Service
Code
Listed
Cash
Negotiated
Rates
Checks
DETECTION OF IMMUNOGLOBULIN PARAPROTEIN (M-PROTEIN) IN BLOOD OR URINE
$98
$76
—
0
clean
RESPIRATORY INFECTIOUS AGENT DETECTION BY RNA FOR SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID 19); INFLUENZA A; INFLUENZA B; AND RESPIRATORY SYNCYTIAL VIRUS; UPPER RESPIRATORY SPECIMEN; EACH REPORTED AS DETECT
$330
$257
—
0
clean
SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS
$653
$509
$299
1
clean
REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE
$7,840
$6,115
$299
1
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS
$750
$585
$299
1
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM
$750
$585
$299
2
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 7.6-12.5 CM
$750
$585
$299
1
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS
$750
$585
$299
2
clean
INJECTION OF TRIGGER POINTS; 1-2 MUSCLES
$744
$580
$299
1
clean
INJECTION OF TRIGGER POINTS; 3 OR MORE MUSCLES
$856
$668
$299
1
clean
ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT
$733
$572
$299
2
clean
PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER
$18,350
$14,313
$5,015
1
clean
INJECTION OF ANESTHETIC OR STEROID INTO JOINT BETWEEN LOWER SPINE AND HIP BONE USING IMAGING GUIDANCE
$1,702
$1,328
$299
1
clean
APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT
$340
$265
$299
1
clean
APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT
$265
$207
$299
2
clean
STRAPPING; UNNA BOOT
$374
$292
$299
3
clean
APPLICATION OF VEIN WOUND COMPRESSION BANDAGES ON LOWER LEG; ANKLE; AND FOOT
$680
$530
$299
2
clean
INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE
$69
$54
$32
2
clean
COLLECTION OF BLOOD SAMPLE FROM IMPLANTED DEVICE
$226
$176
$299
1
clean
COLLECTION OF BLOOD SAMPLE FROM CENTRAL VENOUS TUBE
$196
$153
$299
3
clean
DECLOTTING OF CENTRAL VENOUS TUBE
$669
$522
$299
1
clean
DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE
$2,800
$2,184
$1,744
3
clean
BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE
$3,400
$2,652
$724
8
clean
REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE
$3,400
$2,652
$724
3
clean
SIMPLE BLADDER IRRIGATION AND/OR INSTILLATION
$664
$518
$299
1
clean
INSERTION OF TEMPORARY BLADDER TUBE
$200
$156
$299
1
clean
SIMPLE INSERTION OF TEMPORARY BLADDER TUBE
$265
$207
$299
1
clean
ULTRASOUND MEASUREMENT OF BLADDER CAPACITY AFTER VOIDING
$212
$165
$299
1
clean
FETAL TEST
$514
$401
$299
1
clean
INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE
$2,239
$1,746
$449
2
clean
INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO ARM NERVE BUNDLE
$2,935
$2,289
$449
1
clean
INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO OTHER NERVE OR BRANCH
$1,694
$1,321
$449
1
clean
INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL
$2,036
$1,588
$449
1
clean
INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SECOND LEVEL
$1,018
$794
$299
1
clean
DESTRUCTION OF UPPER OR MIDDLE SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT
$6,128
$4,779
$1,372
1
clean
DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT
$4,085
$3,186
$1,372
1
clean
DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; EACH ADDITIONAL FACET JOINT
$2,043
$1,593
$299
1
clean
X-RAY OF SOFT TISSUE OF NECK
$223
$174
—
0
clean
CT SCAN HEAD OR BRAIN WITHOUT CONTRAST
$1,296
$1,011
$500
4
clean
CT SCAN OF CRANIAL CAVITY BEFORE AND AFTER CONTRAST
$1,658
$1,293
$500
3
clean
CT SCAN OF FACE WITHOUT CONTRAST
$1,342
$1,047
$500
3
clean
CT SCAN OF SOFT TISSUE OF NECK WITHOUT CONTRAST
$1,167
$910
$500
3
clean
CT SCAN OF SOFT TISSUE OF NECK WITH CONTRAST
$1,373
$1,071
$500
3
clean
CT SCAN OF BLOOD VESSELS OF HEAD WITH CONTRAST
$1,937
$1,511
$500
3
clean
CT SCAN OF BLOOD VESSELS OF NECK WITH CONTRAST
$1,937
$1,511
$500
3
clean
MRI SCAN OF BLOOD VESSELS OF HEAD WITHOUT CONTRAST
$2,212
$1,725
$748
3
clean
MRI SCAN OF BLOOD VESSELS OF NECK BEFORE AND AFTER CONTRAST
$2,671
$2,083
$917
3
clean
MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST
$2,871
$2,239
$917
3
clean
X-RAY OF CHEST; 1 VIEW
$290
$226
—
0
clean
X-RAY OF CHEST; 2 VIEWS
$291
$227
$254
2
clean
X-RAY OF RIBS ON SIDE OF BODY; 2 VIEWS
$262
$204
—
0
clean
X-RAY OF RIBS ON SIDE OF BODY; MINIMUM OF 3 VIEWS
$364
$284
—
0
clean
CT SCAN OF CHEST WITHOUT CONTRAST
$1,496
$1,167
$500
3
clean
CT SCAN OF CHEST WITH CONTRAST
$1,760
$1,373
$500
3
clean
CT SCAN OF CHEST BEFORE AND AFTER CONTRAST
$2,024
$1,579
$500
3
clean
LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING
$926
$722
$500
1
clean
CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST
$1,666
$1,299
$500
3
clean
X-RAY OF UPPER SPINE; 2-3 VIEWS
$285
$222
—
0
clean
X-RAY OF MIDDLE SPINE; 2 VIEWS
$293
$228
—
0
clean
X-RAY OF MIDDLE SPINE; 3 VIEWS
$344
$268
—
0
clean
X-RAY OF LOWER AND SACRAL SPINE; 2-3 VIEWS
$305
$238
—
0
clean
CT SCAN OF UPPER SPINE WITHOUT CONTRAST
$1,622
$1,265
$500
3
clean
MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST
$2,470
$1,927
$748
3
clean
X-RAY OF PELVIS; 1-2 VIEWS
$283
$221
—
0
clean
MRI SCAN OF PELVIS WITH CONTRAST
$2,597
$2,026
$917
3
clean
X-RAY OF JOINT BETWEEN LOWER SPINE AND HIP BONE; 3 OR MORE VIEWS
$261
$204
—
0
clean
X-RAY OF SACRUM AND TAILBONE; MINIMUM OF 2 VIEWS
$257
$200
—
0
clean
X-RAY OF COLLAR BONE
$249
$194
—
0
clean
X-RAY OF SHOULDER BLADE
$268
$209
—
0
clean
X-RAY OF SHOULDER; 1 VIEW
$259
$202
—
0
clean
X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS
$305
$238
—
0
clean
X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS
$296
$231
—
0
clean
X-RAY OF ELBOW; 2 VIEWS
$251
$196
—
0
clean
X-RAY OF ELBOW; MINIMUM OF 3 VIEWS
$295
$230
—
0
clean
X-RAY OF FOREARM; 2 VIEWS
$263
$205
—
0
clean
X-RAY OF WRIST; MINIMUM OF 3 VIEWS
$296
$231
—
0
clean
X-RAY OF HAND; MINIMUM OF 3 VIEWS
$280
$218
—
0
clean
X-RAY OF FINGER; MINIMUM OF 2 VIEWS
$232
$181
—
0
clean
MRI SCAN OF ARM JOINT WITHOUT CONTRAST
$2,343
$1,828
$748
2
clean
X-RAY OF HIP; 2-3 VIEWS
$296
$231
—
0
clean
X-RAY OF BOTH HIPS; 2 VIEWS
$334
$261
—
0
clean
X-RAY OF BOTH HIPS; 3-4 VIEWS
$393
$306
—
0
clean
X-RAY OF THIGH BONE; MINIMUM 2 VIEWS
$297
$232
—
0
clean
X-RAY OF KNEE; 1-2 VIEWS
$600
$468
—
0
clean
X-RAY OF KNEE; 3 VIEWS
$690
$538
—
0
clean
X-RAY OF LOWER LEG; 2 VIEWS
$598
$466
—
0
clean
X-RAY OF ANKLE; 2 VIEWS
$249
$194
—
0
clean
X-RAY OF ANKLE; MINIMUM OF 3 VIEWS
$292
$228
—
0
clean
X-RAY OF FOOT; MINIMUM OF 3 VIEWS
$558
$435
—
0
clean
X-RAY OF HEEL; MINIMUM OF 2 VIEWS
$242
$189
—
0
clean
CT SCAN OF LEG WITHOUT CONTRAST
$1,282
$1,000
$500
1
clean
MRI SCAN OF LEG JOINT WITHOUT CONTRAST
$2,300
$1,794
$748
1
clean
X-RAY OF ABDOMEN; 1 VIEW
$252
$197
—
0
clean
X-RAY OF ABDOMEN; 2 VIEWS
$290
$226
—
0
clean
CT SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST
$1,760
$1,373
$500
3
clean
CT SCAN OF BLOOD VESSELS OF ABDOMEN AND PELVIS WITH CONTRAST
$2,621
$2,044
$917
3
clean
CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST
$2,149
$1,676
$585
3
clean
CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST
$2,528
$1,972
$917
3
clean
CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST
$2,907
$2,267
$917
3
clean
MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST
$3,097
$2,416
$917
3
clean
ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE
$499
$389
—
0
clean
LIMITED ULTRASOUND SCAN OF ABDOMEN
$559
$436
—
0
clean
ULTRASOUND SCAN OF ABDOMINAL AORTA
$449
$350
—
0
clean
COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY
$555
$433
—
0
clean
LIMITED ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY
$459
$358
—
0
clean
ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); SINGLE OR FIRST FETUS
$543
$424
—
0
clean
ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS
$634
$495
—
0
clean
LIMITED ULTRASOUND OF PREGNANT UTERUS
$518
$404
—
0
clean
FOLLOW-UP ULTRASOUND SCAN OF PREGNANT UTERUS
$562
$438
—
0
clean
VAGINAL ULTRASOUND OF PREGNANT UTERUS
$513
$400
—
0
clean
ULTRASOUND SCAN OF FETUS
$1,236
$964
—
0
