ SYSTEM
$47
$24
$37
3
clean
PR IMPLTJ NONBIOL/SYNTH IMPLT FASC RNFCMT ABDL WALL
$474
$237
$286
1
clean
PR TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH
$3,416
$1,708
$1,204
1
clean
PR INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE
$40,077
$20,039
$32,062
2
clean
PR TCAT RMVL/DEBULK ICAR MASS SUCTION DEVICE PERQ
$7,127
$3,564
$5,702
3
clean
PR TTVI/RPLCMT PROSTC VLV PERQ W/R HRT CATH&ANGRPH
$3,518
$1,759
$1,201
1
clean
PR INSJ GASTROSTOMY TUBE PERQ W/MAGNETIC GASTROPEXY
$2,371
$1,186
$1,897
2
clean
HB Fna Bx W/O Img Gdn Ea Addl
$52
$13
$32
23
clean
PR FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL
$84
$42
$51
5
clean
PR FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION
$209
$105
$91
5
clean
HB Fna Bx W/US Gdn 1st Les
$793
$198
$487
23
clean
PR FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL
$95
$48
$57
5
clean
PR FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION
$477
$239
$194
5
clean
PR FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION
$658
$329
$267
5
clean
HB Fine Needle Asp;W/O Imaging Guidance
$450
$113
$276
23
clean
PR FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION
$159
$80
$69
5
clean
HB Guide Cathet Fluid Drainage
$476
$119
$295
24
clean
PR IMG-GUIDED FLU COLLJ DRG CATH SOFT TISS PERQ
$1,236
$618
$395
5
clean
PR PLMT SFT TISS LOCLZJ DEV PERQ 1ST LESION
$700
$350
$224
5
clean
HB Acne Surgery of Skin Abscess
$229
$57
$142
24
clean
PR ACNE SURGERY
$183
$92
$74
5
clean
PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
$202
$101
$118
5
clean
HB I&D Absc; Smpl or Sgl
$235
$59
$124
47
clean
HB I&D Absc; Compl or Multi
$235
$59
$162
48
clean
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
$338
$169
$199
5
clean
HB I&D Pilonid Cys; Smpl
$235
$59
$146
24
clean
PR INCISION & DRAINAGE PILONIDAL CYST SIMPLE
$387
$194
$157
5
clean
PR INCISION & DRAINAGE PILONIDAL CYST COMPLICATED
$533
$267
$218
5
clean
HB I&D Pilonid Cyst; Cplx
$1,835
$459
$1,138
24
clean
HB Remove Foreign Body Simple
$235
$59
$162
48
clean
PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE
$303
$152
$139
5
clean
HB Remove Foreign Body
$3,093
$773
$1,919
24
clean
PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS COMP
$529
$265
$245
5
clean
PR I&D HEMATOMA SEROMA/FLUID COLLECTION
$267
$134
$151
5
clean
HB Drainage of Hematoma/Fluid
$1,835
$459
$238
47
clean
HB Puncture Drainage of Lesion
$168
$42
$104
24
clean
PR PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST
$205
$103
$120
5
clean
HB Complex Drainage, Wound
$5,631
$1,408
$3,456
23
clean
PR INCISION & DRAINAGE COMPLEX PO WOUND INFECTION
$527
$264
$244
5
clean
PR DBRDMT EXTENSV ECZMT/INFCT SKIN UP 10% BDY SURF
$92
$46
$37
5
clean
PR DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10%
$43
$22
$18
5
clean
PR DBRDMT SKN SBQ T/M/F NECRO INFCTJ XTRNL GENT&PER
$1,126
$563
$724
4
clean
PR DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL
$1,533
$767
$987
4
clean
PR DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT PER&ABDL
$1,391
$696
$895
4
clean
PR RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION
$540
$270
$348
4
clean
HB Debride Skin at Fx Site
$841
$210
$522
24
clean
PR DBRDMT W/RMVL FM FX&/DISLC SKIN&SUBQ TISSUS
$884
$442
$410
5
clean
PR DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC
$996
$498
$463
5
clean
HB Deb Skin Bone at Fx Site
$6,265
$1,566
$3,887
24
clean
PR DBRDMT FX&/DISLC SUBQ T/M/F BONE
$1,290
$645
$602
5
clean
Debridement Subcutaneous Tissue 1st 20 Sq Cm/<
$258
$65
$192
48
clean
PR DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/<
$258
$129
$97
5
clean
Debridement Muscle &/Fascia 1st 20 Sq Cm/<
$464
$116
$319
48
clean
PR DEBRIDEMENT MUSCLE &/FASCIA 1ST 20 SQ CM/<
$464
$232
$217
5
clean
PR DEBRIDEMENT BONE 1ST 20 SQ CM/<
$620
$310
$292
5
clean
HB Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=
$1,864
$466
$1,156
24
clean
Debridement Subcutaneous Tissue Ea Addl 20 Sq Cm
$79
$20
$41
48
clean
PR DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM
$79
$40
$37
5
clean
Debridement Muscle &/Fascia Ea Addl 20 Sq Cm
$145
$36
$169
48
clean
PR DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM
$145
$73
$69
5
clean
PR DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM
$242
$121
$115
5
clean
HB Pare Benign Les; Sgl
$229
$57
$88
47
clean
PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1
$140
$70
$45
5
clean
PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4
$162
$81
$52
5
clean
HB Trim Benign Hyperkeratotic Skin Lesion,2-4
$229
$57
$142
24
clean
HB Trim Skin Lesions Over 4
$229
$57
$142
24
clean
PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4
$177
$89
$57
5
clean
PR TANGENTIAL BIOPSY SKIN SINGLE LESION
$155
$78
$63
5
clean
HB Tangntl Bx Skin Single Les
$229
$57
$96
48
clean
HB Tangntl Bx Skin Ea Sep/Addl
$66
$17
$41
24
clean
PR TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION
$78
$39
$32
5
clean
HB Punch Bx Skin Single Lesion
$460
$115
$122
47
clean
PR PUNCH BIOPSY SKIN SINGLE LESION
$194
$97
$79
5
clean
HB Punch Bx Skin Ea Sep/Addl
$76
$19
$48
47
clean
PR PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION
$93
$47
$38
5
clean
PR INCISIONAL BIOPSY SKIN SINGLE LESION
$241
$121
$98
5
clean
HB Incal Bx Skn Single Les
$704
$176
$437
24
clean
HB Incal Bx Skn Ea Sep/Addl
$91
$23
$56
24
clean
PR INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION
$110
$55
$45
5
clean
HB Removal of Skin Tags, Up to 15
$128
$32
$89
48
clean
PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15
$146
$73
$85
5
clean
HB Remove Skin Tags Add-on =<10 Lesions
$13
$3
$8
24
clean
PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10
$29
$15
$17
5
clean
PR SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM/<
$155
$78
$63
5
clean
HB Shav Skin Les < 0.5 Cm Trunk,Arm,Leg
$460
$115
$122
48
clean
HB Shav Skin Les 0.6-1.0 Cm Trunk,Arm,Leg
$229
$57
$129
48
clean
PR SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM
$188
$94
$76
5
clean
HB Shav Skin Les 1.1-2.0 Cm Trunk,Arm,Leg
$229
$57
$137
48
clean
PR SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM
$214
$107
$87
5
clean
PR SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM >2.0 CM
$237
$119
$96
5
clean
HB Shav Skin Les >2.1 Cm Trunk,Arm,Leg
$460
$115
$285
24
clean
HB Shav Skin Les
$229
$57
$142
24
clean
PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/<
$163
$82
$66
5
clean
HB Shav Skin Les 0.6-1.0 Cm Remainder Body
$229
$57
$142
24
clean
PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM
$190
$95
$77
5
clean
PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM
$214
$107
$87
5
clean
HB Shav Skin Les 1.1-2.0 Cm Remainder Body
$229
$57
$142
24
clean
HB Shav Skin Les >2.1 Cm Remainder Body
$460
$115
$285
24
clean
PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM >2.0 CM
$226
$113
$92
5
clean
HB Shav Skin Les
$229
$57
$123
48
clean
PR SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM/<
$179
$90
$73
5
clean
PR SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM
$214
$107
$87
5
clean
HB Shav Skin Les 0.6-1.0 Cm Face,Facial
$229
$57
$137
48
clean
PR SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM
$243
$122
$99
5
clean
HB Shav Skin Les 1.1-2.0 Cm Face,Facial
$460
$115
$285
24
clean
HB Shav Skin Les >2.1 Cm Face,Facial
$460
$115
$285
24
clean
PR SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM >2.0 CM
$283
$142
$120
5
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<
$202
$51
$203
47
clean
PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<
$202
$101
$108
5
clean
PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM
$245
$123
$135
5
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.6-1.0 Cm
$245
$61
$154
47
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 1.1-2.0 Cm
$271
$68
$215
46
clean
PR EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM
$271
$136
$147
5
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 2.1-3.0 Cm
$313
$78
$215
47
clean
PR EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM
$313
