Service
Code
Listed
Cash
Negotiated
Rates
Checks
Nash Fibrosure
$647
$421
$485
136
clean
Jak2 Exon 12-15 Sequencing
$448
$291
$166
136
clean
Tpmt, Nudt15 Gene Alys, Com Variants
$517
$336
$401
136
clean
Prion Detection, Rt-Quic, Qualitative
$316
$205
$245
136
clean
Ab Treponema Pallidum Total & Rpr Ia Qual
$85
$55
$39
136
clean
M Protein Isotype Maldi-Tof Ms
$325
$211
$78
135
clean
Resp Pathogen Ampl Probe 22, Biofire Rp2.1
$969
$630
$517
136
clean
Fine Needle Aspir W Biopsy W US Guide
$974
$633
$67
400
clean
Fine Needle Asp W Biop W US Guide Ea Addtl
$84
$55
$39
386
clean
Fine Needle Asp Bx WO Imaging 1st Les Mlp
$57
$37
$138
815
clean
Acne Surgery of Skin Abscess Pf
$63
$41
$65
400
clean
I/D Abscess Simple
$575
$374
$195
1,080
clean
I/D Abscess Complicated Mlp
$756
$491
$403
1,080
clean
I/D Pilonidal Cyst Simple Mlp
$520
$338
$239
1,080
clean
I/D Pilonidal Cyst Comp Pf
$1,031
$670
$658
408
clean
Rfb Subq Tissue Simple Mlp
$448
$291
$341
680
clean
Rfb Subq Tissue Comp
$7,678
$4,991
$638
544
clean
I/D Hematoma Fluids Mlp
$437
$284
$328
1,080
clean
Punct Asp Abscess Hematoma Mlp
$340
$221
$150
1,080
clean
I/D Post OP Wound Infect, Comp Pf
$219
$142
$430
808
clean
Debrid Exten Eczema <10pct Pf
$184
$120
$133
136
clean
Debrid Open Fx/Disl Skin/Subq Mlp
$1,500
$975
$990
270
clean
Debrid Open Fx/Disl Bone Pf
$2,614
$1,699
$1,895
136
clean
Debrid Subq 1st 20sqcm or Less Pf
$427
$278
$273
544
clean
Debrid Skin/Subq/Muscle Pf
$850
$553
$559
136
clean
Tangntl Bx Skin Single Les Pf
$323
$210
$116
815
clean
Tangntl Bx Skin Ea Sep/Addl
$87
$57
$38
386
clean
Punch Bx Skin Single Lesion
$552
$359
$130
672
clean
Punch Bx Skin Ea Sep/Addl
$112
$73
$50
386
clean
Incis Bx Skn Single Les Pf
$69
$45
$148
808
clean
Rem Skin Tags Up to 15 Lesions Pf
$262
$170
$147
944
clean
Shav Les Trnk/Ex .5cm Pf
$218
$142
$130
536
clean
Shav Les Trnk or Ex/.6cm-1.Cm Pf
$247
$161
$90
536
clean
Shav Les Trnk or Ex/1.1-2.0cm Pf
$329
$214
$108
536
clean
Shav Les Trnk or Ex/Over 2.0cm Pf
$323
$210
$136
536
clean
Shav Les Sclp/Nk/Hd/Ft/<0.5
$269
$175
$106
808
clean
Shav Les Sclp/Nk/Hd/Ft/0.6-1.0cm Pf
$268
$174
$97
536
clean
Shav.Les.Sclp/Nk/Hd/Ft/1.1-2.0cm
$277
$180
$77
264
clean
Shav Sk Les Face/Een/Lip 0.5/<
$277
$180
$105
536
clean
Shav Les Face/Hd/.6cm-1.0cm Pf
$86
$56
$73
264
clean
Shav Les Face/Hd/1.1cm-2.0cm Pf
$90
$59
$82
264
clean
Shav.Les,Face/Hd/ Over 2.0cm
$552
$359
$97
264
clean
Exc Ben Les Ext/Tr 0.5cm/< Mlp
$403
$262
$204
944
clean
Exc Ben Les Ext/Tr 0.6to1.0cm Pf
$129
$84
$129
808
clean
Exc Ben Les Ext/Tr 1.1to2.0cm Mlp
$523
$340
$343
808
clean
Exc Ben Les Ext/Tr 2.1to3.0cm Pf
$721
$469
$337
672
clean
Exc Ben Les Ext/Tr 3.1to4.0cm Pf
$202
$131
$152
407
clean
Exc Ben Les Ext/Tr >4.0cm Mlp
$259
$168
$229
403
clean
Exc Ben Les Sc/Nk/Hds 0.5/<Cm Mlp
$415
$270
$311
808
clean
Exc Bn Les Sc/Nk/Hds 0.6to1.0
$974
$633
$297
672
clean
Exc Ben Les Sc/Nk/Hds 1.1to 2 Pf
$714
$464
$455
808
clean
Exc Ben Les Sc/Nk/Hds 2.1 to 3 Cm Pf
$190
$124
$162
271
clean
Exc Ben Les F/Een/Lp 0.5/<
$974
$633
$229
536
clean
Exc Ben Les F/Een/Lp 0.6to1.0
$974
$633
$308
672
clean
Exc Ben Les F/Een/Lp 1.1 to 2 Mlp
$678
$441
$366
672
clean
Exc.Skin/Sq Tiss Hidr/Pernal/Sp-Int Rp
$3,932
$2,556
$329
264
clean
Exc Mal Les Trnk/Ext 0.5cm or< Pf
$149
$97
$140
264
clean
Exc Mal Les Trnk/Ext 0.6 to 1.0cm Pf
$181
$118
$154
264
clean
Exc Mal Les Ext/Tr 1.1 to 2.0
$552
$359
$185
400
clean
Exc.Malig.Les.Tr,2.1 to 3.0 Cm
$974
$633
$209
271
clean
Exc Malig Les Tr/Arms/Legs 3.1 to 4 Cm
$974
$633
$354
536
clean
Exc Malig Les Tr Arm Leg Over 4.0cm
$2,243
$1,458
$336
264
clean
Exc Mal Les Sc/Nk/Hnd 0.6 to 1.0 Cm
$974
$633
$151
264
clean
Excision Lesion 1.1 to 2.0 Cm
