Service
Code
Listed
Cash
Negotiated
Rates
Checks
10021 Fine Needle Aspiration; Without Imaging Guidance
$341
$341
$273
9
clean
10040 Acne Surgery
$189
$189
$151
9
clean
10060 Incision And Drainage Of Abscess; Simple Or Single
$1,071
$1,071
$718
18
clean
10061 Incision And Drainage Of Abscess; Complicated Or Multiple
$482
$482
$386
9
clean
10080 Incision And Drainage Of Pilonidal Cyst; Simple
$457
$457
$306
9
clean
10120 Incision & Removal Foreign Body Subq Tiss Simple Techfee
$415
$415
$278
18
clean
10121 Incision And Removal Of Foreign Body, Subcutaneous Tissues; Complicated
$535
$535
$428
9
clean
10140 I & D Hematoma Seroma/fluid Collection
$848
$848
$568
18
clean
10160 Puncture Aspiration Of Abscess, Hematoma, Bulla, Or Cyst
$301
$301
$202
18
clean
10180 Incision And Drainage, Complex, Postoperative Wound Infection Techfee
$861
$861
$577
9
clean
11000 Debridement Of Extensive Eczematous Or Infected Skin; Up To 10% Of Body Surface
$209
$209
$140
18
clean
11012 Dbrdmt Fx&/dislc Subq T/m/f Bone Techfee
$1,867
$1,867
$1,251
9
clean
11042 Debridement Subcutaneous Tissue 20 Sq Cm/< Techfee
$416
$416
$279
18
clean
11043 Debridement, Muscle And/or Fascia; First 20 Sq Cm Or Less
$1,793
$1,793
$1,201
9
clean
11055 Paring Or Cutting Of Benign Hyperkeratotic Lesion (Eg, Corn Or Callus); Single Lesion
$205
$205
$137
18
clean
11056 Paring Or Cutting Of Benign Hyperkeratotic Lesion (Eg, Corn Or Callus); 2-4 Lesions
$205
$205
$137
18
clean
11057 Paring Cutting Of Benign Hyperkeratotic Lesion More Than 4 Lesions. Techfee
$205
$205
$137
9
clean
11102 Tangential Biopsy Of Skin (Shave,curette); Single Lesion
$209
$209
$167
9
clean
11103 Tangential Biopsy Of Skin (Shave,curette); Each Addtl Lesion
$85
$85
$68
9
clean
11104 Punch Biopsy Of Skin (Including Simple Closure, When Performed); Single Lesion
$293
$293
$196
9
clean
11105 Punch Biopsy Of Skin; Each Addtl Lesion
$85
$85
$46
18
clean
11106 Incisional Biopsy Of Skin; Single Lesion
$209
$209
$167
9
clean
11107 Incisional Biopsy Of Skin; Each Addtl Lesion
$85
$85
$68
9
clean
11200 Removal Of Skin Tags, Multiple Fibrocutaneous Tags, Any Area; Up To And Including 15 Lesions
$210
$210
$141
9
clean
11201 Removal Of Skin Tags, Multiple Fibrocutaneous Tags, Any Area; Each Additional 10 Lesions
$74
$74
$59
9
clean
11300 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs; Lesion < 0.5cm
$207
$207
$166
9
clean
11301 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs; Lesion 0.6 To 1.0cm
$234
$234
$187
9
clean
11302 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs; Lesion 1.1 To 2.0cm
$278
$278
$222
9
clean
11303 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs; Lesion >2.0cm
$305
$305
$244
9
clean
11305 Shave (Epi)dermal Lesion, Single, Scalp, Neck, Hands, Feet, Genital; Diam 0.5 Cm > Techfee
$366
$366
$245
18
clean
11307 Shaving Of Epidermal Or Dermal Lesion; Scalp, Neck, Hands, Feet, Genitalia; 1.1-2.0cm
$259
$259
$207
9
clean
11308 Shaving Of Epidermal Or Dermal Lesion; Scalp, Neck, Hands, Feet, Genitalia; >2.0cm
$276
$276
$221
9
clean
11310 Shaving Of Lesion; Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; < 0.5cm
$218
$218
$174
9
clean
11311 Shaving Of Lesion; Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 0.6-1.0cm
$274
$274
$219
9
clean
11312 Shaving Of Lesion; Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 1.1-2.0cm
$292
$292
$234
9
clean
11313 Shaving Of Lesion; Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; >2.0cm
$244
$244
$195
9
clean
11400 Excision, Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewhere), Trunk, A
$1,269
$1,269
$850
9
clean
11401 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; 0.6-1.0cm
$1,275
$1,275
$854
9
clean
11402 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; 1.1-2.0cm
$724
$724
$485
9
clean
11403 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; 2.1-3.0cm
$724
$724
$485
18
clean
11404 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; 3.1-4.0cm
$2,723
$2,723
$1,824
9
clean
11406 Excision, Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewhere), Trunk, A
$1,688
$1,688
$1,131
18
clean
11420 Excision, Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewhere), Scalp, N
$287
$287
$192
18
clean
11421 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genitalia; 0.6-1.0cm