$157
$184
5
clean
PR EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM
$355
$178
$209
5
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 3.1-4.0 Cm
$355
$89
$316
47
clean
HB Exc Skin Benig >4 Cm Trunk,Arm,Leg
$1,864
$466
$1,156
24
clean
PR EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM
$506
$253
$300
5
clean
HB Exc Skin Benig
$1,864
$466
$1,156
24
clean
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/<
$200
$100
$105
5
clean
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM
$251
$126
$139
5
clean
HB Exc Skin Benig 0.6-1 Cm Remaindr Body
$810
$203
$502
24
clean
HB Exc Skin Benig 1.1-2 Cm Remaindr Body
$1,839
$460
$1,129
23
clean
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM
$283
$142
$165
5
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 2.1-3.0cm
$326
$82
$652
46
clean
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM
$326
$163
$191
5
clean
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM
$378
$189
$223
5
clean
HB Exc Skin Benig 3.1-4 Cm Remaindr Body
$1,864
$466
$1,144
23
clean
HB Exc Skin Benig >4 Cm Remaindr Body
$3,292
$823
$2,042
24
clean
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G > 4.0CM
$522
$261
$310
5
clean
HB Exc Face-Mm B9+Marg 0.5cm/<
$810
$203
$502
24
clean
PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<
$224
$112
$130
5
clean
PR EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM
$273
$137
$159
5
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 0.6-1.0cm
$273
$68
$215
47
clean
PR EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM
$305
$153
$178
5
clean
HB Exc Face-Mm B9+Marg 1.1-2 Cm
$810
$203
$497
23
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 2.1-3.0cm
$361
$90
$394
46
clean
PR EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM
$361
$181
$212
5
clean
HB Exc Face-Mm B9+Marg 3.1-4 Cm
$1,864
$466
$1,144
23
clean
PR EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM
$450
$225
$266
5
clean
PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M > 4.0CM
$611
$306
$363
5
clean
HB Exc Face-Mm B9+Marg > 4 Cm
$3,292
$823
$2,042
24
clean
HB Exc Hidrad Axil; S/I Rep
$3,292
$823
$2,020
23
clean
PR EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR
$856
$428
$394
5
clean
PR EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR
$1,051
$526
$486
5
clean
HB Removal Sweat Gland Lesion
$3,292
$823
$2,020
23
clean
PR EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR
$841
$421
$386
5
clean
PR EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR
$1,051
$526
$485
5
clean
HB Exc Hidrad Umbil; S/I Rep
$3,292
$823
$2,020
23
clean
PR EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR
$907
$454
$419
5
clean
HB Exc Hidrad Umbil; Cplx Rep
$3,292
$823
$2,020
23
clean
PR EXCISION H/P/P/U COMPLEX REPAIR
$1,084
$542
$502
5
clean
PR EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<
$393
$197
$181
5
clean
HB Exc Tr-Ext Mal+Marg 0.5 < Cm
$810
$203
$497
23
clean
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm
$360
$90
$226
47
clean
PR EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM
$360
$180
$188
5
clean
Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm
$386
$97
$239
46
clean
PR EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM
$386
$193
$205
5
clean
PR EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM
$558
$279
$183
5
clean
HB Exc Tr-Ext Mal+Marg 2.1-3 Cm
$810
$203
$497
23
clean
HB Exc Tr-Ext Mal+Marg 3.1-4 Cm
$810
$203
$497
23
clean
PR EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM
$622
$311
$288
5
clean
HB Exc Skin Malig >4 Cm Trunk,Arm,Leg
$1,864
$466
$1,144
23
clean
PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM
$897
$449
$419
5
clean
PR EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM/<
$395
$198
$181
5
clean
HB Exc H-F-Nk-Sp Mal+Marg 0.5 <
$1,864
$466
$1,144
23
clean
PR EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM
$459
$230
$211
5
clean
HB Exc S/N/H/F/G Mal+Mrg 0.6-1
$810
$203
$497
23
clean
HB Exc S/N/H/F/G Mal+Mrg 1.1-2
$810
