Service
Code
Listed
Cash
Negotiated
Rates
Checks
HEA MOLECULAR TESTING
$1,584
$720
$1,188
43
clean
LIVER DIS 10 ASSAYS W/ASH
—
$503
$503
19
clean
LIVER DIS 10 ASSAYS W/NASH
—
$503
$503
19
clean
ONCO PRST8 3 GENE UR ALG
—
$760
$760
20
clean
ONC MRNA 5 GEN RSK URTHL CA
—
$760
$760
20
clean
ONC MRNA 5 GEN RECR URTHL CA
—
$760
$760
20
clean
ADRNL CORTCL TUM BCHM ASY 25
—
$1,305
$1,305
18
clean
ONC BLADDER MRNA 219 GEN ALG
—
$3,490
$3,490
18
clean
ONC THYR 10 MICRORNA SEQ ALG
—
$3,002
$3,002
20
clean
ONC AML DNA DETCJ/NONDETCJ
—
$249
$249
20
clean
GLYCA NUC MR SPECTRSC QUAN
—
$34
$34
20
clean
THYROSEQ TESTING
$7,920
$3,600
$5,940
43
clean
JAK2 GENE TRGT SEQ ALYS
—
$122
$122
20
clean
RX METAB ADVRS TRGT SEQ ALYS
—
$742
$742
20
clean
TPMT AND NUDIX HYROLASE NUDT15 GENOTYPING
$1,227
$466
$920
86
clean
NEURO CSF DETCJ PRION PRTN QUAKG CONF CONV QUAL
$578
$541
$541
85
clean
TRGT GEN SEQ DNA 324 GENES
—
$3,500
$3,500
20
clean
B BRGDRFERI ANTB 5 PRTN IGM
—
$17
$17
20
clean
CEREBRAL PERFUSION ANALYS CT W/BLOOD FLOW&VOLUME
$2,745
—
$2,333
33
clean
B BRGDRFERI ANTB 12 PRTN IGG
—
$17
$17
20
clean
TBRF B GRP ANTB 4 PRTN IGM
—
$15
$15
20
clean
TBRF B GRP ANTB 4 PRTN IGG
—
$15
$15
20
clean
ONC BRST DUX CARC IS 12 GENE
—
$3,873
$3,873
20
clean
ONC PRST8 MRNA 17 GENE ALG
—
$3,873
$3,873
20
clean
CPTR-ASST MUSCSKEL NAVIGJ ORTHO FLUOR IMAGES
$503
—
$457
35
clean
CPTR-ASST MUSCSKEL NAVIGJ ORTHO CT/MRI
$839
—
$755
35
clean
ANTI-MERKEL CELL PANEL ARUP
$711
$323
$547
42
clean
ONC MERKEL CLL CARC SRM +/-
—
$323
$323
20
clean
TC MEAS 5 BMRK SFDI M-S ALYS
—
$25
$25
20
clean
ANTB TP TOTAL&RPR IA QUAL
—
$31
$31
20
clean
SYFLS TST NONTREPONEMAL ANTB
—
$18
$18
20
clean
CANDIDA SPECIES PNL AMP PRB
—
$143
$143
20
clean
TCAT PLMT XTRC VRT CRTD STENT RS&I PRQ 1ST VSL
$22,583
—
$15,668
34
clean
IG PARAPROTEIN QUAL BLD/UR
—
$43
$43
20
clean
ONC LNG 5 CLIN RSK FACTR ALG
—
$3,520
$3,520
20
clean
ONC MLNMA PRAME & LINC00518
—
$760
$760
20
clean
ONC CUTAN MLNMA MRNA 23 GENE
—
$1,950
$1,950
20
clean
EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS
$7,913
$283
$6,726
41
clean
HERED COLON CA DO 15 GENES
—
$1,744
$1,744
18
clean
NEPH CKD MULT ECLIA TUM NEC
—
$950
$950
20
clean
TOUCH QUANT SENSORY TEST
—
$46
$46
9
clean
GSTR EMPTG 7 TIMED BRTH SPEC
—
$874
$874
20
clean
VIBRATE QUANT SENSORY TEST
—
$46
$46
9
clean
COOL QUANT SENSORY TEST
—
$70
$70
9
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
$4,950
$4,950
20
clean
HEAT QUANT SENSORY TEST
—
$46
$46
9
clean
NMDP ANES BONE MARROW ASPIR&/BX ANT/PST ILIAC CR
$2,360
—
$2,044
34
clean
IADI 16S&18S RRNA GENES
—
$356
$356
20
clean
TRNSPLJ DON-DRV CLL-FR DNA
—
$2,753
$2,753
20
clean
CRD CERAMIDES LIQ CHROM PLSM
—
$84
$84
20
clean
HERED BRST CA RLTD DO PANEL
—
$1,304
$1,304
18
clean
THE KARIUS TEST
$5,847
$2,126
$4,385
43
clean
GI IBS IA ANTI-CDTB&VINCULIN
—
$112
$112
18
clean
LIVER DS 10 BIOCHEM ASY SRM
—
$503
$503
20
clean
ONC SLD TUM ALYS BRCA1 BRCA2
—
$3,030
$3,030
20
clean
ONC SOLID TUMOR 30 PRTN TRGT
—
$1,305
$1,305
18
clean
RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC
$15,408
$7,010
$10,049
41
clean
PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> NDL
$12,714
$8,413
$8,900
41
clean