clean
ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA
$492
$384
—
0
clean
COMPLETE ULTRASOUND SCAN OF PELVIS
$587
$458
—
0
clean
ULTRASOUND SCAN OF SCROTUM
$549
$428
—
0
clean
LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS
$455
$355
—
0
clean
FLUOROSCOPIC GUIDANCE FOR NEEDLE PLACEMENT
$620
$484
—
0
clean
SCREENING 3D BREAST MAMMOGRAPHY
$250
$195
$202
2
clean
SCREENING MAMMOGRAPHY
$610
$476
$494
2
clean
DXA BONE DENSITY MEASUREMENT OF HIP; PELVIS; SPINE
$385
$300
—
0
clean
DXA BONE DENSITY MEASUREMENT OF FOREARM; FINGER; HAND; OR FOOT
$380
$296
—
0
clean
NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT
$3,700
$2,886
$3,204
2
clean
NUCLEAR MEDICINE STUDY FROM SKULL BASE TO MID-THIGH WITH CT SCAN
$5,847
$4,561
—
0
clean
NUCLEAR MEDICINE STUDY WHOLE BODY WITH CT SCAN
$5,889
$4,593
—
0
clean
BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL)
$82
$64
$62
2
clean
BLOOD TEST PANEL FOR ELECTROLYTES (SODIUM POTASSIUM; CHLORIDE; CARBON DIOXIDE)
$45
$35
—
0
clean
BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS
$92
$71
$72
2
clean
BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)
$81
$63
$67
2
clean
KIDNEY FUNCTION BLOOD TEST PANEL
$48
$37
—
0
clean
LIVER FUNCTION BLOOD TEST PANEL
$52
$40
—
0
clean
MEASUREMENT OF ACETAMINOPHEN
$82
$64
—
0
clean
LEVETIRACETAM LEVEL
$68
$53
—
0
clean
MEASUREMENT OF SALICYLATE
$76
$60
—
0
clean
OXCARBAZEPINE LEVEL
$66
$52
—
0
clean
TACROLIMUS LEVEL
$78
$61
—
0
clean
VANCOMYCIN (ANTIBIOTIC) LEVEL
$48
$37
—
0
clean
MEASUREMENT OF INFLIXIMAB
$250
$195
—
0
clean
TESTING FOR PRESENCE OF DRUG; READ BY INSTRUMENT ASSISTED OBSERVATION
$58
$45
—
0
clean
MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED
$47
$37
—
0
clean
AUTOMATED URINALYSIS TEST
$37
$29
—
0
clean
URINE PREGNANCY TEST
$50
$39
—
0
clean
GENE ANALYSIS (PROTHROMBIN; COAGULATION FACTOR II) A VARIANT
$291
$227
—
0
clean
TEST FOR DETECTING GENES ASSOCIATED WITH FETAL DISEASE; ANEUPLOIDY GENOMIC SEQUENCE ANALYSIS PANEL
$856
$668
—
0
clean
FETAL CONGENITAL ABNORMALITIES; BIOCHEMICAL ASSAYS OF FOUR ANALYTES (AFP; UE3; HCG [ANY FORM]; DIA) UTILIZING MATERNAL SERUM; ALGORITHM REPORTED AS A RISK SCORE
$321
$251
—
0
clean
ALBUMIN (PROTEIN) LEVEL
$42
$33
—
0
clean
URINE MICROALBUMIN (PROTEIN) LEVEL
$52
$40
—
0
clean
MEASUREMENT OF ALCOHOL LEVEL IN SPECIMEN OTHER THAN BREATH OR URINE
$182
$142
—
0
clean
AMMONIA LEVEL
$43
$34
—
0
clean
AMYLASE (ENZYME) LEVEL
$42
$33
—
0
clean
ANGIOTENSIN L - CONVERTING ENZYME (ACE) LEVEL
$58
$45
—
0
clean
BILIRUBIN LEVEL; DIRECT
$42
$33
—
0
clean
STOOL ANALYSIS FOR BLOOD; BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY
$48
$38
—
0
clean
VITAMIN D-3 LEVEL
$78
$61
—
0
clean
CALCIUM LEVEL; TOTAL
$42
$33
—
0
clean
CALCIUM LEVEL; IONIZED
$50
$39
—
0
clean
CARCINOEMBRYONIC ANTIGEN (CEA) PROTEIN LEVEL
$70
$54
—
0
clean
CATECHOLAMINES (ORGANIC NITROGEN) LEVEL
$85
$67
—
0
clean
ANALYSIS USING CHEMILUMINESCENT TECHNIQUE (LIGHT AND CHEMICAL )REACTION
$180
$141
—
0
clean
COPPER LEVEL
$68
$53
—
0
clean
CREATINE KINASE (CARDIAC ENZYME) LEVEL; TOTAL
$42
$33
—
0
clean
BLOOD CREATININE LEVEL
$42
$33
—
0
clean
CREATININE LEVEL TO TEST FOR KIDNEY FUNCTION OR MUSCLE INJURY
$42
$33
—
0
clean
CYANOCOBALAMIN (VITAMIN B-12) LEVEL
$48
$38
—
0
clean
CYSTATIN C (ENZYME INHIBITOR) LEVEL
$83
$65
—
0
clean
DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL
$69
$54
—
0
clean
MEASUREMENT OF TOTAL ESTRADIOL (HORMONE)
$63
$49
—
0
clean
FERRITIN (BLOOD PROTEIN) LEVEL
$91
$71
—
0
clean
FOLIC ACID LEVEL; SERUM
$53
$41
—
0
clean
GAMMAGLOBULIN (IMMUNE SYSTEM PROTEIN) MEASUREMENT
$239
$187
—
0
clean
BLOOD GASES MEASUREMENT
$68
$53
—
0
clean
BLOOD GLUCOSE (SUGAR) LEVEL
$48
$38
—
0
clean
BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE
$53
$42
—
0
clean
BLOOD GLUCOSE (SUGAR) TOLERANCE TEST; 3 SPECIMENS
$53
$42
—
0
clean
GLUTAMYLTRANSFERASE (LIVER ENZYME) LEVEL
$42
$33
—
0
clean
GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL
$48