$203
$497
23
clean
PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM
$505
$253
$233
5
clean
HB Exc S/N/H/F/G Mal+Mrg 2.1-3
$1,864
$466
$1,144
23
clean
PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM
$592
$296
$274
5
clean
PR EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM
$674
$337
$313
5
clean
HB Exc S/N/H/F/G Mal+Mrg 3.1-4
$1,864
$466
$1,156
24
clean
HB Exc Skin Malig >4 Cm Remaindr Body
$3,292
$823
$2,020
23
clean
PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM
$641
$321
$368
5
clean
HB Exc F/E/E/N/L Mal+Mrg 0.5cm<
$810
$203
$497
23
clean
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<
$320
$160
$161
5
clean
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM
$373
$187
$197
5
clean
HB Exc F/E/E/N/L Mal+Mrg 0.6-1
$810
$203
$502
24
clean
HB Exc F/E/E/N/L Mal+Mrg 1.1-2
$810
$203
$502
24
clean
PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM
$423
$212
$230
5
clean
HB Exc F/E/E/N/L Mal+Mrg 2.1-3
$1,864
$466
$1,156
24
clean
PR EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM
$498
$249
$288
5
clean
PR EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM
$614
$307
$356
5
clean
HB Exc F/E/E/N/L Mal+Mrg 3.1-4
$1,864
$466
$1,156
24
clean
Showing the first 200 of 8,740 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
error
mrf_negotiated_above_max_systematic
1,850 of 5,908 comparable items (31%) 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. a negotiated rate of $48 is above the file's own maximum $44
error
mrf_negotiated_below_min_systematic
3,214 of 5,915 comparable items (54%) 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. a negotiated rate of $14 is below the file's own minimum $243
CPT 90870/o
warn
mrf_negotiated_above_gross
highest negotiated rate $965 exceeds the gross charge $343
CPT 90880/o
warn
mrf_negotiated_above_gross
highest negotiated rate $114 exceeds the gross charge $107
CPT 96373/o
warn
mrf_negotiated_above_gross
highest negotiated rate $239 exceeds the gross charge $133
CPT J0702/b
warn
mrf_negotiated_above_gross
highest negotiated rate $8 exceeds the gross charge $6
CPT 50693/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,961 exceeds the gross charge $33
CPT 86905/o
warn
mrf_negotiated_above_gross
highest negotiated rate $403 exceeds the gross charge $24
CPT 96409/o
warn
mrf_negotiated_above_gross
highest negotiated rate $371 exceeds the gross charge $362
CPT J7070/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $2
CPT 57500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,035 exceeds the gross charge $1,002
CPT 87077/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9 exceeds the gross charge $0
CPT J7120/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2 exceeds the gross charge $1
CPT 57505/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,035 exceeds the gross charge $1,002
CPT 90993/b
warn
mrf_negotiated_above_gross
highest negotiated rate $384 exceeds the gross charge $70
CPT 82247/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $1
CPT 40490/o
warn
mrf_negotiated_above_gross
highest negotiated rate $266 exceeds the gross charge $262
CPT 67700/o
warn
mrf_negotiated_above_gross
highest negotiated rate $357 exceeds the gross charge $344
CPT G0105/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,045 exceeds the gross charge $674
CPT 96542/o
warn
mrf_negotiated_above_gross
highest negotiated rate $371 exceeds the gross charge $225
CPT 91035/o
warn
mrf_negotiated_above_gross
highest negotiated rate $965 exceeds the gross charge $611
CPT 94010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $243 exceeds the gross charge $216
CPT G0121/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,045 exceeds the gross charge $675
CPT S9443/b
warn
mrf_negotiated_above_gross
highest negotiated rate $59 exceeds the gross charge $40
CPT 91065/o
warn
mrf_negotiated_above_gross
highest negotiated rate $243 exceeds the gross charge $180
CPT G0136/o
warn
mrf_negotiated_above_gross
