Service
Code
Listed
Cash
Negotiated
Rates
Checks
Anesthesia for procedure on eyelid
$241
$181
$133
19
clean
Anesthesia for other procedure on external middle and inner ear
$241
$181
$133
19
clean
Anesthesia for incision of ear drum
$241
$181
$133
19
clean
Anesthesia for other procedure on eye
$241
$181
$133
19
clean
Anesthesia for lens surgery
$241
$181
$133
19
clean
Anesthesia for other procedure on nose and sinuses
$241
$181
$133
19
clean
Anesthesia for biopsy of soft tissue of nose and sinus
$227
$170
$125
19
clean
Anesthesia for other procedure on mouth
$241
$181
$133
19
clean
Anesthesia for other procedure on face bones or skull
$227
$170
$125
19
clean
Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back
$241
$181
$133
19
clean
Anesthesia for other procedure on neck area (1 year or older)
$227
$170
$125
19
clean
Anesthesia for other procedure on skin of arms, legs, and front body
$241
$181
$133
19
clean
Anesthesia for other procedure on collar bone and shoulder blade
$241
$181
$133
19
clean
Anesthesia for closed drainage of lung fluid
$220
$165
$121
19
clean
Anesthesia for insertion of permanent heart pacemaker
$241
$181
$133
19
clean
Anesthesia for access to central vein
$241
$181
$133
19
clean
Anesthesia for other procedure on upper front abdomen
$227
$170
$125
19
clean
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope
$241
$181
$133
19
clean
Anesthesia for other repair of upper abdomen hernia
$241
$181
$133
19
clean
Anesthesia for procedure to repair upper abdominal incisional hernia and/or wound opening
$241
$181
$133
19
clean
Detection of Immunoglobulin paraprotein (M-protein) in blood or urine
$201
$150
$129
11
clean
Anesthesia for other procedure on upper abdomen
$241
$181
$133
19
clean
Anesthesia for other procedure on lower front abdomen
$241
$181
$133
19
clean
Anesthesia for other procedure on large bowel using an endoscope
$241
$181
$133
19
clean
Anesthesia for exam of colon using an endoscope
$241
$181
$133
19
clean
Anesthesia for procedure on small and large bowel using an endoscope
$241
$181
$133
19
clean
Anesthesia for other repair of lower abdomen hernia (1 year or older)
$241
$181
$133
19
clean
Anesthesia for repair of abdominal wall hernia
$241
$181
$133
19
clean
Anesthesia for other procedure on lower abdomen
$241
$181
$133
19
clean
Anesthesia for tying or incision of fallopian tubes using an endoscope
$241
$181
$133
19
clean
Anesthesia for other procedure on lower abdomen outside abdominal cavity
$241
$181
$133
19
clean
Anesthesia for procedure on anus and rectum
$241
$181
$133
19
clean
Anesthesia for vasectomy
$241
$181
$133
19
clean
Anesthesia for other procedure on female genitals
$227
$170
$125
19
clean
Anesthesia for exam of uterus using an endoscope
$241
$181
$133
19
clean
Anesthesia for closed procedure on hip joint
$241
$181
$133
19
clean
Anesthesia for other procedure on hip joint
$241
$181
$133
19
clean
Anesthesia for procedure on upper 2/3rd of thigh bone
$241
$181
$133
19
clean
Anesthesia for procedure on nerves, muscles, tendons, and tissue of upper leg
$241
$181
$133
19
clean
Anesthesia for procedure on veins in upper leg
$227
$170
$125
19
clean
Anesthesia for procedure on nerves, muscles, tendons, and tissue of knee
$241
$181
$133
19
clean
Anesthesia for procedure on kneecap and/or upper part of lower leg bones
$241
$181
$133
19
clean
Anesthesia for other procedure or exam of knee joint using an endoscope
$241
$181
$133
19
clean
Anesthesia for procedure for total knee joint replacement
$241
$181
$133
19
clean
Anesthesia for closed procedure on lower leg, ankle, and foot
$241
$181
$133
19
clean
Anesthesia for procedure on ankle or foot using an endoscope
$227
$170
$125
19
clean
Anesthesia for other procedure on nerves, muscles, tendons, and tissue of lower leg, ankle, and foot
$241
$181
$133
19
clean
Anesthesia for repair of Achilles tendon
$241
$181
$133
19
clean
Anesthesia for repair of calf muscle
$227
$170
$125
19
clean
Anesthesia for other procedure on lower leg, ankle, and foot bones
$241
$181
$133
19
clean
Anesthesia for open amputation below the knee
$241
$181
$133
19
clean
Anesthesia for open reconstruction of lower leg, ankle, and/or foot bone
$241
$181
$133
19
clean
Anesthesia for other procedure on vein of lower leg
$227
$170
$125
19
clean
Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of shoulder and underarm
$241
$181
$133
19
clean
Anesthesia for closed procedure on top of arm bone and shoulder joint
$227
$170
$125
19
clean
Anesthesia for other procedure on top of arm bone and shoulder joint
$241
$181
$133
19
clean
Anesthesia for open or endoscopic total shoulder joint replacement
$241
$181
$133
19
clean
Anesthesia for other procedures on nerves, muscles, tendons, and tissue of upper arm and elbow
$241
$181
$133
19
clean
Anesthesia for procedure on tendon of upper arm muscle
$227
$170
$125
19
clean
Anesthesia for other procedure on elbow
$227
$170
$125
19
clean
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand
$241
$181
$133
19
clean
Anesthesia for closed procedure on bones of forearm, wrist, or hand
$227
$170
$125
19
clean
Anesthesia for other procedure on forearm, wrist, or hand bones
$227
$170
$125
19
clean
Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance
$227
$170
$125
19
clean
Anesthesia for cesarean delivery
$241
$181
$133
19
clean
Anesthesia for incomplete or missed abortion
$241
$181
$133
19
clean
Anesthesia for labor during planned vaginal delivery
$241
$181
$228
40
clean
Anesthesia for cesarean delivery following labor
$241
$181
$178
26
clean
Anesthesia for nerve block and injection
$227
$170
$125
19
clean
Harvest and injections of platelet rich plasma using imaging guidance
$511
$383
$572
22
clean
Fine needle aspiration biopsy using ultrasound guidance, first growth
$604
$453
$187
73
clean
Fine needle aspiration biopsy using ultrasound guidance, each additional growth
$274
$205
$51
62
clean
Fine needle aspiration biopsy using fluoroscopic guidance, first growth
$1,295
$971
$358
10
clean
Fine needle aspiration biopsy of growth using CT guidance, first growth
$2,119
$1,589
$569
10
clean