$1,948
$1,948
$1,305
9
clean
11422 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genitalia; 1.1-2.0cm
$352
$352
$282
9
clean
11424 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genitalia; 3.1-4.0cm
$1,007
$1,007
$806
9
clean
11426 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genitalia; > 4.0cm
$1,292
$1,292
$866
18
clean
11440 Excision, Other Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewhere), Fa
$1,404
$1,404
$941
9
clean
11441 Excised Diameter 0.6 To 1.0 Cm
$350
$350
$280
9
clean
11443 Excision, Benign Lesion Including Margins; Face, Ears, Eyelids, Nose, Lips; 2.1-3.0cm
$448
$448
$300
9
clean
11600 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; < 0.5cm
$416
$416
$279
9
clean
11601 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; 0.6-1.0cm
$911
$911
$610
9
clean
11602 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; 1.1-2.0cm
$579
$579
$388
9
clean
11603 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; 2.1-3.0cm
$1,320
$1,320
$884
9
clean
11604 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; 3.1-4.0cm
$2,548
$2,548
$1,707
9
clean
11606 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; >4.0cm
$1,352
$1,352
$906
9
clean
11620 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitalia; < 0.5cm
$1,976
$1,976
$1,324
9
clean
11621 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitalia; 0.6-1.0cm
$2,117
$2,117
$1,418
9
clean
11622 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitalia; 1.1-2.0cm
$1,040
$1,040
$697
9
clean
11624 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitalia; 3.1-4.0cm
$2,184
$2,184
$1,463
9
clean
11626 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitalia; >4.0cm
$2,968
$2,968
$1,989
9
clean
11640 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; < 0.5 Cm
$416
$416
$279
9
clean
11641 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; 0.6-1.0cm
$572
$572
$383
9
clean
11642 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; 1.1-2.0cm
$650
$650
$436
9
clean
11643 Excision, Malignant Lesion Including Margins, Face, Ears, Ey
$1,688
$1,688
$1,131
9
clean
11644 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; 3.1-4.0cm
$858
$858
$575
9
clean
11646 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; < 4.0 Cm
$1,248
$1,248
$836
9
clean
11719 Trimming Of Nondystrophic Nails, Any Number
$55
$55
$44
9
clean
11720 Debridement Of Nail(s) By Any Method(s); 1 To 5
$77
$77
$52
18
clean
11721 Debridement Of Nail(s) By Any Method(s); 6 Or More
$79
$79
$53
18
clean
11730 Avulsion Of Nail Plate, Partial Or Complete, Simple; Single
$237
$237
$159
18
clean
11732 Avulsion Of Nail Plate, Partial Or Complete, Simple; Each Ad Techfee
$84
$84
$56
9
clean
11740 Evacuation Subungual Hematoma Techfee
$136
$136
$91
18
clean
11750 Excision Of Nail And Nail Matrix, Partial Or Complete (Eg, Ingrown Or Deformed Nail), For Perm
$493
$493
$330
18
clean
11760 Repair Of Nail Bed
$580
$580
$334
18
clean
11765 Wedge Excision Of Skin Of Nail Fold
$402
$402
$269
18
clean
11900 Injection, Intralesional; Up To And Including 7 Lesions
$116
$116
$93
9
clean
11901 Injection, Intralesional; More Than 7 Lesions
$94
$94
$75
9
clean
11981 Insertion, Non-biodegradable Drug Delivery Implant
$318
$318
$254
9
clean
11982 Removal, Non-biodegradable Drug Delivery Implant
$357
$357
$286
9
clean
11983 Removal With Reinsertion, Non-biodegradable Drug Delivery Implant
$573
$573
$458
9
clean
12001 Simple Repair Of Superficial Wounds Of Scalp, Neck, Axillae, External Genitalia, Trunk And/or
$367
$367
$200
18
clean
12002 Simple Repair Of Wounds; Scalp, Neck, Axillae, Genitalia, Trunk, Extremeties; 2.6-7.5cm
$422
$422
$200
18
clean
12004 Simple Repair Of Wounds; Scalp, Neck, Axillae, Genitalia, Trunk, Extremeties; 7.6-12.5cm
$489
$489
$328
18
clean
12005 Simple Repair Of Wounds; Scalp, Neck, Axillae, Genitalia, Trunk, Extremeties; 12.6-20.0cm
$568
$568
$258
18
clean
12006 Simple Repair Of Wounds; Scalp, Neck, Axillae, Genitalia, Trunk, Extremeties; 20.1-30.0cm
$722
$722
$406
18
clean
12007 Simple Repair Of Wounds; Scalp, Neck, Axillae, Genitalia, Trunk, Extremeties; >30.0cm
$798
$798
$449
18
clean
12011 Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips And/or Mucous Membranes