PERQ SAC AGMNTJ BI W/WO BALO/ MCHNL DEV 2/> NDLS
$16,448
$8,413
$10,049
41
clean
BIOFIRE RESPIRATORY PANEL 2.1 EA PATHOGEN RPT AS DETECT OR NOT D
$1,674
$417
$1,256
43
clean
NEURO ALZHEIMER CELL AGGREGJ
—
$2,215
$2,215
18
clean
EVAC MEIBOMIAN GLNDS AUTO HT& INTMT PRESS UNI
$158
$152
$151
41
clean
NEURO ALZHEIMER QUAN IMAGING
—
—
$930
8
clean
NJX PLTLT PLASMA W/IMG HARVEST/PREPARATION
$1,000
$470
$850
42
clean
TRLUML PERIPH ATHRC W/RS&I BRCHIOCPHL EA VSL
$25,714
$13,355
$15,374
41
clean
TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA
$33,773
$21,147
$18,693
41
clean
LIQUID CDX
$15,950
$3,500
$11,963
43
clean
NFCT DS VIR RESP RNA 3 TRGT
—
—
$877
6
clean
SARS-COV-2 RNA INFLUENZA A&B AND RSV RNA QUALITATIVE NAAT QST
$495
—
$421
35
clean
TRGT GEN SEQ ALYS PNL 55-74
—
$5,000
$5,000
18
clean
ONC THYR MUT ALYS 10 GEN&37
—
$1,266
$1,266
18
clean
ONC SLD ORG NEO DNA 505 GENE
—
$2,920
$2,920
18
clean
IM/REPL CARTD SINUS BAROREFLX ACTIV DEV TOT SYST
$84,284
$52,995
$18,693
41
clean
IM/REPL CARTD SINS BARREFLX ACT DEV PLS GEN ONLY
$57,901
$35,888
$18,666
41
clean
INTROGATION DEV EVAL CARTD SINS BARREFLX W/I&R
$463
$184
$394
41
clean
INTROGATION DEV EVAL CARTD SINS BARREFLX W/PRGRM
$463
$184
$394
41
clean
PERC LAMINO-/LAMINECTOMY INDIR IMAG GUIDE LUMBAR
$13,923
$8,413
$8,476
42
clean
TEMPR
—
$184
$184
9
clean
ONC LUNG MRNA QUAN PCR 11&3
—
$3,873
$3,873
18
clean
ONC BRST DUX CARC 7 PROTEINS
—
$5,435
$5,435
18
clean
CRD CAD ALYS 3 PRTN 3 PARAM
—
$391
$391
18
clean
CRD CV DS ALY 4 PRTN PLM ALG
—
$391
$391
18
clean
NFCT DS BCT QUAN ANTMCRB SC
—
$8
$8
18
clean
AI DS SLE ALYS 8 IGG AUTOANT
—
$841
$841
18
clean
ONC CUTAN SQ CLL CA MRNA 40
—
$8,500
$8,500
17
clean
NEPH RNA PSTTRNSPL PERPH BLD
—
$2,650
$2,650
17
clean
TRGT GEN SEQ ALYS PNL 83+
—
$5,000
$5,000
17
clean
ONC NEO XOME&TRNS SEQ ALYS
—
$3,438
$3,438
17
clean
TEAR FILM IMG UNI/BI W/I&R
—
$46
$46
9
clean
ONC SLD ORGN TGSA DNA 84/+
—
$3,500
$3,500
17
clean
ONC PLSM CELL DO&MYELOMA ID
—
$2,435
$2,435
17
clean
ONC SLD TUM CRCG TUM CL SLCT
—
$2,435
$2,435
17
clean
TRANSCATHETER RENAL SYMPATH DENERVATION BILAT
$9,235
$6,714
$7,712
41
clean
ONC PRST8 MRNA HOXC6 & DLX1
—
$760
$760
18
clean
ONC PAN CA ALYS MRD PLASMA
—
$3,920
$3,920
18
clean
HEP NAFLD SEMIQ EVL 28 LIPID
—
$792
$792
17
clean
PSYC GENOM ALYS PNL 15 GEN
—
$1,336
$1,336
18
clean
BETA AMYL A?40&A?42 LC-MS/MS
—
—
$124
1
clean
RX METAB/PCX DNA 16 GEN ALYS
—
$1,336
$1,336
18
clean
RX METAB/PCX DNA 25 GEN ALYS
—
$742
$742
18
clean
RX METAB/PCX DNA 27GEN RX IA
—
$742
$742
18
clean
RSA LOWER EXTR EXAM
—
$104
$104
11
clean
NFCT DS BCT/VIRAL TRAIL IP10
—
$261
$261
18
clean
OCT BRST/NODE I&R PER SPEC
—
—
$3,004
2
clean
NFCT DS BV&VAGINITIS AMP PRB
—
—
$260
2
clean
IADNA CHLMYD&GONORR AMP PRB
—
—
$128
2
clean
APOL1 RISK VARIANTS
—
$137
$137
17
clean
ONC OROP/ANAL 17 DNA DDPCR
—
$1,800
$1,800
16
clean
BIA WHOLE BODY
—
$29
$29
9
clean
NEURO ALYS á-AMYL 1-42&1-40
—
$261
$261
17
clean
ONC PRST8 CA ALYS ALL PSA
—
$760
$760
17
clean
ONC LUNG ELISA 7 AUTOANT ALG
—
$783
$783
17
clean
NEURFLMNT LT CHN DIG IA QUAN
—
$116
$116
16
clean
ONC URTHL MRNA 5 GEN ALG
—
$760
$760
17
clean
ONC BLDR 10 UR HRBR URTHL CA
—
$897
$897
16
clean
ONC BLDR 10 PRB RECR BLDR CA