$974
$633
$307
536
clean
Exc Malig Les Slp/Nk 2.1-3.Cm Pf
$1,088
$707
$528
536
clean
Excision Lesion Mal S,N,H,G 3.1 to 4.0 Cm
$2,243
$1,458
$336
271
clean
Exc Mal Les S/N/H/F/G >4.0cm
$3,932
$2,556
$337
264
clean
Exc Malig Les Face Margin Inc 0.6 to 1.0 Cm
$974
$633
$161
264
clean
Exc Malig Les Face 1.1 to 2.0 Cm
$974
$633
$189
264
clean
Exc Milgnt Les Face Ears 0.6-3.0 Cm Pf
$277
$180
$263
264
clean
Exc Malig Les Face 3.1 to 4.0 Cm
$2,243
$1,458
$336
271
clean
Avulsion Nail Plate Single
$277
$180
$165
944
clean
Avulsion Nail Plate Ea Add Mlp
$126
$82
$95
387
clean
Evac Subungual Hematoma Pf
$148
$96
$98
680
clean
Exc Nail/Matrix Perm Rem Mlp
$610
$397
$435
544
clean
Biopsy Nail Unit Pf
$74
$48
$146
271
clean
Repair Nail Bed Mlp
$759
$493
$546
680
clean
Wedge Exc Skin Nail Fold
$531
$345
$223
680
clean
Inj Intralesional Up to/Inc 7 Lesions
$277
$180
$27
400
clean
Inj Intralesional More Than 7
$277
$180
$49
271
clean
Simp Rep S/Nk/Tr/Ext 2.5/<
$277
$180
$127
1,080
clean
Simp Rep S/Nk/Tr/Ext 2.6to7.5 Pf
$554
$360
$311
680
clean
Simp Rep S/Nk/Tr/Ext 7.6to12.5
$636
$413
$371
680
clean
Simp Rep S/Nk/Tr/Ext 12.6to20 Mlp
$621
$404
$466
680
clean
Simp Rep S/Nk/Tr/Ext 20.1to30 Mlp
$697
$453
$503
680
clean
Simp Rep S/Nk/Tr/Ext >30cm
$878
$571
$462
680
clean
Simp Rep F/Een/Lp/Mm 2.5cm/< Mlp
$501
$326
$333
680
clean
Simp Rep F/Een/Lp/Mm 2.6to5.0 Pf
$632
$411
$355
680
clean
Simp Rep F/Een/Lp/Mm 5.1 to 7.5cm
$699
$454
$389
680
clean
Simp Rep F/Een/Lp/Mm 7.6to12.5 Pf
$784
$510
$443
544
clean
Simp Rep F/Een/Lp/Mm 12.6to20 Mlp
$693
$450
$520
408
clean
Simp Rep F/Een/Lp/Mm 20.1to30 Mlp
$678
$441
$509
408
clean
Simp Rep F/Een/Lp/Mm >30.0 Cm Pf
$1,011
$657
$662
136
clean
Tx Wound Dehiscence Simp Mlp
$714
$464
$536
544
clean
Tx Wound Dehiscence W Pack Pf
$502
$326
$329
408
clean
Int Rep Sc/Ax/Tr/Ext 2.5/<
$751
$488
$243
1,080
clean
Int Rep Sc/Ax/Tr/Ext 2.6to7.5 Pf
$824
$536
$346
944
clean
Int Rep Sc/Ax/Tr/Ext 7.6 to 12.5 Pf
$279
$181
$362
822
clean
Int Rep Sc/Ax/Tr/Ext 12.6to20 Mlp
$913
$593
$607
544
clean
Int Rep Sc/Ax/Tr/Ext 20.1to30 Pf
$1,209
$786
$733
544
clean
Int Rep Sc/Ax/Tr/Ext >30.0cm Pf
$1,413
$918
$416
119
clean
Int Rep Nk/Hds/Ft/Eg 2.5cm/<
$552
$359
$346
944
clean
Int Rep Nk/Hds/Ft/Eg 2.6 to 7.5cm
$552
$359
$341
944
clean
Int Rep Nk/Hds/Ft/Eg 7.6to12.5 Pf
$919
$597
$586
408
clean
Int Rep Nk/Hds/Ft/Eg 12.6to20 Mlp
$808
$525
$576
272
clean
Int Rep Nk/Hds/Ft/Eg 20.1to30 Pf
$917
$596
$603
136
clean
Int Rep Nk/Hds/Ft/Eg >30.0cm Pf
$1,422
$924
$1,031
136
clean
Int Rep F/Een/Lp/Muc 2.5cm/<
$552
$359
$362
944
clean
Int Rep F/Een/Lp/Muc 2.6to5.0 Mlp
$675
$439
$341
808
clean
Int Rep F/Een/Lp/Muc 5.1to7.5 Pf
$931
$605
$362
808
clean
Int Rep F/Een/Lp/Muc 7.6to12.5 Pf
$1,012
$658
$572
544
clean
Int Rep F/Een/Lp/Muc 12.6to20 Pf
$1,173
$762
$768
136
clean
Int Rep F/Een/Lp/Muc 20.1to30 Pf
$1,406
$914
$921
136
clean
Int Rep F/Een/Lp/Muc >30.0cm Pf
$1,446
$940
$947
136
clean
Cmplx Rep Trunk 1.1 to 2.5 Cm Pf
$896
$582
$589
136
clean
Cmplx Rep Trunk 2.6 to 7.5 Cm Pf
$1,334
$867
$467
242
clean
Cmplx Rep Trunk Ea Add 5.0/< Pf
$556
$361
$354
258
clean
Cmplx Rep Sc/Ext 1.1 to 2.5
$869
$565
$277
400
clean
Cmplx Rep Sc/Ext 2.6 to 7.5 Pf
$9,591
$6,234
$569
822
clean
Cmplx Rep Sc/Ext Ea Add 5.0/< Mlp
$454
$295
$336
256
clean
Cmplx Rep F/Nk/Hds/Ft 1.1to2.5mlp
$1,112
$723
$740
558
clean
Cmplx Rep F/Nk/Hds/Ft 2.6to7.5cm
$869
$565
$574
808
clean
Cmplx Rep F/Nk/Hds/Ft Add5.0/<Mlp
$682
$443
$512
387
clean
Cmplx Rep Een/Lp 1.0 to 2.5cm Pf
$1,469
$955
$962
136
clean
Cmplx Rep Een/Lp 2.6 to 7.5cm Pf
$1,794
$1,166
$1,175
136
clean
Cmplx Rep Een/Lp Add 5.0/<Cm Pf
$848
$551
$560
129
clean
Tiss Trans F/Nk/Hds/Ft 10/< Pf
$2,756
$1,791
$1,805