$407
$407
$200
18
clean
12013 Simple Repair Of Wounds Of Face, Ears, Eyelids, Nose, Lips, Mucous Membra; 2.6-5.0cm
$463
$463
$310
18
clean
12014 Simple Repair Of Wounds Of Face, Ears, Eyelids, Nose, Lips, Mucous Membra; 5.1-7.5cm
$522
$522
$232
18
clean
12015 Simple Repair Of Wounds Of Face, Ears, Eyelids, Nose, Lips, Mucous Membra;7.5-12.5cm
$661
$661
$443
18
clean
12016 Simple Repair Of Wounds Of Face, Ears, Eyelids, Nose, Lips, Mucous Membra; 12.6cm-20.0cm
$790
$790
$446
18
clean
12020 Tx Superficial Wound Dehiscence Simple Closure Techfee
$580
$580
$389
18
clean
12021 Tx Superficial Wound Dehiscence W/packing Techfee
$811
$811
$543
9
clean
12031 Repair Intermediate S/a/t/e 2.5 Cm/< Techfee
$336
$336
$225
9
clean
12032 Repair, Intermediate; Wounds Of Scalp, Axillae, Trunk, Extremities; 2.6-7.5cm
$582
$582
$390
18
clean
12034 Repair, Intermediate; Wounds Of Scalp, Axillae, Trunk, Extremities; 7.6-12.5cm
$700
$700
$342
18
clean
12035 Repair Intermediate S/a/t/e 12.6-20.0cm Techfee
$408
$408
$273
9
clean
12036 Repair, Intermediate; Wounds Of Scalp, Axillae, Trunk, Extremities; 20.1-30.0cm
$1,056
$1,056
$396
18
clean
12037 Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/or Extremities; Over 30.0 Cm
$1,234
$1,234
$462
18
clean
12041 Repair Intermediate N/h/f/xtrnl Gent 2.5cm/< Techfee
$210
$210
$141
9
clean
12042 Repair Intermediate N/h/f/xtrnl Gent 2.6-7.5 Cm Techfee
$330
$330
$221
9
clean
12044 Repair Intermediate N/h/f/xtrnl Gent 7.6-12.5cm Techfee
$358
$358
$240
9
clean
12051 Intermed Repair Of Wounds; Face, Ears, Eyelids, Nose, Lips, Mucous Membra; <2.5cm
$614
$614
$295
18
clean
12052 Intermed Repair Of Wounds; Face, Ears, Eyelids, Nose, Lips, Mucous Membra; 2.6-5.0cm
$712
$712
$406
18
clean
12053 Repair Intermediate F/e/e/n/l&/muc 5.1-7.5 Cm Techfee
$372
$372
$249
9
clean
12054 Intermed Repair Of Wounds; Face, Ears, Eyelids, Nose, Lips, Mucous Membra; 7.6-12.5cm
$752
$752
$504
18
clean
Repair, Intermediate, Wounds Of Face,ears,nose, Mouth 12.6-20.0 Cm
$937
$937
$628
9
clean
13100 Repair Complex Trunk 1.1-2.5 Cm Techfee
$516
$516
$346
9
clean
13101 Repair Complex Trunk 2.6-7.5 Cm Techfee
$954
$954
$639
9
clean
13120 Repair Complex Scalp/arm/leg 1.1-2.5 Cm Techfee
$1,406
$1,406
$942
9
clean
13121 Repair Complex Scalp/arm/leg 2.6-7.5 Cm Techfee
$1,544
$1,544
$1,034
9
clean
13131 Repair, Complex, Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genitalia, Hands; 1.1-2.5cm
$1,704
$1,704
$1,142
18
clean
13132 Repair Complex F/c/c/m/n/ax/g/h/f 2.6-7.5 Cm Techfee
$1,986
$1,986
$1,331
9
clean
13133 Repair, Complex, Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genitalia, Hands; Addl 5cm
$275
$275
$184
9
clean
13151 Repair Complex Eyelid/nose/ear/lip 1.1-2.5 Cm Techfee
$1,012
$1,012
$678
9
clean
13152 Repair Complex Eyelid/nose/ear/lip 2.6-7.5 Cm Techfee
$1,236
$1,236
$828
9
clean
15002 Excision Of Open Wounds, Burn Eschar, Or Scar (Including Subq Tissue); Trunk, Arms, Legs; Firs
$895
$895
$600
9
clean
16000 Initial Tx 1st Degree Burn Local Tx Techfee
$185
$185
$124
9
clean
16020 Dressings And/or Debridement Of Partial-thickness Burns, Initial Or Subsequent; Small
$329
$329
$220
18
clean
16025 Drs&/dbrdmt Prtl-thkns Burns 1st/sbsq Medium Techfee
$357
$357
$239
9
clean
17000 Destruction Premalignant Lesions; First Lesion
$181
$181
$145
9
clean
17003 Destruction, Premalignant Lesions; Second Through 14 Lesions, Each
$37
$37
$30
9
clean
17110 Destruction (Eg, Laser Surgery, Electrosurgery, Cryosurgery, Chemosurgery, Surgical Curettemen
$219
$219
$139
18
clean
17111 Destruct Lesion 15 Or More
$622
$622
$417
9
clean
17250 Chemical Cauterization Granulation Tissue Techfee
$205
$205
$137
9
clean
17260 Destruction Malignant Lesion T/a/l 0.5 Cm/<
$181
$181
$145
9
clean
17261 Destruction Mal Lesion Trunk/arm/leg 0.6-1.0 Cm
$295
$295
$236
9
clean
17262 Destruction Mal Lesion Trunk/arm/leg 1.1-2.0cm
$355
$355
$284
9
clean
17263 Destruction, Malignant Lesion, Trunk, Arms Or Legs; Lesion Diameter 2.1 To 3.0 Cm
$362
$362
$290
9
clean
17264 Destruction Mal Lesion Trunk/arm/leg 3.1-4.0cm
$372
$372
$298
9
clean
17266 Destruction Mal Lesion Trunk/arm/leg > 4.0 Cm
$405
$405
$324
9
clean
17270 Destruction Malignant Lesion S/n/h/f/g 0.5 Cm/>
$208
$208
$166
9
clean