—
$897
$897
16
clean
ONC OVRN BCHM ASY 7 PRTN ALG
—
$897
$897
16
clean
ONC PRST8 CA IMG ALYS 128
—
$706
$706
16
clean
VIS FIELD ASSMNT TECH SUPPT
—
$46
$46
9
clean
TGSAP SL OR NEO DNA523&RNA55
—
$3,289
$3,289
16
clean
ONC NONSM CLL LNG CA 37 GEN
—
$3,500
$3,500
16
clean
NEU PRKSN MSFL a-SYNCLN PRTN
—
$541
$541
16
clean
HDR ELCTRNC SKN SURF BRCHYTX
—
$310
$310
11
clean
PFAS 16 PFAS COMPND LC MS/MS
—
$199
$199
16
clean
HDR ELCTR NTRST/NTRCV BRCHTX
—
$817
$817
11
clean
MRGFUS STRTCTC LES ABLTJ
—
—
$15,753
1
clean
GI BARET ESPH DNA MTHYLN ALY
—
$1,755
$1,755
16
clean
COLGN CRS-LINK CRN&PACHYMTRY
—
$2,747
$2,747
9
clean
ONC PRST8 MRNA 18 GEN 1ST UR
—
$760
$760
17
clean
ONC BRST SEMIQ MEAS THYM KN
—
$323
$323
16
clean
ONC LUNG FLOW CYTMTRY 5 MRK
—
$760
$760
16
clean
NEPH DBTC CKD MULT ECLIA ALG
—
$950
$950
16
clean
INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD
$49,969
$37,758
$37,758
41
clean
ONC SLD TUM DNA 80 & RNA 36
—
$2,920
$2,920
16
clean
PSYC GENOM ALYS PNL 15 GEN
—
$1,336
$1,336
16
clean
CV DS ACS BLD ALG 5 YR SCORE
—
$391
$391
16
clean
PRGRMG EVAL CARDIAC MODULJ
—
$44
$44
9
clean
INTERRO EVAL CARDIAC MODULJ
—
$44
$44
9
clean
TRANSURETHRAL WATERJET ABLATION PROSTATE COMPL
$11,301
$10,890
$9,606
41
clean
GI MALABS AAT CALPRO PNCRTC
—
$62
$62
16
clean
GLY RCPTR ALPHA1 IGG SRM/CSF
—
$37
$37
16
clean
KLHL11 ANTB SR/CSF ASY QUAL
—
$37
$37
16
clean
ONC PRST8 5 DNA REG MRK PCR
—
$760
$760
16
clean
RX METAB ADVRS VRNT ALYS 25
—
$417
$417
16
clean
ABLTJ PERC LXTR/PERPH NRV
—
$2,300
$2,300
9
clean
ABLTJ PERC PLEX/TRNCL NRV
—
$7,542
$7,542
9
clean
INSJ IMPLTBL GLUCOSE SENSOR
—
$3,828
$3,828
10
clean
RMVL IMPLTBL GLUCOSE SENSOR
—
$234
$234
10
clean
REMVL INSJ IMPLTBL GLUC SENS
—
$3,828
$3,828
10
clean
INSJ AQUEOUS DRAIN DEV 1ST
—
$6,076
$6,076
10
clean
VISUAL EP TEST FOR GLAUCOMA
—
$184
$184
9
clean
ONC SLD TUM BLD/SLV 648 GENE
—
$4,500
$4,500
16
clean
HERED PRST8 CA GSAP 23 GENES
—
$1,304
$1,304
16
clean
FRACTIONAL ABL LSR FENESTRATION FIRST 100 SQCM
$1,916
$721
$1,629
41
clean
FRACTIONAL ABL LSR FENESTRATION EA ADDL 100 SQCM
$958
—
$867
34
clean
TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH
$14,714
—
$12,507
34
clean
OCT MID EAR I&R UNILATERAL
—
$46
$46
9
clean
OCT MID EAR I&R BILATERAL
—
$46
$46
9
clean
EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR
$27,248
$13,355
$13,355
41
clean
NEAR IFR 2IMG MIBMN GLND I&R
—
$70
$70
9
clean
PATTERN ERG W/I&R
—
$367
$365
14
clean
ESW INTEG WND HLG 1ST WND
—
$234
$234
9
clean
INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING
$8,958
—
$7,758
34
clean
INSERTION REPLACEMENT COMPLETE IIMS
$39,298
$22,459
$31,045
41
clean
PRGRMG DEV EVAL IIMS IP
—
$44
$44
9
clean
INTERROG DEV EVAL IIMS IP
—
$44
$44
9
clean
CAR-T CLL ADMN AUTOLOGOUS
—
—
$392
1
clean
ANTMC GUIDE 3D PRINT 1ST GD
—
$70
$70
11
clean
EVAC MEIBOMIAN GLND HEAT BI
—
$70
$70
9
clean
TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS
$6,353
—
$5,849
34
clean
TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS
$1,816
—
$1,673
34
clean
INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE
$66,076
$37,758
$52,200
41
clean
PRGRMG DEV EVAL ICDS SS IP
—
$44
$44
9
clean
INTERROG DEV EVAL ICDS SS IP
