Service
Code
Listed
Cash
Negotiated
Rates
Checks
GENE ANALYSIS (JANUS KINASE 2) OF TARGETED SEQUENCE EXONS 12-15
$513
$400
—
0
clean
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
INFECTIOUS DISEASE (BACTERIAL); QUANTITATIVE ANTIMICROBIAL SUSCEPTIBILITY REPORTED AS PHENOTYPIC MINIMUM INHIBITORY CONCENTRATION (MIC) BASED ANTIMICROBIAL SUSCEPTIBILITY FOR EACH ORGANISMS IDENTIFIED
$180
$140
—
0
clean
SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS
$653
$509
—
0
clean
COMPLICATED OR MULTIPLE DRAINAGE OF SKIN ABSCESS
$653
$509
—
0
clean
SIMPLE DRAINAGE OF CYST OF TAILBONE
$622
$485
—
0
clean
REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE
$585
$456
—
0
clean
DRAINAGE OF BLOOD OR FLUID ACCUMULATION
$2,223
$1,734
—
0
clean
ASPIRATION OF ABSCESS; BLOOD; OR CYST
$2,300
$1,794
—
0
clean
REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS
$8,500
$6,630
$326
1
clean
REMOVAL OF BONE; 20.0 SQ CM OR LESS
$3,475
$2,711
—
0
clean
REMOVAL OF SKIN AND TISSUE; EACH ADDITIONAL 20.0 SQ CM OR LESS
$153
$119
—
0
clean
BIOPSY OF RELATED SKIN GROWTH; FIRST GROWTH
$140
$109
—
0
clean
PUNCH BIOPSY; FIRST SKIN GROWTH
$428
$334
—
0
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.6-1.0 CM
$239
$187
—
0
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 1.1-2.0 CM
$1,788
$1,394
$489
1
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 2.1-3.0 CM
$304
$237
—
0
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 3.1-4.0 CM
$3,575
$2,789
$800
1
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; MORE THAN 4.0 CM
$972
$758
—
0
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 0.6-1.0 CM
$249
$194
—
0
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 1.1-2.0 CM
$279
$218
—
0
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; MORE THAN 4.0 CM
$6,500
$5,070
$1,492
1
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.6-1.0 CM
$3,575
$2,789
$489
1
clean
REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; MORE THAN 4.0 CM
$3,960
$3,089
$800
1
clean
REMOVAL OF BLOOD ACCUMULATION UNDER FINGERNAIL OR TOENAIL
$328
$255
—
0
clean
REMOVAL OF SKIN OF FINGERNAIL OR TOENAIL
$685
$534
—
0
clean
SIMPLE REMOVAL OF CYST OF TAILBONE
$491
$383
—
0
clean
COMPLICATED REMOVAL OF CYST OF TAILBONE
$2,492
$1,944
$1,492
1
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS
$349
$272
—
0
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM
$424
$331
—
0
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 7.6-12.5 CM
$750
$585
—
0
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 12.6-20.0 CM
$626
$488
—
0
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS
$408
$318
—
0
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM
$750
$585
—
0
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 7.6-12.5 CM
$1,125
$878
—
0
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 2.6-7.5 CM
$1,125
$878
—
0
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS
$3,575
$2,789
$326
1
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM
$1,125
$878
—
0
clean
COMPLICATED REPAIR OF WOUND OF SCALP; ARMS; OR LEGS; 2.6-7.5 CM
$1,440
$1,123
—
0
clean
COMPLICATED REPAIR OF WOUND OF SCALP; ARMS; OR LEGS; EACH ADDITIONAL 5.0 CM OR LESS
$1,440
$1,123
—
0
clean
REPAIR OF WOUND BY TRANSFERRING SKIN; 30.1-60.0 SQ CM
$2,492
$1,944
$1,628
1
clean
REPAIR OF WOUND BY TRANSFERRING SKIN; EACH ADDITIONAL 30.0 SQ CM
$2,492
$1,943
$326
1
clean
APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF TRUNK; ARMS; OR LEGS; 25.0 SQ CM OR LESS OF WOUND 100.0 SQ CM OR LESS
$2,622
$2,045
—
0
clean
APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; 25.0 SQ CM OR LESS OF WOUND 100.0 SQ CM OR LESS
$2,942
$2,295
—
0
clean
REMOVAL OF SUTURES UNDER ANESTHESIA BY OTHER SURGEON
$5,050
$3,939
$800
1
clean
FIRST DEGREE BURN TREATMENT
$500
$390
—
0
clean
DRESSING CHANGE OR REMOVAL OF BURN TISSUE; LESS THAN 5% OF TOTAL BODY SURFACE
$1,320
$1,030
—
0
clean
APPLICATION OF CHEMICAL TO STOP TISSUE REGROWTH IN WOUND
$315
$246
—
0
clean
INJECTION OF TRIGGER POINTS; 1-2 MUSCLES
$744
$580
—
0
clean
INJECTION OF TRIGGER POINTS; 3 OR MORE MUSCLES
$744
$580
—
0
clean
INSERTION OF NEEDLE; 1-2 MUSCLES
$16
$12
—
0
clean
ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT
$5,591
$4,361
$326
1
clean
ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT
$760
$593
—
0
clean
ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT
$219
$171
$326
1
clean
REMOVAL OF EXTERNAL BONE STABILIZING DEVICE UNDER ANESTHESIA
$4,925
$3,842
$800
1
clean
DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF SHOULDER
$7,700
$6,006
$1,492
1
clean