highest negotiated rate $42 exceeds the gross charge $35
CPT 97016/o
warn
mrf_negotiated_above_gross
highest negotiated rate $63 exceeds the gross charge $50
CPT 82465/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $1
CPT 67938/o
warn
mrf_negotiated_above_gross
highest negotiated rate $357 exceeds the gross charge $293
CPT 45300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $119 exceeds the gross charge $76
CPT 40808/o
warn
mrf_negotiated_above_gross
highest negotiated rate $606 exceeds the gross charge $578
CPT 99407/o
warn
mrf_negotiated_above_gross
highest negotiated rate $42 exceeds the gross charge $35
CPT J1250/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $1
CPT 58120/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,638 exceeds the gross charge $595
CPT 97130/o
warn
mrf_negotiated_above_gross
highest negotiated rate $63 exceeds the gross charge $56
CPT 43753/o
warn
mrf_negotiated_above_gross
highest negotiated rate $243 exceeds the gross charge $44
CPT 43755/o
warn
mrf_negotiated_above_gross
highest negotiated rate $145 exceeds the gross charge $52
CPT 0034U/o
warn
mrf_negotiated_above_gross
highest negotiated rate $513 exceeds the gross charge $382
CPT 69000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $796 exceeds the gross charge $306
CPT J1380/b
warn
mrf_negotiated_above_gross
highest negotiated rate $8 exceeds the gross charge $6
CPT 82947/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3 exceeds the gross charge $2
CPT 69005/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,856 exceeds the gross charge $1,826
CPT 97169/b
warn
mrf_negotiated_above_gross
highest negotiated rate $94 exceeds the gross charge $25
CPT 51701/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $141
CPT 41100/o
warn
mrf_negotiated_above_gross
highest negotiated rate $606 exceeds the gross charge $574
CPT 95115/o
warn
mrf_negotiated_above_gross
highest negotiated rate $53 exceeds the gross charge $42
CPT 69105/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,744 exceeds the gross charge $1,669
CPT 41105/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,726 exceeds the gross charge $3,654
CPT 92240/b
warn
mrf_negotiated_above_gross
highest negotiated rate $377 exceeds the gross charge $93
CPT 45380/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,345 exceeds the gross charge $853
CPT J9041/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2 exceeds the gross charge $1
CPT 45381/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,345 exceeds the gross charge $870
CPT 51710/o
warn
mrf_negotiated_above_gross
highest negotiated rate $784 exceeds the gross charge $768
CPT 87901/o
warn
mrf_negotiated_above_gross
highest negotiated rate $283 exceeds the gross charge $10
CPT J1580/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2 exceeds the gross charge $1
CPT 45385/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,345 exceeds the gross charge $896
CPT 95710/b
warn
mrf_negotiated_above_gross
highest negotiated rate $795 exceeds the gross charge $663
CPT 97606/o
warn
mrf_negotiated_above_gross
highest negotiated rate $457 exceeds the gross charge $197
CPT 88120/o
warn
mrf_negotiated_above_gross
highest negotiated rate $526 exceeds the gross charge $316
CPT J1610/b
warn
mrf_negotiated_above_gross
highest negotiated rate $184 exceeds the gross charge $111
CPT G0397/o
warn
mrf_negotiated_above_gross
highest negotiated rate $199 exceeds the gross charge $185
CPT 51728/o
warn
mrf_negotiated_above_gross
highest negotiated rate $784 exceeds the gross charge $768
CPT 69433/o
warn
mrf_negotiated_above_gross
highest negotiated rate $606 exceeds the gross charge $574
CPT 92551/o
warn
mrf_negotiated_above_gross
highest negotiated rate $63 exceeds the gross charge $18
CPT 78258/o
warn
mrf_negotiated_above_gross
highest negotiated rate $449 exceeds the gross charge $391
CPT 41800/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $104
CPT 51729/o
warn
mrf_negotiated_above_gross