17271 Destruction Malignant Lesion S/n/h/f/g 0.6-1.0cm
$238
$238
$190
9
clean
17272 Destruction Malignant Lesion S/n/h/f/g 1.1-2.0cm
$270
$270
$216
9
clean
17274 Destruction Malignant Lesion S/n/h/f/g 3.1-4.0cm
$366
$366
$293
9
clean
17276 Destruction, Malignant Lesion (Eg, Laser Surgery, Electrosurgery, Cryosurgery, Chemosurgery, S
$483
$483
$386
9
clean
17280 Destruction Malignant Lesion F/e/e/n/l/m 0.5cm/<
$206
$206
$165
9
clean
17281 Destruction, Malignant Lesion, Face, Ears, Eyelids, Nose, Lips; Lesion Diameter 0.6-1.0cm
$344
$344
$275
9
clean
17282 Destruction Malignant Lesion F/e/e/n/l/m 1.1-2.0cm
$349
$349
$279
9
clean
17283 Destruction Malignant Lesion F/e/e/n/l/m 2.1-3.0cm
$368
$368
$294
9
clean
17284 Destruction Mal Lesion F/e/e/n/l/m 3.1-4.0cm
$409
$409
$327
9
clean
17286 Destruction Mal Lesion F/e/e/n/l/m >4.0 Cm
$604
$604
$483
9
clean
Us Breast Cyst Aspiration Left
$482
$482
$285
18
clean
Us Breast Cyst Aspiration Right
$482
$482
$323
9
clean
19303 Mastectomy, Simple, Complete
$727
$727
$582
9
clean
Unlisted Procedure, Breast 19499
$4,001
$4,001
$2,681
9
clean
20100 Exploration Penetrating Wound Spx Neck Techfee
$2,233
$2,233
$1,496
9
clean
20101 Exploration Penetrating Wound Spx Chest Techfee
$3,466
$3,466
$2,322
9
clean
20102 Expl Penetrating Wound Spx Abdomen/flank/back Techfee
$4,052
$4,052
$2,715
9
clean
20103 Exploration Penetrating Wound Spx Extremity Techfee
$1,688
$1,688
$1,131
9
clean
20520 Removal Foreign Body Muscle/tendon Sheath Simple
$397
$397
$266
9
clean
20525 Rmvl Foreign Body Muscle/tendon Sheath Deep/comp Techfee
$2,477
$2,477
$1,660
9
clean
20526 Injection, Therapeutic (Eg, Local Anesthetic, Corticosteroid), Carpal Tunnel
$279
$279
$223
9
clean
20550 Injection(s); Single Tendon Sheath, Or Ligament, Aponeurosis (Eg, Plantar Fascia)
$314
$314
$192
18
clean
20552 Injection(s); Single Or Multiple Trigger Point(s), 1 Or 2 Muscle(s)
$235
$235
$157
9
clean
20553 Injection(s); Three Or More Trigger Point(s), Three Or More Muscle(s)
$506
$506
$405
9
clean
Pt Dry Needling, 1-2 Muscles Units
$61
$61
$49
27
clean
Pt Dry Needling, 3+ Muscles Units
$74
$74
$59
27
clean
20600 Arthrocentesis, Aspiration And/or Injection, Small Joint Or Bursa (Eg, Fingers, Toes); Without
$314
$314
$163
18
clean
20605 Arthrocentesis, Aspiration And/or Injection, Intermediate Joint Or Bursa (Eg, Temporomandibula
$186
$186
$125
18
clean
20610 Arthrocentesis, Aspiration And/or Injection, Major Joint Or Bursa; Without Ultrasound Guidance
$314
$314
$210
18
clean
20612 Aspiration And/or Injection Of Ganglion Cyst(s) Any Location
$176
$176
$141
9
clean
21012 Excision, Tumor, Soft Tissue Of Face Or Scalp, Subcutaneous; 2 Cm Or Greater
$783
$783
$626
9
clean
21116 Injection Temporomandibular Joint Arthrography
$278
$278
$222
9
clean
21315 Closed Tx Nasal Fracture W/o Stabilization
$290
$290
$194
9
clean
21320 Closed Treatment Nasal Fracture W/stabilization Techfee
$596
$596
$399
9
clean
21325 Open Treatment Of Nasal Fracture; Uncomplicated Techfee
$671
$671
$450
9
clean
21480 Closed Treatment Of Tmj Dislocation
$412
$412
$276
9
clean
21931 Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaneous; 3 Cm Or Greater
$1,688
$1,688
$1,131
9
clean
21932 Excision, Tumor, Soft Tissue Of Back Or Flank, Subfascial (Eg, Intramuscular); Less Than 5 Cm
$4,201
$4,201
$2,815
9
clean
22903 Excision, Tumor, Soft Tissue Of Abdominal Wall, Subcutaneous; 3 Cm Or Greater
$3,282
$3,282
$2,199
9
clean
23500 Closed Treatment Of Clavicular Fracture; Without Manipulation
$835
$835
$264
18
clean
23505 Treat Clavicle Fracture Techfee
$563
$563
$377
9
clean
23570 Closed Treatment Of Scapular Fracture; Without Manipulation
$639
$639
$511
9
clean
23600 Closed Tx Prox Humerus Fx W/o Manipulation
$420
$420
$281
9
clean
23620 Closed Treatment Of Greater Humeral Tuberosity Fracture; Without Manipulation
$731
$731
$585
9
clean
23650 Closed Treatment Of Shoulder Dislocation, With Manipulation; Without Anesthesia
$1,033
$1,033
$522
18
clean
23655 Clsd Tx Shoulder Dislc W/manipulation Req Anes
$1,643
$1,643
$1,101
9
clean
24200 Removal Of Foreign Body, Upper Arm Or Elbow Area; Subcutaneous
$2,548
$2,548
$1,707
9
clean
24500 Closed Treatment Of Humeral Shaft Fracture; Without Manipulation
$945
$945
$509
18
clean