$38
—
0
clean
GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL
$63
$49
—
0
clean
HAPTOGLOBIN (SERUM PROTEIN) LEVEL
$80
$62
—
0
clean
HEMOGLOBIN A1C LEVEL
$77
$60
$58
2
clean
HYDROXYPROGESTERONE; 17-D (SYNTHETIC HORMONE) LEVEL
$64
$50
—
0
clean
ANALYSIS OF SUBSTANCE USING IMMUNOASSAY TECHNIQUE; MULTIPLE STEP METHOD
$217
$169
—
0
clean
MEASUREMENT OF IMMUNOGLOBULIN LIGHT CHAINS
$157
$122
—
0
clean
IRON LEVEL
$43
$34
—
0
clean
IRON BINDING CAPACITY
$44
$34
—
0
clean
LACTIC ACID LEVEL
$105
$82
—
0
clean
LACTATE DEHYDROGENASE (ENZYME) LEVEL
$42
$33
—
0
clean
LEAD LEVEL
$53
$42
—
0
clean
LIPASE (FAT ENZYME) LEVEL
$62
$48
—
0
clean
LIPOPROTEIN (A) LEVEL
$63
$49
—
0
clean
LDL CHOLESTEROL LEVEL
$53
$42
—
0
clean
MAGNESIUM LEVEL
$49
$38
—
0
clean
METANEPHRINES LEVEL
$68
$53
—
0
clean
NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL
$103
$80
—
0
clean
NEPHELOMETRY; TEST METHOD USING LIGHT
$409
$319
—
0
clean
BLOOD OSMOLALITY (CONCENTRATION) MEASUREMENT
$42
$33
—
0
clean
URINE OSMOLALITY (CONCENTRATION) MEASUREMENT
$42
$33
—
0
clean
OXALATE LEVEL
$64
$50
—
0
clean
PARATHORMONE (PARATHYROID HORMONE) LEVEL
$87
$67
—
0
clean
PHOSPHATE LEVEL
$44
$34
—
0
clean
BLOOD POTASSIUM LEVEL
$42
$33
—
0
clean
PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL
$50
$39
—
0
clean
PROCALCITONIN (HORMONE) LEVEL
$107
$83
—
0
clean
Showing the first 200 of 1,252 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 36591/o
warn
mrf_negotiated_above_gross
highest negotiated rate $299 exceeds the gross charge $226
CPT 51701/o
warn
mrf_negotiated_above_gross
highest negotiated rate $299 exceeds the gross charge $200
CPT 51702/o
warn
mrf_negotiated_above_gross
highest negotiated rate $299 exceeds the gross charge $265
CPT 51798/o
warn
mrf_negotiated_above_gross
highest negotiated rate $299 exceeds the gross charge $212
CPT A9552/o
warn
mrf_negotiated_above_gross
highest negotiated rate $712 exceeds the gross charge $617
warn
mrf_rate_without_estimate
25,796 of 25,796 percentage/algorithm rates across 1,252 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT J7620/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J8597/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 J9144/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 Q5103/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q5117/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 Q9957/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 Q9966/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 Q9967/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 12002/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 12011/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 29515/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 29580/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 29581/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 36592/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 45380/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 45385/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70450/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 73560/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 73562/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 73590/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 73630/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 80061/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 82570/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82784/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 82947/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 83036/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 84484/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 85610/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 86618/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86787/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87040/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 87086/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 87449/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 88305/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 90375/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90675/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 92507/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93005/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 93793/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93979/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96360/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 96361/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96365/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 96372/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96374/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96375/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96376/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 97110/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97112/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 97140/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97530/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97535/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 99203/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 99282/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 99283/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 99284/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 99285/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 A9270/o
info
mrf_item_fields_vary
this code and setting cover at least 45 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT A9552/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 A9585/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 G0105/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT G0463/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0134/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 J0665/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0696/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 J0780/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 J0878/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 J0881/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0896/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 J1100/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 J1171/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 J1642/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 J1815/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 J1885/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1938/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 J1953/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 J2003/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 J2060/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 J2250/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2270/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2405/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 J2426/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 J2470/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 J2704/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2765/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2795/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2802/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2919/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3010/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3301/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3475/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3489/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7030/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 J7040/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 J7050/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 J7120/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item