135
clean
Full Th Grft F/Nk/Hds/Ft 20/< Pf
$3,584
$2,330
$2,356
136
clean
Removal Sutures/Staples W/O Anes Mlp
$161
$105
$11
515
clean
Remove Sutures and Staples No Anesthesia
$702
$456
$463
128
clean
Init Tx 1st Deg Burn Local Pf
$228
$148
$153
680
clean
Burn Drsg/Debr WO Anes Small Mlp
$238
$155
$185
680
clean
Burn Drsg/Debr WO Anes Med Mlp
$393
$255
$262
544
clean
Burn Drsg/Debr WO Anes Large Mlp
$454
$295
$341
408
clean
Destruct Benign Les 1st Les Mlp
$163
$106
$89
672
clean
Destruction 2 Thru 14 Lesions Pf
$58
$38
$14
515
clean
Destruction Premalignant Lesion 15/> Pf
$120
$78
$102
264
clean
Destruct Benign Lesion Up to 14 Pf
$84
$55
$155
808
clean
Destruction Benign Lesion, 15 or More Pf
$102
$66
$87
264
clean
Chemical Cautery Wound Mlp
$39
$25
$95
944
clean
Dest Mal Les Trnk/Arm/Leg.6 to 1.0cm
$277
$180
$99
271
clean
Dest Mal Les Trnk/Arm/Leg 1.1 to 2.0cm Pf
$165
$107
$127
264
clean
Dest, Malig Les Tr/ Arm/Leg 2.01-3.0cm Pf
$193
$125
$145
264
clean
Destr Malig Trunk,Extrem 3.1-4 C
$552
$359
$135
271
clean
Dest,Mal Les ,Trunk/Arm/Leg Les Dia>4.0cm Pf
$187
$122
$159
264
clean
Dest Mal Les Sclp/Nk/Hnd/Ft/Gen.6 to 1.0cm
$277
$180
$126
264
clean
Dest Mal Les Sclp/Nk/Hnd/Ft/Gen 1.1-2cm Pf
$187
$122
$140
264
clean
Destr Malig Les Sc/Nk/Hd/Ft 2.1 to 3.0cm Pf
$167
$109
$142
264
clean
Dest Mal Les,Sc/Nk/Hd/Ft/Gen Dia 3.1-4.0cm Pf
$201
$131
$171
264
clean
Dest Mal F/Ear/Eyelid/N/Lip.5cm/<
$277
$180
$90
264
clean
Dest Mal F/Ear/Eyelid/N/Lip.6 to 1.0cm
$552
$359
$122
264
clean
Destr Malig Les F/Een/Lips 1.1 to 2.0cm Pf
$166
$108
$141
264
clean
Unlisted Proc Skin/Muc/Subq Pf
$201
$131
$146
136
clean
Aspiration Cyst Breast
$735
$478
$38
400
clean
Aspiration Cyst Breast Ea Add Pf
$29
$19
$19
386
clean
Mastotomy I/D Abs Deep Mlp
$328
$213
$360
672
clean
Bx Breast Stereotactic Percutaneous Mlp
$167
$109
$148
400
clean
Biopsy of Breast Open Incisional
$5,275
$3,429
$206
400
clean
Exc Breast Lesion Open 1 or > Mlp
$438
$285
$402
483
clean
Exc Breast Lesion Marker Single
$5,275
$3,429
$428
400
clean
Exc Breast Lesion Marker Ea Add
$256
$166
$128
386
clean
Mastectomy Partial Pf
$814
$529
$611
400
clean
Mastectomy Simple Complete
$9,024
$5,866
$886
400
clean
Expl Penetr Wound Neck Pf
$2,437
$1,584
$1,378
272
clean
Expl Penetr Wound Chest Pf
$2,211
$1,437
$1,559
136
clean
Expl Penetr Wound Extr Pf
$2,345
$1,524
$1,700
136
clean
Rfb Musc/Tend Sheath Simp Mlp
$829
$539
$622
408
clean
Inj Thera Carpal Canal
$410
$267
$51
400
clean
Inj Sgl Ten Sheath/Lig/Apo
$1,071
$696
$185
936
clean
Inj Sgl Ten Origin/Insert Mlp
$242
$157
$182
272
clean
Inj Trigger Pt 1 or 2 Musc Pf
$307
$200
$196
1,080
clean
Inj Trigger Pt 3 or > Musc Mlp
$43
$28
$252
936
clean
Ndl Insj W/O Njx 1 or 2 Musc
$64
$42
$42
129
clean
Ndl Insj W/O Njx 3+ Musc
$64
$42
$42
129
clean
Asp/Inj Sm Jt W/O US Pf
$252
$164
$92
808
clean
Asp/Inj Small Jt W US Guid
$822
$534
$206
808
clean
Asp/Inj Interm Jt W/O US Guid Mlp
$262
$170
$200
1,344
clean
Asp/Inj Interm Jt W US/Rpt W Perm Rec Mlp
$361
$235
$271
544
clean
Asp/Inj Major Jt W/O US Guid Mlp
$312
$203
$265
1,336
clean
Asp/Inj Major Jt W US/Rpt W Perm Rec Mlp
$390
$254
$269
944
clean
Asp Inj Ganglion Cyst Any Mlp
$235
$153
$176
544
clean
Monitor Pressure Muscle Pf
$1,192
$775
$787
129
clean
Cl Tx Nasal Bone Fx W Man, WO Stab Pf
$999
$649
$724
136
clean
Cl Tx Nasal Bone Fx W Man, W Stab Mlp
$1,330
$865
$998
272
clean
Cl Tx Nasal Septal Fx Pf
$1,941
$1,262
$1,407
136
clean
Cl Tx Tmj Disc Init/Subs Mlp
$364
$237
$273
408
clean
Exc Tumor Soft Tiss Neck/Ant Th Sq < 3cm Pf
$379
$246
$322
126
clean
Cl Tx Vert Body Fx WO Man Pf
$1,500
$975
$983
136
clean
Cl Tx Clavicular Fx WO Man Pf
$873
$567
$572
135
clean