REMOVAL OF GROWTH OF MUSCLE OF SHOULDER; LESS THAN 5.0 CM
$813
$634
—
0
clean
REPAIR OF ACUTE TORN SHOULDER ROTATOR CUFF
$4,633
$3,614
$2,442
1
clean
REPAIR OF CHRONIC TORN SHOULDER ROTATOR CUFF
$13,900
$10,842
$2,442
2
clean
PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER
$18,350
$14,313
$5,453
1
clean
CLOSED TREATMENT OF DISLOCATED SHOULDER WITH MANIPULATION
$2,900
$2,262
$326
1
clean
CLOSED TREATMENT OF DISLOCATED SHOULDER WITH MANIPULATION UNDER ANESTHESIA
$878
$685
—
0
clean
MANIPULATION OF SHOULDER JOINT UNDER ANESTHESIA
$7,733
$6,032
$800
1
clean
ANCHORING OF BICEPS TENDON AT ELBOW
$4,493
$3,504
$2,442
1
clean
CLOSED TREATMENT OF DISLOCATED FOREARM BONE ON THUMB SIDE AT ELBOW WITH MANIPULATION; CHILD
$615
$480
—
0
clean
INCISION OR THE TENDON COVERING ON THE TOP SIDE OF THE WRIST
$6,433
$5,018
$1,492
1
clean
REMOVAL OF FIRST CYST OF WRIST
$5,950
$4,641
$1,492
1
clean
CLOSED TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES WITH MANIPULATION
$6,685
$5,214
$326
1
clean
CLOSED TREATMENT OF BROKEN OR GROWTH PLATE SEPARATE OF FOREARM BONE AT WRIST WITH MANIPULATION
$878
$685
—
0
clean
SIMPLE DRAINAGE OF ABSCESS OF FINGER
$4,440
$3,463
$326
1
clean
INCISION OF TENDON COVERING OF FINGER
$4,650
$3,627
$800
8
clean
REMOVAL OF GROWTH OF TENDON FINGER OR HAND
$5,950
$4,641
$800
2
clean
TREATMENT OF BROKEN FINGER BONE WITH STABILIZING DEVICE ACCESSED THROUGH SKIN
$11,550
$9,009
$1,492
1
clean
TREATMENT OF BROKEN MIDHAND BONE
$19,840
$15,475
$3,093
1
clean
PLACEMENT OF STABILIZING DEVICE FOR BROKEN END OF FINGER OR THUMB
$13,300
$10,374
$1,492
1
clean
CLOSED TREATMENT OF DISLOCATED FINGER JOINT WITH MANIPULATION
$702
$548
—
0
clean
OTHER PROCEDURE ON HANDS OR FINGERS
$13,300
$10,374
$326
1
clean
REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS
$18,350
$14,313
$5,453
2
clean
REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE
$32,370
$25,249
$5,453
2
clean
TREATMENT OF BROKEN KNEECAP WITH PLACEMENT OF STABILIZING DEVICE AND/OR REMOVAL OF KNEECAP
$14,775
$11,525
$3,093
1
clean
MANIPULATION OF KNEE JOINT UNDER ANESTHESIA
$1,800
$1,404
$800
2
clean
TREATMENT OF BROKEN PART OF SHIN BONE WITH ROD
$19,100
$14,898
$3,093
1
clean
TREATMENT OF BROKEN OUTER LOWER LEG BONE AT ANKLE
$16,160
$12,605
$3,093
1
clean
CLOSED TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE WITH MANIPULATION
$878
$685
—
0
clean
TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE WITH FIXATION OF POSTERIOR LIP
$16,250
$12,675
$3,093
1
clean
REMOVAL OF FIBROUS NERVE GROWTH FROM BETWEEN TOES
$2,850
$2,223
$1,492
2
clean
REMOVAL OF CYST OR GROWTH OF FOOT BONE
$11,300
$8,814
$1,492
1
clean
REMOVAL OF BUNION AT FIFTH TOE JOINT
$12,200
$9,516
$1,492
1
clean
CORRECTION OF TOE JOINT DEFORMITY
$4,313
$3,364
$1,492
4
clean
CORRECTION OF BUNION WITH 2 AREAS OF REALIGNMENT
$8,133
$6,344
$1,628
2
clean
CLOSED TREATMENT OF BROKEN TOE WITH MANIPULATION
$878
$685
—
0
clean
TREATMENT OF DISLOCATED MIDFOOT BONE
$4,067
$3,172
$3,093
1
clean
AMPUTATION OF TOE AT JOINT BETWEEN FOREFOOT AND TOES
$9,300
$7,254
$1,492
1
clean
AMPUTATION OF TOE AT TOE JOINT
$8,080
$6,302
$1,492
1
clean
APPLICATION OF ELBOW TO FINGER CAST
$374
$292
—
0
clean
APPLICATION OF LOWER AND UPPER ARM SPLINT
$293
$228
—
0
clean
APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT
$241
$188
—
0
clean
APPLICATION OF NONMOVEABLE FINGER SPLINT
$329
$257
—
0
clean
APPLICATION OF WALKING CAST COVERING FOOT; ANKLE; AND LOWER LEG
$510
$398
—
0
clean
APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT
$265
$207
—
0
clean
APPLICATION OF VEIN WOUND COMPRESSION BANDAGES ON LOWER LEG; ANKLE; AND FOOT
$340
$265
—
0
clean
REPAIR OF SHOULDER JOINT CAPSULE USING AN ENDOSCOPE
$17,600
$13,728
$3,093
2
clean
REPAIR OF SHOULDER SOCKET USING AN ENDOSCOPE
$6,950
$5,421
$3,093
2
clean
LIMITED REMOVAL OF ABNORMAL SHOULDER JOINT TISSUE USING ENDOSCOPE
$15,467
$12,064
$1,628
3
clean
REMOVAL OF EXTENSIVE SHOULDER JOINT TISSUE USING AN ENDOSCOPE
$15,985
$12,468
$3,093
4
clean
PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE
$4,633
$3,614
$3,093
2
clean
SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE
$4,633
$3,614
$326
1
clean
REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE
$10,657
$8,312
$3,093
2
clean
RELEASE OF TENDON CONNECTING BICEPS MUSCLE AND SHOULDER USING AN ENDOSCOPE
$5,328
$4,156
$3,093
2
clean
PARTIAL REMOVAL OF KNEE JOINT LINING USING AN ENDOSCOPE
$10,580
$8,252
$1,628
1
clean
REPAIR OF KNEE JOINT WITH DRILLING AND OR SCRAPING OF JOINT USING AN ENDOSCOPE
$10,580
$8,252
$1,628
3
clean
REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE
$5,290
$4,126
$1,628