24505 Cltx Humeral Shft Fx W/manj W/wo Skeletal Tracj Techfee
$749
$749
$502
9
clean
24530 Clsd Tx Humeral Frac W/w/out Intercon Ext W/out Manip
$880
$880
$590
9
clean
24576 Cltx Humeral Condylar Fx Medial/lat W/o Manj Techfee
$562
$562
$377
9
clean
24600 Closed Tx Elbow Dislocation W/o Anes
$327
$327
$219
9
clean
24605 Treatment Closed Elbow Dislocation Req Anes Techfee
$1,345
$1,345
$901
9
clean
24640 Cltx Rdl Head Sublxtj Chld Nursemaid Elbw W/manj
$696
$696
$466
18
clean
24650 Closed Treatment Of Radial Head Or Neck Fracture; Without Manipulation
$769
$769
$364
18
clean
24670 Closed Tx Ulnar Fx Prox
$739
$739
$495
9
clean
25071 Excision, Tumor, Soft Tissue Of Forearm And/or Wrist Area, Subcutaneous; 3 Cm Or Greater
$1,688
$1,688
$1,131
9
clean
25075 Excision, Tumor, Soft Tissue Of Forearm And/or Wrist Area, Subcutaneous; Less Than 3 Cm
$1,738
$1,738
$1,164
9
clean
25500 Closed Tx Fx Radial Shaft W/o Man
$379
$379
$254
9
clean
25505 Closed Tx Fx Radial Shaft W/manipulation
$626
$626
$419
9
clean
25530 Closed Tx Ulnar Shaft Fracture W/o Manipulation Techfee
$388
$388
$260
9
clean
25535 Closed Tx Ulnar Shaft Fracture; With Manipulation
$598
$598
$401
9
clean
25560 Closed Treatment Of Radial And Ulnar Shaft Fractures; Without Manipulation
$919
$919
$493
18
clean
25565 Closed Tx Radial & Ulnar Shaft Fract W/manj
$772
$772
$517
9
clean
25600 Cltx Dstl Radial Fx/epiphysl Sep W/o Manj
$505
$505
$338
9
clean
25605 Closed Treatment Of Distal Radial Fracture; With Manipulation
$1,746
$1,746
$741
18
clean
25622 Closed Treatment Of Carpal Scaphoid (Navicular) Fracture; Without Manipulation
$853
$853
$572
18
clean
Showing the first 200 of 1,414 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_stale
last updated 2025-07-09, 414 days ago; the rule requires an update at least once a year
CPT 30905/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 32551/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 36415/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 40800/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 45385/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 46040/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 46083/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 46320/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 51700/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 51701/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 59409/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 64640/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 65220/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 69000/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 69200/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 69209/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73560/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73562/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73564/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 73592/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 77067/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 80053/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 80061/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80074/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 80305/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 82043/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 82570/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82785/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 83516/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 83605/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 84153/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 84439/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 84443/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 84466/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 84586/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 85025/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 86147/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 86215/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 86235/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 86480/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 86706/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 86753/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 86790/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 86900/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 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, min, max differ, so no cross-line comparison was made for this item