Cl Tx Sternoclav Dis WO Man Pf
$1,086
$706
$782
135
clean
Cl Tx Ac Jt Disloc WO Man Pf
$734
$477
$481
135
clean
Cl Tx Ac Jt Disloc W Man Pf
$1,224
$796
$802
135
clean
Cl Tx Prox Hum Fx WO Man Pf
$1,441
$937
$944
135
clean
Cl Tx Prox Hum Fx W Man Pf
$2,253
$1,464
$1,622
135
clean
Cl Tx Gtr Hum Tub Fx WO Man Pf
$960
$624
$629
136
clean
Cl Tx Gtr Hum Tub Fx W Man Pf
$1,787
$1,162
$1,296
136
clean
Cl Tx Shld Dis W Man WO Anes Pf
$929
$604
$521
680
clean
Cl Tx Shld Dis W Man W Anes Mlp
$1,636
$1,063
$1,227
272
clean
Cl Tx Shld Dis Hum Fx W Man Pf
$1,598
$1,039
$1,159
136
clean
Cl Tx Shld Dis Nk Fx W Man Pf
$1,997
$1,298
$1,448
136
clean
Showing the first 200 of 2,745 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 97035/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $136
CPT 54001/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,689 exceeds the gross charge $616
CPT 97039/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $58
CPT 97112/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $133
CPT 97116/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $128
CPT 88309/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,072 exceeds the gross charge $853
CPT 27599/o
warn
mrf_negotiated_above_gross
highest negotiated rate $315 exceeds the gross charge $201
CPT 54235/o
warn
mrf_negotiated_above_gross
highest negotiated rate $319 exceeds the gross charge $307
CPT 97124/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $122
CPT 97129/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $139
CPT 97130/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $37
CPT 88319/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,072 exceeds the gross charge $298
CPT 27768/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,101 exceeds the gross charge $603
CPT 97140/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $137
CPT 27781/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,101 exceeds the gross charge $1,318
CPT 56440/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,174 exceeds the gross charge $1,332
CPT P9100/o
warn
mrf_negotiated_above_gross
highest negotiated rate $78 exceeds the gross charge $75
CPT 88333/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,072 exceeds the gross charge $171
CPT 57410/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,174 exceeds the gross charge $500
CPT 97530/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $137
CPT 58301/o
warn
mrf_negotiated_above_gross
highest negotiated rate $399 exceeds the gross charge $338
CPT 81408/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,772 exceeds the gross charge $1,279
CPT 97533/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $116
CPT 97535/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $139
CPT 28435/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,101 exceeds the gross charge $1,674
CPT 97542/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $139
CPT 59409/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,174 exceeds the gross charge $3,199
CPT 59612/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,174 exceeds the gross charge $3,050
CPT 97546/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $104
CPT 86870/o
warn
mrf_negotiated_above_gross
highest negotiated rate $472 exceeds the gross charge $333
CPT 62291/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,194 exceeds the gross charge $1,697
CPT 97607/o
warn
mrf_negotiated_above_gross
highest negotiated rate $525 exceeds the gross charge $359
CPT 29075/o
warn
mrf_negotiated_above_gross
highest negotiated rate $349 exceeds the gross charge $334
CPT 97608/o
warn
mrf_negotiated_above_gross