3
clean
REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE
$10,580
$8,252
$1,628
3
clean
REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE
$10,000
$7,800
$1,628
2
clean
REPAIR OF INSIDE AND OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE
$6,080
$4,742
$1,628
1
clean
REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE
$12,506
$9,754
$3,093
2
clean
SIMPLE CONTROL OF NOSE BLEED
$739
$576
—
0
clean
COMPLEX CONTROL OF NOSE BLEED
$988
$770
—
0
clean
EMERGENT INSERTION OF BREATHING TUBE INTO WINDPIPE USING AN ENDOSCOPE
$588
$459
—
0
clean
REMOVAL OF FLUID FROM BETWEEN LUNG AND CHEST CAVITY
$1,237
$965
—
0
clean
INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE
$35
$27
$32
2
clean
TRANSFUSION OF BLOOD OR BLOOD PRODUCTS
$2,145
$1,673
—
0
clean
COLLECTION OF BLOOD SAMPLE FROM IMPLANTED DEVICE
$452
$353
—
0
clean
COLLECTION OF BLOOD SAMPLE FROM CENTRAL VENOUS TUBE
$392
$306
—
0
clean
DECLOTTING OF CENTRAL VENOUS TUBE
$669
$522
$326
1
clean
ARTERY PUNCTURE COLLECTION OF BLOOD SAMPLE
$132
$103
—
0
clean
INSERTION OF NEEDLE FOR INFUSION INTO BONE
$575
$449
—
0
clean
REPAIR OF LIP AND BORDER
$1,125
$878
—
0
clean
REPAIR OF VERTICAL LIP WOUND EXTENDING TO HALF OF LIP
$1,125
$878
—
0
clean
REPAIR OF LACERATED TONGUE OR FLOOR OF MOUTH; MORE THAN 2.6 CM
$720
$562
—
0
clean
REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS)
$11,500
$8,970
$1,492
1
clean
REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER)
$11,500
$8,970
$1,492
1
clean
REMOVAL OF TONSILS (12 YEARS OR OLDER)
$11,500
$8,970
$1,492
1
clean
DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE
$1,700
$1,326
$1,715
8
clean
BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE
$3,680
$2,870
$1,729
9
clean
BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM
$1,400
$1,092
$2,515
6
clean
REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE
$1,840
$1,435
$800
1
clean
REMOVAL OF APPENDIX USING AN ENDOSCOPE
$2,116
$1,650
$3,093
1
clean
DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE
$1,600
$1,248
$489
2
clean
BIOPSY OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE
$1,440
$1,123
$489
1
clean
REMOVAL OF POLYPS OR GROWTHS OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE WITH MECHANICAL SNARE
$1,161
$905
—
0
clean
DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE
$4,960
$3,869
$1,744
8
clean
BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE
$4,440
$3,463
$800
20
clean
INJECTION BENEATH LINING OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE
$1,700
$1,326
$800
6
clean
REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE
$1,000
$780
$800
14
clean
DRAINAGE OF SUPERFICIAL RECTAL ABSCESS SURROUNDING ANUS
$1,450
$1,131
—
0
clean
REMOVAL OF SINGLE EXTERNAL NONCANCER GROWTH OF ANUS
$7,375
$5,753
$800
1
clean
REMOVAL OF EXTERNAL HEMORRHOIDS BY RUBBER BANDING
$423
$330
$489
1
clean
REMOVAL OF MULTIPLE HEMORRHOID GROUPS
$12,960
$10,109
$1,492
1
clean
REPAIR OF ABNORMAL ANAL DRAINAGE TRACT
$7,840
$6,115
$1,492
1
clean
REPAIR OF ABNORMAL DRAINAGE TRACT IN ANAL SPHINCTER
$7,000
$5,460
$1,492
1
clean
REPAIR OF ABNORMAL DRAINAGE TRACT AROUND ANAL SPHINCTER
$7,000
$5,460
$1,492
1
clean
INJECTION OF AGENT TO DESTROY NERVE TO INTERNAL SPHINCTER OF ANUS
$7,000
$5,460
$800
1
clean
DIAGNOSTIC EXAM OF ANUS USING AN ENDOSCOPE
$166
$130
—
0
clean
REMOVAL OF GALLBLADDER USING AN ENDOSCOPE
$15,125
$11,798
$3,093
1
clean
REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE
$16,320
$12,730
$3,093
1
clean
DRAINAGE OF FLUID FROM ABDOMINAL CAVITY
$1,510
$1,178
$800
1
clean
REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORM
$14,050
$10,959
$1,628
1
clean
REPAIR OF GROIN HERNIA USING AN ENDOSCOPE
$21,075
$16,439
$3,093
3
clean
REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE
$14,050
$10,959
$3,093
1
clean
ASPIRATION OF BLADDER WITH INSERTION OF BLADDER TUBE TO SKIN
$6,600
$5,148
$1,492
1
clean
SIMPLE BLADDER IRRIGATION AND/OR INSTILLATION
$644
$502
—
0
clean
INSERTION OF TEMPORARY BLADDER TUBE
$200
$156
—
0
clean
SIMPLE INSERTION OF TEMPORARY BLADDER TUBE
$929
$725
$326
1
clean
ULTRASOUND MEASUREMENT OF BLADDER CAPACITY AFTER VOIDING
$664
$518
—
0
clean
DESTRUCTION AND/OR REMOVAL OF GROWTH OF BLADDER AND URETHRA USING AN ENDOSCOPE; 0.5-2.0 CM
$12,450
$9,711
$1,492
1
clean
EXAM WITH INJECTIONS OF CHEMICAL FOR DESTRUCTION OF BLADDER USING AN ENDOSCOPE
$6,600
$5,148
$800
1
clean
REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE
$12,450
$9,711
$2,442
1
clean
REMOVAL OF FORESKIN (OLDER THAN 28 DAYS)
$6,840
$5,335
$1,492
1
clean
REPOSITIONING AND SUTURE OF MISPLACED TESTICLE
$8,200