—
$44
$44
9
clean
REM INTERROG DEV ICDS TECH
—
$44
$44
9
clean
ABLTJ MAL BRST TUM PERQ CRTX
—
$4,510
$4,510
9
clean
ELEC ALYS CPLX PRGRMG IINS
—
$108
$108
9
clean
R-T FLUOR WOUND IMG 1ST SITE
—
$367
$367
11
clean
IRE ABLATION 1+TUMORS PER ORGAN W/IMG GDN PERQ
$29,982
$12,261
$18,693
41
clean
IRE ABLATION 1+TUMORS PR ORGN W/FLUOR&US GDN OPN
$29,982
$12,261
$18,693
41
clean
REM OCT RTA TECHL SPRT MIN 8
—
—
$115
3
clean
INSERTION OF IRIS PROSTHESIS
—
—
$20,063
1
clean
INSJ IRIS PROSTH W/RMVL&INSJ
—
—
$20,063
1
clean
INSJ IRIS PROSTH SEC IO LENS
—
—
$20,063
1
clean
CYSTO W/PRST8 COMMISSUROTOMY
—
$10,890
$10,890
9
clean
ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN
$103,031
$41,219
$25,336
41
clean
AUTO QUAN C PLAQ CPTR ALYS
—
$1,119
$1,119
9
clean
PERQ NJX ALGC CELL &/PRDCT UNI/BI FLUOR LMBR 1ST
$40,912
$15,153
$32,320
40
clean
PERQ NJX ALGC CELL &/PRDCT UNI/BI FLUOR LMBR EA
$20,457
—
$17,388
33
clean
PERQ NJX ALGC CELL&/PRDCT UNI/BI CT LMBR 1ST
$40,912
$15,153
$32,320
40
clean
CT BREAST W/3D BI C-/C+
—
$421
$421
13
clean
NCNTC IFR SPCTRSC O/T PAD 1
—
$46
$46
9
clean
TCAT RMVL/DEBULK ICAR MASS SUCTION DEVICE PERQ
$17,207
$6,714
$13,766
41
clean
TTVI/RPLCMT PROSTC VLV PERQ W/R HRT CATH&ANGRPH
$36,785
—
$13,838
34
clean
INSJ GTUBE PERQ MAG GASTRPXY
—
$2,234
$2,234
9
clean
QUAN MR TIS WO MRI 1ORGN
—
$1,119
$1,119
19
clean
QUAN MR TISS W/MRI 1ORGN
—
$1,119
$1,119
9
clean
PRGRMG DEV EVAL SCRMS REMOTE
—
$44
$44
9
clean
EGD FLX TRANSNASAL TUBE/CATH
—
$4,480
$4,480
9
clean
TPRNL FOCAL ABLTJ MAL PRST8
—
$5,987
$5,987
9
clean
Showing the first 200 of 17,703 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 27447/o
error
mrf_cash_above_gross
discounted cash price $15,153 exceeds gross charge $14,508
CPT 25605/o
error
mrf_cash_above_gross
discounted cash price $1,885 exceeds gross charge $1,692
CPT 37187/o
error
mrf_cash_above_gross
discounted cash price $13,355 exceeds gross charge $13,015
warn
mrf_negotiated_above_gross_systematic
6,303 of 8,159 comparable items (77%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $7,193 exceeds the gross charge $1,584
warn
mrf_rate_without_estimate
738,920 of 738,920 percentage/algorithm rates across 8,265 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 80220/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 4% of the gross charge $419
CPT 85260/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 5% of the gross charge $385
CPT 70336/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 9% of the gross charge $3,189
CPT 80230/o
info
mrf_cash_under_tenth_of_gross
cash price $39 is 7% of the gross charge $532
CPT 28405/o
info
mrf_cash_under_tenth_of_gross
cash price $282 is 8% of the gross charge $3,391
CPT 85270/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 9% of the gross charge $198
CPT 85280/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 6% of the gross charge $309
CPT 86658/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 7% of the gross charge $198
CPT 76390/o
info
mrf_cash_under_tenth_of_gross
cash price $104 is 5% of the gross charge $2,056
CPT 87272/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 8% of the gross charge $141
CPT G0475/o
info