highest negotiated rate $525 exceeds the gross charge $497
CPT 86900/o
warn
mrf_negotiated_above_gross
highest negotiated rate $169 exceeds the gross charge $97
CPT 97750/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $139
CPT 62324/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,194 exceeds the gross charge $2,122
CPT 86902/o
warn
mrf_negotiated_above_gross
highest negotiated rate $472 exceeds the gross charge $151
CPT 97760/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $118
CPT 62326/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,194 exceeds the gross charge $2,450
CPT 97761/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $141
CPT 11976/o
warn
mrf_negotiated_above_gross
highest negotiated rate $924 exceeds the gross charge $480
CPT 86905/o
warn
mrf_negotiated_above_gross
highest negotiated rate $472 exceeds the gross charge $144
CPT 97763/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $134
CPT Q5138/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,053 exceeds the gross charge $1,619
CPT 86920/o
warn
mrf_negotiated_above_gross
highest negotiated rate $225 exceeds the gross charge $191
CPT 75571/o
warn
mrf_negotiated_above_gross
highest negotiated rate $525 exceeds the gross charge $130
CPT 86921/o
warn
mrf_negotiated_above_gross
highest negotiated rate $225 exceeds the gross charge $110
CPT 86922/o
warn
mrf_negotiated_above_gross
highest negotiated rate $225 exceeds the gross charge $203
CPT 29520/o
warn
mrf_negotiated_above_gross
highest negotiated rate $169 exceeds the gross charge $136
CPT 90473/o
warn
mrf_negotiated_above_gross
highest negotiated rate $93 exceeds the gross charge $64
CPT 98977/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $101
CPT 86923/o
warn
mrf_negotiated_above_gross
highest negotiated rate $225 exceeds the gross charge $191
CPT 98980/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $157
CPT 76098/o
warn
mrf_negotiated_above_gross
highest negotiated rate $720 exceeds the gross charge $585
CPT 86927/o
warn
mrf_negotiated_above_gross
highest negotiated rate $225 exceeds the gross charge $207
CPT 98981/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $116
CPT 98985/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $74
CPT Q9998/o
warn
mrf_negotiated_above_gross
highest negotiated rate $15,038 exceeds the gross charge $11,267
CPT 86965/o
warn
mrf_negotiated_above_gross
highest negotiated rate $225 exceeds the gross charge $151
CPT 29705/o
warn
mrf_negotiated_above_gross
highest negotiated rate $349 exceeds the gross charge $214
CPT S0106/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13 exceeds the gross charge $8
CPT 29730/o
warn
mrf_negotiated_above_gross
highest negotiated rate $207 exceeds the gross charge $186
CPT 86971/o
warn
mrf_negotiated_above_gross
highest negotiated rate $225 exceeds the gross charge $135
CPT 29740/o
warn
mrf_negotiated_above_gross
highest negotiated rate $349 exceeds the gross charge $321
CPT 86972/o
warn
mrf_negotiated_above_gross
highest negotiated rate $225 exceeds the gross charge $213
CPT S0136/o
warn
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $8
CPT 29799/o
warn
mrf_negotiated_above_gross
highest negotiated rate $207 exceeds the gross charge $150
CPT 86977/o
warn
mrf_negotiated_above_gross
highest negotiated rate $225 exceeds the gross charge $147
CPT 86985/o
warn
mrf_negotiated_above_gross
highest negotiated rate $225 exceeds the gross charge $152
CPT 90913/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $96
CPT 12047/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,401 exceeds the gross charge $1,422
CPT 91299/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,618 exceeds the gross charge $216