CPT 87045/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 87046/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 87081/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 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, max differ, so no cross-line comparison was made for this item
CPT 87340/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 87427/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 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, max differ, so no cross-line comparison was made for this item
CPT 87807/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 90380/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 90381/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 90620/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 90633/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 90648/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 90651/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 90656/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 90677/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 90681/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 90696/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 90700/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 90707/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 90710/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 90715/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 90716/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 90723/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 90732/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 90734/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 90744/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 90832/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 90834/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 90837/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 93015/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 93018/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 93241/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 93245/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 94640/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 94664/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 94668/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 94760/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 96367/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96372/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max 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 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 96523/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 97110/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 97530/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 97537/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 99406/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 A7041/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 C1734/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 E0190/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 E0191/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 E0484/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 E0860/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 G0463/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 J3301/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 J3480/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 J3490/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 J7030/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7050/o
info
mrf_item_fields_vary
this code and setting cover at least 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 J7060/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 J7070/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 Q3014/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 10120/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 10140/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 10160/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 11042/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 11105/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 11305/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 11730/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 11740/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 11750/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 11760/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 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, 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, max 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, 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 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 12006/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 12007/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 12011/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 12013/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 12014/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 12015/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 12016/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 12020/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 12032/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 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, max differ, so no cross-line comparison was made for this item
CPT 12036/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 12037/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 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, max differ, so no cross-line comparison was made for this item
CPT 12052/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 12054/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 17110/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 19000/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 20550/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 20600/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 20605/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 23500/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 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, max differ, so no cross-line comparison was made for this item
CPT 24500/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 24640/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 24650/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 25560/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 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, max differ, so no cross-line comparison was made for this item
CPT 25622/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 25680/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 26600/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 26720/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 26770/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 26951/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 27760/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 27780/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 27786/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 28430/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 28470/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 28490/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 28510/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 28515/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 29065/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 29075/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 29085/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 29105/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 29125/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 29130/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 29405/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 29505/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 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, min, max differ, so no cross-line comparison was made for this item
CPT 30300/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 30903/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