mrf_cash_under_tenth_of_gross
cash price $24 is 8% of the gross charge $312
CPT 86663/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 6% of the gross charge $211
CPT 85290/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 8% of the gross charge $215
CPT 86664/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 7% of the gross charge $228
CPT 85291/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 4% of the gross charge $215
CPT 82248/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 6% of the gross charge $87
CPT 85292/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 5% of the gross charge $358
CPT 70450/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 6% of the gross charge $2,158
CPT 85293/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 4% of the gross charge $491
CPT 68530/o
info
mrf_cash_under_tenth_of_gross
cash price $352 is 8% of the gross charge $4,198
CPT 70460/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 8% of the gross charge $2,515
CPT 73700/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 6% of the gross charge $2,248
CPT 82270/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 6% of the gross charge $76
CPT 70470/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,410
CPT 73701/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 7% of the gross charge $2,877
CPT 83727/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 6% of the gross charge $275
CPT D0150/o
info
mrf_cash_under_tenth_of_gross
cash price $152 is 8% of the gross charge $1,851
CPT 70480/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 5% of the gross charge $2,483
CPT 82272/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 7% of the gross charge $62
CPT 73702/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 7% of the gross charge $3,207
CPT 83735/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 5% of the gross charge $138
CPT 70481/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 7% of the gross charge $2,859
CPT 88161/o
info
mrf_cash_under_tenth_of_gross
cash price $29 is 9% of the gross charge $336
CPT 70482/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,464
CPT 73706/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,355
CPT 87299/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 6% of the gross charge $248
CPT 70486/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 5% of the gross charge $2,303
CPT 73718/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 8% of the gross charge $3,637
CPT J0872/b
info
mrf_cash_under_tenth_of_gross
cash price $0 is 1% of the gross charge $5
CPT 70487/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 7% of the gross charge $2,906
CPT 82310/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 7% of the gross charge $77
CPT J0872/o
info
mrf_cash_under_tenth_of_gross
cash price $0 is 1% of the gross charge $5
CPT 70488/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,376
CPT J0873/b
info
mrf_cash_under_tenth_of_gross
cash price $0 is 6% of the gross charge $1
CPT 73720/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 7% of the gross charge $5,616
CPT J0873/o
info
mrf_cash_under_tenth_of_gross