CPT 99231/o
warn
mrf_negotiated_above_gross
highest negotiated rate $295 exceeds the gross charge $115
CPT 99238/o
warn
mrf_negotiated_above_gross
highest negotiated rate $303 exceeds the gross charge $204
CPT 31505/o
warn
mrf_negotiated_above_gross
highest negotiated rate $255 exceeds the gross charge $237
CPT 31530/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,264 exceeds the gross charge $1,207
CPT 93010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $503 exceeds the gross charge $52
CPT 15854/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,194 exceeds the gross charge $702
CPT 33210/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,865 exceeds the gross charge $1,221
CPT 64788/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,564 exceeds the gross charge $2,203
CPT J3030/o
warn
mrf_negotiated_above_gross
highest negotiated rate $254 exceeds the gross charge $55
CPT 87150/o
warn
mrf_negotiated_above_gross
highest negotiated rate $79 exceeds the gross charge $35
CPT 33286/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,194 exceeds the gross charge $3,105
CPT 33999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,194 exceeds the gross charge $3,043
CPT 99465/o
warn
mrf_negotiated_above_gross
highest negotiated rate $859 exceeds the gross charge $783
CPT A9500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $603 exceeds the gross charge $471
CPT 66999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,994 exceeds the gross charge $170
CPT 93882/o
warn
mrf_negotiated_above_gross
highest negotiated rate $535 exceeds the gross charge $82
CPT 36425/o
warn
mrf_negotiated_above_gross
highest negotiated rate $524 exceeds the gross charge $168
CPT 67715/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,063 exceeds the gross charge $1,148
CPT 17999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $261 exceeds the gross charge $201
CPT 36555/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,132 exceeds the gross charge $1,147
CPT 36557/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,097 exceeds the gross charge $2,391
CPT 20101/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,401 exceeds the gross charge $2,211
CPT 94640/o
warn
mrf_negotiated_above_gross
highest negotiated rate $267 exceeds the gross charge $215
CPT 36680/o
warn
mrf_negotiated_above_gross
highest negotiated rate $524 exceeds the gross charge $416
CPT 82776/o
warn
mrf_negotiated_above_gross
highest negotiated rate $16 exceeds the gross charge $12
CPT 94664/o
warn
mrf_negotiated_above_gross
highest negotiated rate $267 exceeds the gross charge $214
CPT 94668/o
warn
mrf_negotiated_above_gross
highest negotiated rate $169 exceeds the gross charge $139
CPT 94669/o
warn
mrf_negotiated_above_gross
highest negotiated rate $468 exceeds the gross charge $221
CPT 21315/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,945 exceeds the gross charge $999
CPT G0378/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,792 exceeds the gross charge $111
CPT 21337/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,258 exceeds the gross charge $1,941
CPT G0379/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,792 exceeds the gross charge $817
CPT G0380/o
warn
mrf_negotiated_above_gross
highest negotiated rate $363 exceeds the gross charge $201
CPT 41007/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,945 exceeds the gross charge $1,203
CPT 95250/o
warn
mrf_negotiated_above_gross
highest negotiated rate $517 exceeds the gross charge $382
CPT G0381/o
warn
mrf_negotiated_above_gross
highest negotiated rate $363 exceeds the gross charge $243