Fine needle aspiration biopsy of growth using CT guidance, each additional growth
$1,277
$958
$345
10
clean
Fine needle aspiration biopsy, first growth
$291
$218
$77
32
clean
Drainage of fluid collection in soft tissue using imaging guidance
$1,090
$817
$703
11
clean
Acne surgery
$338
$254
$263
11
clean
Simple or single drainage of skin abscess
$306
$229
$197
11
clean
Simple or single drainage of skin abscess
$315
$236
$231
11
clean
Complicated or multiple drainage of skin abscess
$763
$572
$415
33
clean
Complicated or multiple drainage of skin abscess
$258
$194
$166
11
clean
Simple drainage of cyst of tailbone
$431
$323
$335
11
clean
Simple drainage of cyst of tailbone
$550
$413
$355
11
clean
Complicated drainage of cyst of tailbone
$945
$709
$610
11
clean
Removal of foreign body from tissue, accessed beneath the skin, simple
$373
$280
$290
11
clean
Removal of foreign body from tissue, accessed beneath the skin, simple
$258
$194
$166
11
clean
Removal of foreign body from tissue, accessed beneath the skin, complex
$908
$681
$586
11
clean
Drainage of blood or fluid accumulation
$395
$296
$307
33
clean
Drainage of blood or fluid accumulation
$431
$323
$278
11
clean
Aspiration of abscess, blood, or cyst
$258
$194
$166
11
clean
Aspiration of abscess, blood, or cyst
$339
$254
$163
33
clean
Removal of inflamed or infected skin, up to 10% of body surface
$326
$245
$253
11
clean
Removal of infected artificial material or mesh from abdomen
$1,351
$1,013
$872
11
clean
Removal of foreign material from skin and tissue at open broken and/or dislocated bone
$1,436
$1,077
$927
11
clean
Removal of skin and tissue, 20.0 sq cm or less
$837
$628
$408
22
clean
Removal of muscle and/or tissue, 20.0 sq cm or less
$1,489
$1,117
$789
22
clean
Removal of bone, 20.0 sq cm or less
$1,183
$887
$291
22
clean
Removal of skin and tissue, each additional 20.0 sq cm or less
$162
$121
$117
22
clean
Removal of muscle and/or tissue, each additional 20.0 sq cm or less
$247
$185
$193
22
clean
Removal of bone, each additional 20.0 sq cm or less
$436
$327
$339
11
clean
Removal of noncancer thickened skin growth, 1 growth
$146
$109
$113
11
clean
Removal of noncancer thickened skin growth, 2-4 growths
$188
$141
$146
11
clean
Removal of noncancer thickened skin growth, more than 4 growths
$249
$187
$193
11
clean
Biopsy of related skin growth, first growth
$338
$254
$263
22
clean
Biopsy of related skin growth, each additional growth
$52
$39
$135
22
clean
Punch biopsy, first skin growth
$338
$254
$230
22
clean
Punch biopsy, each additional skin growth
$205
$154
$159
22
clean
Incision biopsy, first skin growth
$122
$91
$218
33
clean
Incision biopsy, each additional skin growth
$338
$254
$263
11
clean
Removal of skin tag, 1-15 skin tags
$306
$230
$190
22
clean
Removal of skin tag, each additional 10 skin tags
$201
$151
$156
11
clean
Shaving of skin growth of body, arms, or legs, 0.5 cm or less
$259
$195
$201
11
clean
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
$336
$252
$261
11
clean
Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm
$413
$310
$321
11
clean
Shaving of skin growth of body, arms, or legs, more than 2.0 cm
$614
$460
$415
11
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
$305
$229
$237
11
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
$401
$300
$311
11
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
$301
$225
$233
11
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, more than 2.0 cm
$597
$448
$415
11
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
$335
$251
$260
11
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
$450
$337
$349
11
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
$546
$409
$403
11
clean
Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less
$369
$277
$286
11
clean
Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm
$478
$358
$304
22
clean
Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm
$680
$510
$391
22
clean
Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm
$813
$610
$409
22
clean
Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm
$1,033
$775
$666
11
clean
Removal of noncancer skin growth of body, arms, or legs, more than 4.0 cm
$1,411
$1,059
$666
22
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
$456
$342
$282
22
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
$552
$414
$355
22
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
$757
$568
$407
22
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm
$978
$734
$631
11
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm
$1,231
$923
$508
22
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm
$1,567
$1,175
$1,011
11
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
$490
$368
$324
22
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
$645
$484
$404
22
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
$798
$598
$403
33
clean
Removal of skin and tissue of groin for inflamed sweat glands with simple or intermediate repair
$2,756
$2,067
$1,778
11
clean
Removal of cancer skin growth of body, arms, or legs, 0.5 cm or less
$629
$472
$415
11
clean
Removal of cancer skin growth of body, arms, or legs, 0.6-1.0 cm
$776
$582
$501
11
clean
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
$937
$702
$415
33
clean
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
$1,200
$900
$506
22
clean
Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm
$1,607
$1,205
$1,037
11
clean
Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm
$2,034
$1,525
$852
22
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
$767
$575
$495
11
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
$1,042
$781
$672
11
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
$1,243
$932
$802
11
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm
$1,532
$1,149
$988
11
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm
$1,208
$906
$779
11
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
$949
$711
$612
11
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
$1,200
$900
$774
11
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
$1,561
$1,171
$1,007
11
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm
$1,922
$1,442
$1,240
11
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm
$2,644
$1,983
$1,706
11
clean
Trimming of fingernails or toenails
$97
$73
$75
11
clean
Removal of fingernails or toenails, 1-5 nails
$198
$149
$154
11
clean
Removal of fingernails or toenails, 6 or more nails
$277
$208
$215
11
clean
Simple separation of fingernail or toenail from nail bed, first nail
$336
$252
$261
11
clean
Simple separation of fingernail or toenail from nail bed, first nail
$124
$93
$80
11
clean
Simple separation of fingernail or toenail from nail bed, each additional nail
$187
$140
$145
11
clean
Removal of blood accumulation under fingernail or toenail
$237
$178
$184
11
clean
Removal of blood accumulation under fingernail or toenail
$31
$23
$20
11
clean
Permanent removal fingernail or toenail
$502
$376
$324
11
clean
Permanent removal fingernail or toenail
$990
$743
$639
11
clean
Repair of fingernail or toenail bed
$872
$654
$563
11
clean
Repair of fingernail or toenail bed
$101
$76
$65
11
clean
Removal of skin of fingernail or toenail
$582
$437
$415
11
clean
Simple removal of cyst of tailbone
$1,898
$1,424
$1,225
11
clean
Extensive removal of cyst of tailbone
$2,207
$1,655
$1,290
33
clean
Complicated removal of cyst of tailbone
$1,413
$1,060
$912
11
clean
Injection into skin growth, 1-7 growths
$223
$167
$173
11
clean
Injection into skin growth, more than 7 growths
$182
$136
$141
11
clean
Insertion of drug delivery implant into tissue
$647
$485
$418
11
clean
Removal of drug delivery implant from tissue
$745
$559
$481
11
clean
Removal with reinsertion of drug delivery implant into tissue
$1,003
$752
$647
11
clean
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less
$487
$365
$363
22
clean
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less
$518
$388
$334
11
clean
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm
$565
$423
$414
11
clean
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm
$622
$466
$401
11
clean
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 7.6-12.5 cm
$794
$596
$513
11
clean
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 7.6-12.5 cm
$734
$551
$474
11
clean
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 12.6-20.0 cm
$916
$687
$591
11
clean
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 12.6-20.0 cm
$964
$723
$622
11
clean
Simple repair of surface wound to scalp, neck, underarms, trunk, arms, or legs, more than 30.0 cm
$1,526
$1,145
$985
11
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less
$559
$419
$410
11
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less
$624
$468
$403
11
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm
$641
$481
$415
11
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm
$673
$505
$434
11
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm
$816
$612
$527
11
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm
$790
$592
$510
11
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 7.6-12.5 cm
$1,069
$802
$690
11
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 7.6-12.5 cm
$1,003
$752
$647
11
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 12.6-20.0 cm
$1,374
$1,031
$887
11
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, more than 30.0 cm
$963
$723
$622
11
clean
Simple closure of surface wound reopening
$847
$635
$546
11
clean
Simple closure of surface wound reopening
$847
$636
$547
11
clean
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less
$702
$527
$441
22
clean
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less
$665
$499
$429
11
clean
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
$780
$585
$512
22
clean
Showing the first 200 of 3,231 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 99463/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $366
CPT 99497/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $271
CPT 99498/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $136
CPT 64632/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $312
CPT 65205/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $338
CPT 68110/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,372 exceeds the gross charge $246
CPT 68811/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,372 exceeds the gross charge $664
CPT 69000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $402
CPT 69100/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $361
CPT 29075/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $357
CPT 29085/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $408
CPT 29086/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $261
CPT 29125/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $274
CPT 29126/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $273
CPT 29130/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $221
CPT 29505/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $328
CPT 29515/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $272
CPT 29705/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $232
CPT 29799/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $180
CPT 30300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $373
CPT 92018/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,372 exceeds the gross charge $545
CPT 31505/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $408
CPT 92551/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $71
CPT 92567/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $80
CPT 93016/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $132
CPT 93018/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $130
CPT 93227/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $148
CPT 93244/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $99
CPT 93248/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $105
CPT 93279/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $265
CPT G0071/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $37
CPT 93281/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $284
CPT G0101/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $153
CPT 33262/o
warn
mrf_negotiated_above_gross