$6,396
$1,628
1
clean
DRAINAGE OF ABSCESS OF SCROTUM
$653
$509
—
0
clean
CREATION OF SLING AROUND URETHRA IN FEMALE TO CONTROL LEAKAGE
$15,300
$11,934
$2,442
1
clean
REMOVAL OF IUD
$300
$234
—
0
clean
FETAL TEST
$514
$401
—
0
clean
INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO FACE NERVE
$1,242
$969
—
0
clean
INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO ARM NERVE BUNDLE
$4,395
$3,428
—
0
clean
INJECTION OF ANESTHETIC AGENT BY CONTINUOUS INFUSION AND/OR STEROID INTO ARM NERVE BUNDLE
$2,705
$2,110
—
0
clean
INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER ARM AND SHOULDER NERVE
$675
$527
—
0
clean
INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO LOWER BACK AND LEG NERVE
$3,645
$2,843
—
0
clean
INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO THIGH NERVE
$2,000
$1,560
$489
1
clean
INJECTION BY CONTINUOUS INFUSION OF ANESTHETIC AGENT AND/OR STEROID INTO THIGH NERVE
$1,160
$905
—
0
clean
INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO OTHER NERVE OR BRANCH
$3,720
$2,902
—
0
clean
RELEASE AND/OR RELOCATION OF ELBOW NERVE
$5,920
$4,618
$1,492
2
clean
RELEASE AND/OR RELOCATION OF HAND NERVE
$5,040
$3,931
$1,492
2
clean
OTHER PROCEDURE ON NERVOUS SYSTEM
$668
$521
—
0
clean
REMOVAL OF FOREIGN BODY FROM EXTERNAL EYE (CONJUNCTIVA)
$164
$128
—
0
clean
REMOVAL OF FOREIGN BODY IN CORNEA
$256
$200
—
0
clean
REMOVAL OF FOREIGN BODY IN CORNEA USING SLIT LAMP
$569
$444
—
0
clean
REMOVAL OF FOREIGN BODY IN EAR CANAL
$380
$296
—
0
clean
REMOVAL OF IMPACTED EAR WAX BY WASHING
$245
$191
—
0
clean
REMOVAL OF IMPACTED EAR WAX
$245
$191
—
0
clean
INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA
$7,425
$5,792
$800
1
clean
X-RAY OF LOWER JAW; MINIMUM OF 4 VIEWS
$329
$257
—
0
clean
X-RAY OF NOSE BONES; MINIMUM OF 3 VIEWS
$278
$217
—
0
clean
X-RAY OF PARANASAL SINUS; 1-2 VIEWS
$190
$148
—
0
clean
X-RAY OF SKULL; 1-3 VIEWS
$296
$231
—
0
clean
X-RAY OF SKULL; MINIMUM OF 4 VIEWS
$370
$289
—
0
clean
X-RAY OF JAW JOINTS ON BOTH SIDES OF MOUTH
$261
$204
—
0
clean
X-RAY OF SOFT TISSUE OF NECK
$223
$174
—
0
clean
Showing the first 200 of 1,875 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT A9541/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,240 exceeds the gross charge $257
CPT 77011/o
warn
mrf_negotiated_above_gross
highest negotiated rate $686 exceeds the gross charge $581
CPT Q0166/o
warn
mrf_negotiated_above_gross
highest negotiated rate $97 exceeds the gross charge $75
warn
mrf_rate_without_estimate
82,222 of 82,222 percentage/algorithm rates across 1,875 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 86300/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 86666/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86780/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86920/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 87070/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 87075/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 87150/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 87186/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 87625/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 87641/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 87798/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 88142/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 88341/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 90375/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 90675/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min 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 4 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 5 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96366/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 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 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 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 3 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97032/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 97035/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 6 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 97162/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 97530/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 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 97597/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97802/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 