CPT 23520/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,101 exceeds the gross charge $1,086
CPT 41008/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,258 exceeds the gross charge $1,299
CPT 23625/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,101 exceeds the gross charge $1,787
CPT 95851/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $161
CPT 42310/o
warn
mrf_negotiated_above_gross
highest negotiated rate $669 exceeds the gross charge $585
CPT 95852/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $160
CPT 23665/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,101 exceeds the gross charge $1,598
CPT 23675/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,101 exceeds the gross charge $1,997
CPT 42960/o
warn
mrf_negotiated_above_gross
highest negotiated rate $669 exceeds the gross charge $589
CPT 24577/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,101 exceeds the gross charge $1,900
CPT 24675/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,101 exceeds the gross charge $1,769
CPT 25260/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,260 exceeds the gross charge $3,243
CPT 87627/o
warn
mrf_negotiated_above_gross
highest negotiated rate $843 exceeds the gross charge $736
CPT 45300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,197 exceeds the gross charge $404
CPT 25505/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,101 exceeds the gross charge $1,664
CPT 95999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $234 exceeds the gross charge $197
CPT 25565/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,101 exceeds the gross charge $1,494
CPT 96360/o
warn
mrf_negotiated_above_gross
highest negotiated rate $277 exceeds the gross charge $255
CPT 96373/o
warn
mrf_negotiated_above_gross
highest negotiated rate $277 exceeds the gross charge $84
CPT 0003M/o
warn
mrf_negotiated_above_gross
highest negotiated rate $698 exceeds the gross charge $647
CPT 46608/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,197 exceeds the gross charge $805
CPT 96374/o
warn
mrf_negotiated_above_gross
highest negotiated rate $277 exceeds the gross charge $231
CPT 46922/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,600 exceeds the gross charge $805
CPT 0034U/o
warn
mrf_negotiated_above_gross
highest negotiated rate $646 exceeds the gross charge $517
CPT 46999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,197 exceeds the gross charge $311
CPT 0035U/o
warn
mrf_negotiated_above_gross
highest negotiated rate $750 exceeds the gross charge $316
CPT 96413/o
warn
mrf_negotiated_above_gross
highest negotiated rate $513 exceeds the gross charge $491
CPT 49083/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,194 exceeds the gross charge $2,062
CPT 49465/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,194 exceeds the gross charge $300
CPT 0528U/o
warn
mrf_negotiated_above_gross
highest negotiated rate $787 exceeds the gross charge $594
CPT 26765/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,260 exceeds the gross charge $2,609
CPT 97010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $27
CPT J0841/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,595 exceeds the gross charge $4,950
CPT 97012/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $133
CPT 26785/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,260 exceeds the gross charge $2,786
CPT 97014/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $102
CPT 26951/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,260 exceeds the gross charge $3,635
CPT 81259/o
warn
mrf_negotiated_above_gross
highest negotiated rate $832 exceeds the gross charge $683