cash price $0 is 6% of the gross charge $1
CPT 70490/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 5% of the gross charge $2,464
CPT 85362/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 6% of the gross charge $106
CPT 70491/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 7% of the gross charge $3,214
CPT 73721/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 7% of the gross charge $3,962
CPT 87327/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 8% of the gross charge $165
CPT 70492/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,264
CPT D0240/o
info
mrf_cash_under_tenth_of_gross
cash price $104 is 9% of the gross charge $1,212
CPT 85378/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 6% of the gross charge $171
CPT 88182/o
info
mrf_cash_under_tenth_of_gross
cash price $63 is 6% of the gross charge $968
CPT 73723/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 9% of the gross charge $4,675
CPT 70496/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,443
CPT 86708/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 8% of the gross charge $161
CPT D0250/o
info
mrf_cash_under_tenth_of_gross
cash price $104 is 4% of the gross charge $2,438
CPT J0882/b
info
mrf_cash_under_tenth_of_gross
cash price $3 is 7% of the gross charge $40
CPT J0882/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 7% of the gross charge $40
CPT 82374/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 8% of the gross charge $62
CPT 87335/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 7% of the gross charge $175
CPT 70498/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,302
CPT D0270/o
info
mrf_cash_under_tenth_of_gross
cash price $104 is 7% of the gross charge $1,520
CPT 70540/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 8% of the gross charge $3,520
CPT 83930/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 7% of the gross charge $100
CPT 86713/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 8% of the gross charge $193
CPT 74150/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 6% of the gross charge $2,200
CPT D0272/o
info
mrf_cash_under_tenth_of_gross
cash price $104 is 6% of the gross charge $1,670
CPT 74160/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 7% of the gross charge $2,966
CPT 70543/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 8% of the gross charge $5,159
CPT 74170/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 5% of the gross charge $3,850
CPT 87341/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 6% of the gross charge $184
CPT 85420/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 5% of the gross charge $120
CPT 88240/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 5% of the gross charge $278
CPT 70544/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 8% of the gross charge $3,575
CPT 74174/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 9% of the gross charge $4,730
CPT 90901/o
info
mrf_cash_under_tenth_of_gross
cash price $25 is 10% of the gross charge $252
CPT 85441/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 4% of the gross charge $112
CPT 87380/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 7% of the gross charge $248