highest negotiated rate $15,595 exceeds the gross charge $1,642
CPT G0102/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $16
CPT 93291/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $137
CPT G0105/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,078 exceeds the gross charge $810
CPT 93312/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $391
CPT G0168/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $125
CPT 36000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $120
CPT G0316/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $67
CPT 93352/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $177
CPT G0402/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $350
CPT G0403/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $181
CPT G0438/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $350
CPT G0439/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $284
CPT G0511/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $107
CPT G2025/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $247
CPT G2212/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $70
CPT H1004/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $326
CPT 10040/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $338
CPT 10120/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $373
CPT 11000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $326
CPT 94760/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $118
CPT 94761/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $68
CPT 95115/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $35
CPT 95117/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $68
CPT 11055/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $146
CPT 11056/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $188
CPT 11057/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $249
CPT 11102/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $338
CPT 11105/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $205
CPT J2790/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $131
CPT 42831/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,372 exceeds the gross charge $1,009
CPT 11107/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $338
CPT 11201/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $201
CPT 11300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $259
CPT 11301/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $336
CPT 11305/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $305
CPT 11306/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $401
CPT 11307/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $301
CPT 11310/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $335
CPT 11400/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $369
CPT 96110/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $206
CPT 96376/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $113
CPT 97039/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $85
CPT 11719/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $97
CPT 11720/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $198
CPT 11721/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $277
CPT 11730/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $336
CPT 11732/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $187
CPT 11740/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $237
CPT 45380/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,166 exceeds the gross charge $2,030
CPT 11900/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $223
CPT 11901/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $182
CPT 13122/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $408
CPT 46600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $198
CPT 99080/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $242
CPT 46606/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $361
CPT 46615/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,372 exceeds the gross charge $592
CPT 99153/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $126
CPT M0243/o
warn
mrf_negotiated_above_gross
highest negotiated rate $901 exceeds the gross charge $376
CPT 15851/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $370
CPT 99157/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $323
CPT 99173/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $68
CPT 99188/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $38
CPT Q4006/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $146
CPT Q4008/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $115
CPT Q4010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $71
CPT 17000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $268
CPT Q4020/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $115
CPT 17003/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $108
CPT Q4022/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $43
CPT 17110/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $324
CPT Q4024/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $40
CPT Q4030/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $88
CPT 17260/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $263
CPT Q4032/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $73
CPT 17261/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $342
CPT Q4038/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $135
CPT 17280/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $338
CPT Q4040/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $43
CPT 17999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $360
CPT 99221/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $364
CPT 99238/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $269
CPT 51100/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $222
CPT 99242/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $355
CPT 51700/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $381
CPT 99252/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $389
CPT 99281/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $203
CPT 99282/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $292
CPT 99283/o