CPT 97016/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $101
CPT 88184/o
warn
mrf_negotiated_above_gross
highest negotiated rate $472 exceeds the gross charge $217
CPT 97018/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $87
CPT 51600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,194 exceeds the gross charge $801
CPT 11000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $804 exceeds the gross charge $184
CPT 97024/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $60
CPT 97026/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $57
CPT 11012/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,757 exceeds the gross charge $2,614
CPT 97032/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $115
CPT J1160/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13 exceeds the gross charge $11
CPT 97033/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $156
CPT 53010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,674 exceeds the gross charge $1,497
CPT 27372/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,757 exceeds the gross charge $1,695
CPT 97034/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $90
warn
mrf_rate_without_estimate
14,523 of 14,523 percentage/algorithm rates across 346 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 11104/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 27372/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 53270/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 73220/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 81301/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 84145/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 86702/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 88274/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 97034/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1250/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 P9034/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 11105/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 27500/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 53620/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 73221/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 81305/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 84146/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 86703/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 88275/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 J1265/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 P9035/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 11106/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 27502/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 53899/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 73222/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81310/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 84150/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 86704/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 88280/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 97035/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max 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 min, max differ, so no cross-line comparison was made for this item
CPT P9036/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 11200/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 27503/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 73223/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81311/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 84153/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 86705/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