highest negotiated rate $784 exceeds the gross charge $768
CPT 55535/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,275 exceeds the gross charge $7,176
CPT 58301/o
warn
mrf_negotiated_above_gross
highest negotiated rate $342 exceeds the gross charge $315
CPT 78261/o
warn
mrf_negotiated_above_gross
highest negotiated rate $449 exceeds the gross charge $420
CPT J1631/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6 exceeds the gross charge $3
CPT G0404/o
warn
mrf_negotiated_above_gross
highest negotiated rate $33 exceeds the gross charge $29
CPT 99483/o
warn
mrf_negotiated_above_gross
highest negotiated rate $114 exceeds the gross charge $107
CPT 99484/o
warn
mrf_negotiated_above_gross
highest negotiated rate $42 exceeds the gross charge $35
CPT 97810/o
warn
mrf_negotiated_above_gross
highest negotiated rate $33 exceeds the gross charge $29
CPT 97813/o
warn
mrf_negotiated_above_gross
highest negotiated rate $33 exceeds the gross charge $29
CPT 99492/o
warn
mrf_negotiated_above_gross
highest negotiated rate $114 exceeds the gross charge $107
CPT 78454/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,455 exceeds the gross charge $894
CPT J1726/b
warn
mrf_negotiated_above_gross
highest negotiated rate $32 exceeds the gross charge $20
CPT 99493/o
warn
mrf_negotiated_above_gross
highest negotiated rate $114 exceeds the gross charge $107
CPT 56420/o
warn
mrf_negotiated_above_gross
highest negotiated rate $227 exceeds the gross charge $156
CPT 88283/o
warn
mrf_negotiated_above_gross
highest negotiated rate $75 exceeds the gross charge $11
CPT G0444/o
warn
mrf_negotiated_above_gross
highest negotiated rate $42 exceeds the gross charge $35
CPT 56501/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,319 exceeds the gross charge $2,104
CPT G0447/o
warn
mrf_negotiated_above_gross
highest negotiated rate $114 exceeds the gross charge $107
CPT 56515/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,319 exceeds the gross charge $2,104
CPT 98971/o
warn
mrf_negotiated_above_gross
highest negotiated rate $63 exceeds the gross charge $52
CPT 78814/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,425 exceeds the gross charge $200
CPT 88313/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $67
CPT J1930/b
warn
mrf_negotiated_above_gross
highest negotiated rate $45 exceeds the gross charge $19
CPT 46083/o
warn
mrf_negotiated_above_gross
highest negotiated rate $281 exceeds the gross charge $213
CPT 0418T/b
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $47
CPT 42800/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,744 exceeds the gross charge $1,669
CPT J1950/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,667 exceeds the gross charge $1,484
CPT 74328/b
warn
mrf_negotiated_above_gross
highest negotiated rate $173 exceeds the gross charge $45
CPT 80047/b
warn
mrf_negotiated_above_gross
highest negotiated rate $11 exceeds the gross charge $10
CPT 64566/o
warn
mrf_negotiated_above_gross
highest negotiated rate $345 exceeds the gross charge $333
CPT J2010/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $3
CPT A4352/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6 exceeds the gross charge $2
CPT 58562/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,638 exceeds the gross charge $3,583
CPT 95870/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $141
CPT J2175/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $3
CPT G0537/o
warn
mrf_negotiated_above_gross
highest negotiated rate $42 exceeds the gross charge $34
CPT 88346/o
warn
mrf_negotiated_above_gross
highest negotiated rate $191 exceeds the gross charge $19
CPT 99195/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $134
CPT 64620/o
warn
mrf_negotiated_above_gross
highest negotiated rate $994 exceeds the gross charge $424
CPT J2270/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5 exceeds the gross charge $1
CPT 88361/o
warn
mrf_negotiated_above_gross
highest negotiated rate $403 exceeds the gross charge $396