warn
mrf_negotiated_above_gross
highest negotiated rate $423 exceeds the gross charge $379
CPT S0302/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $168
CPT 56606/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $333
CPT 99285/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,097 exceeds the gross charge $685
CPT 57160/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $256
CPT 20205/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,283 exceeds the gross charge $1,143
CPT 57170/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $226
CPT 99304/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $361
CPT 99306/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $374
MS-DRG 138/i
warn
mrf_negotiated_above_gross
highest negotiated rate $13,137 exceeds the gross charge $4,602
CPT 20526/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $277
CPT 58110/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $313
MS-DRG 156/i
warn
mrf_negotiated_above_gross
highest negotiated rate $13,198 exceeds the gross charge $8,411
CPT 20550/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $268
MS-DRG 200/i
warn
mrf_negotiated_above_gross
highest negotiated rate $29,680 exceeds the gross charge $12,611
MS-DRG 202/i
warn
mrf_negotiated_above_gross
highest negotiated rate $8,798 exceeds the gross charge $5,925
MS-DRG 306/i
warn
mrf_negotiated_above_gross
highest negotiated rate $32,119 exceeds the gross charge $15,050
CPT 99315/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $266
MS-DRG 383/i
warn
mrf_negotiated_above_gross
highest negotiated rate $24,784 exceeds the gross charge $11,983
CPT 20560/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $58
CPT 99316/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $306
MS-DRG 393/i
warn
mrf_negotiated_above_gross
highest negotiated rate $60,369 exceeds the gross charge $30,498
MS-DRG 543/i
warn
mrf_negotiated_above_gross
highest negotiated rate $43,814 exceeds the gross charge $18,210
CPT 20600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $219
MS-DRG 549/i
warn
mrf_negotiated_above_gross
highest negotiated rate $24,614 exceeds the gross charge $7,545
CPT 86580/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $43
CPT 99347/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $140
MS-DRG 555/i
warn
mrf_negotiated_above_gross
highest negotiated rate $22,032 exceeds the gross charge $9,230
MS-DRG 559/i
warn
mrf_negotiated_above_gross
highest negotiated rate $39,593 exceeds the gross charge $14,116
MS-DRG 593/i
warn
mrf_negotiated_above_gross
highest negotiated rate $20,513 exceeds the gross charge $7,711
MS-DRG 688/i
warn
mrf_negotiated_above_gross
highest negotiated rate $13,198 exceeds the gross charge $7,074
CPT 20612/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $233
CPT 99381/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $336
MS-DRG 698/i
warn
mrf_negotiated_above_gross
highest negotiated rate $23,018 exceeds the gross charge $10,216
CPT 99382/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $319
MS-DRG 884/i
warn
mrf_negotiated_above_gross
highest negotiated rate $24,067 exceeds the gross charge $6,999
CPT 99383/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $344
CPT 99384/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $384
CPT 99385/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $368
CPT 99386/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $411
CPT 99391/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $241
CPT 99392/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $294
CPT 99393/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $268
CPT 99394/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $310
CPT 99395/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $315
CPT 99396/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $330
CPT 99397/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $351
CPT 99401/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $162
CPT 99407/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $129
CPT 99417/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $82
CPT 99418/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $82
CPT 99446/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $84
CPT 99447/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $128
CPT 99448/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $168
CPT 99452/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $67
CPT 99462/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $193
CPT 27093/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 64415/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 76776/o
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 86777/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27096/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 64417/o
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 76800/o
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 86778/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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, max differ, so no cross-line comparison was made for this item
CPT 64418/o
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 76801/o
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 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, min, max differ, so no cross-line comparison was made for this item
CPT 27236/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 64420/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 76802/o
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 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, min, max differ, so no cross-line comparison was made for this item
CPT A0384/o
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 27244/o
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 64421/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 76805/o
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 86788/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT A0390/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 27245/o
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