99000/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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99204/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99212/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99213/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99214/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99222/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 99281/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 4 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 3 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 3 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 99291/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 99292/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 A4649/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 369 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT A9575/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 A9581/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 G0103/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 G0105/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 G0121/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 G0168/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 G0279/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 G0422/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 G0423/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 G0463/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT G0480/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 J0129/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 J0134/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0168/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 J0169/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 J0171/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 J0283/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 J0360/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 J0456/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0461/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0561/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 J0585/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 J0612/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 J0616/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 J0640/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 J0665/o
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 J0666/o
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 J0688/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 J0690/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0696/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 J0702/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 J0703/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 J0713/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 J0736/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 J0744/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 J0780/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 J0878/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 J0881/o
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 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 J0897/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1071/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 J1100/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1163/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 0077U/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 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 10060/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 J1200/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 10140/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 J1240/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 11042/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1271/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 11044/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 J1308/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 11045/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 J1335/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 11102/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 J1439/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 11104/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 J1453/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 11402/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1568/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11403/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 J1569/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 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 differ, so no cross-line comparison was made for this item
CPT J1580/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 11406/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 J1596/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 11606/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 J1602/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 12001/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 J1611/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 J1626/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 12004/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 J1630/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 12005/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 J1644/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1650/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, 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 gross, cash differ, so no cross-line comparison was made for this item
CPT J1720/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 12042/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 J1745/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 12051/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 J1750/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 15271/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 J1756/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 15275/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 J1790/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 16020/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 J1805/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 17250/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 J1808/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 20552/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 J1815/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 20610/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1836/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 23412/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 J1885/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 23650/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1920/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 25605/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 J1930/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 26055/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1938/o
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 26160/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 J1953/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 27130/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 J1956/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27447/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 J2003/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27570/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 J2004/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 28080/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 J2060/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 28285/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 J2184/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 28299/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 J2250/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29105/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 J2270/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29125/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 J2305/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 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 J2357/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 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 J2359/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 29806/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 J2371/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 29807/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2405/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 29822/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 J2469/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 29823/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2470/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29824/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2516/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 29827/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2543/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29828/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2704/o
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29879/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item