CPT J2300/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3 exceeds the gross charge $2
CPT 64632/o
warn
mrf_negotiated_above_gross
highest negotiated rate $345 exceeds the gross charge $183
CPT 95907/o
warn
mrf_negotiated_above_gross
highest negotiated rate $243 exceeds the gross charge $133
CPT 75705/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,254 exceeds the gross charge $770
CPT 95910/o
warn
mrf_negotiated_above_gross
highest negotiated rate $419 exceeds the gross charge $402
CPT J2353/b
warn
mrf_negotiated_above_gross
highest negotiated rate $218 exceeds the gross charge $214
CPT 89220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $191 exceeds the gross charge $69
CPT 43200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,019 exceeds the gross charge $889
CPT 57100/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,035 exceeds the gross charge $1,002
CPT G2214/o
warn
mrf_negotiated_above_gross
highest negotiated rate $114 exceeds the gross charge $107
CPT 90480/b
warn
mrf_negotiated_above_gross
highest negotiated rate $43 exceeds the gross charge $36
CPT J0130/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,429 exceeds the gross charge $1
CPT J2550/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $1
CPT 62252/o
warn
mrf_negotiated_above_gross
highest negotiated rate $345 exceeds the gross charge $338
CPT 12057/o
warn
mrf_negotiated_above_gross
highest negotiated rate $532 exceeds the gross charge $433
CPT 38220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,856 exceeds the gross charge $638
CPT J2680/b
warn
mrf_negotiated_above_gross
highest negotiated rate $9 exceeds the gross charge $7
CPT J2690/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $296
CPT 38221/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,856 exceeds the gross charge $650
CPT J0280/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11 exceeds the gross charge $10
CPT 43239/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,019 exceeds the gross charge $735
CPT 62272/o
warn
mrf_negotiated_above_gross
highest negotiated rate $793 exceeds the gross charge $780
CPT 64722/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,195 exceeds the gross charge $759
CPT 93503/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,769 exceeds the gross charge $1,733
CPT J2785/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $1
CPT J2790/b
warn
mrf_negotiated_above_gross
highest negotiated rate $83 exceeds the gross charge $79
CPT 38500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,400 exceeds the gross charge $674
CPT J0456/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2 exceeds the gross charge $1
CPT 76080/o
warn
mrf_negotiated_above_gross
highest negotiated rate $614 exceeds the gross charge $428
CPT 53600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $281 exceeds the gross charge $178
CPT 38525/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,400 exceeds the gross charge $894
CPT Q2035/b
warn
mrf_negotiated_above_gross
highest negotiated rate $22 exceeds the gross charge $1
CPT 86485/b
warn
mrf_negotiated_above_gross
highest negotiated rate $12 exceeds the gross charge $6
CPT Q2036/b
warn
mrf_negotiated_above_gross
highest negotiated rate $22 exceeds the gross charge $1
CPT Q2038/b
warn
mrf_negotiated_above_gross
highest negotiated rate $22 exceeds the gross charge $1
CPT 86580/o
warn
mrf_negotiated_above_gross
highest negotiated rate $33 exceeds the gross charge $21
CPT 90792/o
warn
mrf_negotiated_above_gross
highest negotiated rate $199 exceeds the gross charge $185
MS-DRG 951/i
warn
mrf_negotiated_above_gross
highest negotiated rate $3,420 exceeds the gross charge $3,237
CPT J0500/b
warn
mrf_negotiated_above_gross
highest negotiated rate $15 exceeds the gross charge $9
CPT Q3027/b
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $39
CPT J3030/b
warn
mrf_negotiated_above_gross
highest negotiated rate $52 exceeds the gross charge $3
CPT 53866/o
warn
mrf_negotiated_above_gross
highest negotiated rate $281 exceeds the gross charge $274
CPT J3105/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2 exceeds the gross charge $1
CPT 96156/o
warn
mrf_negotiated_above_gross
highest negotiated rate $114 exceeds the gross charge $107
CPT 96158/o
warn
mrf_negotiated_above_gross
highest negotiated rate $199 exceeds the gross charge $185
CPT 54055/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,319 exceeds the gross charge $2,104
CPT 65210/o
warn
mrf_negotiated_above_gross
highest negotiated rate $502 exceeds the gross charge $205
CPT J3230/b
warn
mrf_negotiated_above_gross
highest negotiated rate $30 exceeds the gross charge $25
CPT 96160/o
warn
mrf_negotiated_above_gross
highest negotiated rate $42 exceeds the gross charge $35
CPT 93750/o
warn
mrf_negotiated_above_gross
highest negotiated rate $107 exceeds the gross charge $103
CPT 54060/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,319 exceeds the gross charge $2,104
CPT 65220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $502 exceeds the gross charge $263
CPT 96161/o
warn
mrf_negotiated_above_gross
highest negotiated rate $42 exceeds the gross charge $35
CPT 54065/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,319 exceeds the gross charge $2,104
CPT 96164/o
warn
mrf_negotiated_above_gross
highest negotiated rate $42 exceeds the gross charge $35
CPT 90839/o
warn
mrf_negotiated_above_gross
highest negotiated rate $199 exceeds the gross charge $185
CPT 38745/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,794 exceeds the gross charge $1,784
CPT 96167/o
warn
mrf_negotiated_above_gross
highest negotiated rate $42 exceeds the gross charge $35
CPT J3360/b
warn
mrf_negotiated_above_gross
highest negotiated rate $9 exceeds the gross charge $3
CPT 90846/o
warn
mrf_negotiated_above_gross
highest negotiated rate $199 exceeds the gross charge $185
CPT J0640/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $1
CPT 93882/o
warn
mrf_negotiated_above_gross
highest negotiated rate $117 exceeds the gross charge $36
CPT 90853/o
warn
mrf_negotiated_above_gross
highest negotiated rate $114 exceeds the gross charge $107
CPT 57415/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,638 exceeds the gross charge $177
CPT 93922/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $50
CPT J0694/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $3
CPT 59409/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,638 exceeds the gross charge $2,176
CPT 81405/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 93924/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 96367/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 J0694/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 Q5107/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 11404/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 15277/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 20690/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27331/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29105/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 36511/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 38792/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 43332/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 54200/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 63047/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 66850/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76816/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 90880/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 93925/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 96368/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 J0696/o
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 J3420/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 Q5110/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 11406/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 15278/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