CPT 74175/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,245
CPT 70546/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 9% of the gross charge $4,675
CPT 87385/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 7% of the gross charge $193
CPT 74176/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 9% of the gross charge $3,190
CPT 85460/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 5% of the gross charge $165
CPT 70547/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 9% of the gross charge $3,047
CPT 85461/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 8% of the gross charge $112
CPT 87389/o
info
mrf_cash_under_tenth_of_gross
cash price $24 is 10% of the gross charge $245
CPT 27299/o
info
mrf_cash_under_tenth_of_gross
cash price $282 is 9% of the gross charge $3,260
CPT 74178/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 8% of the gross charge $4,950
CPT Q5103/b
info
mrf_cash_under_tenth_of_gross
cash price $20 is 8% of the gross charge $246
CPT 74181/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 8% of the gross charge $3,422
CPT 76873/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 5% of the gross charge $2,523
CPT Q5103/o
info
mrf_cash_under_tenth_of_gross
cash price $20 is 8% of the gross charge $246
CPT 81001/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 3% of the gross charge $107
CPT 98966/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 4% of the gross charge $428
CPT 70551/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 7% of the gross charge $3,972
CPT 81002/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 8% of the gross charge $45
CPT 74183/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 8% of the gross charge $5,438
CPT 70552/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 9% of the gross charge $4,620
CPT 81003/o
info
mrf_cash_under_tenth_of_gross
cash price $2 is 3% of the gross charge $80
CPT 70553/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 7% of the gross charge $5,631
CPT Q5111/b
info
mrf_cash_under_tenth_of_gross
cash price $136 is 10% of the gross charge $1,363
CPT 84106/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 0% of the gross charge $1,395
CPT 85555/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 4% of the gross charge $174
CPT 86784/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 7% of the gross charge $191
CPT Q5111/o
info
mrf_cash_under_tenth_of_gross
cash price $136 is 10% of the gross charge $1,363
CPT 81025/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 6% of the gross charge $138
CPT 85557/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 8% of the gross charge $174
CPT 81050/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 5% of the gross charge $76
CPT 96366/o
info
mrf_cash_under_tenth_of_gross
cash price $54 is 9% of the gross charge $605
CPT 87467/o
info
mrf_cash_under_tenth_of_gross
cash price $25 is 3% of the gross charge $758
CPT 85597/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 7% of the gross charge $263
CPT 74251/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 7% of the gross charge $2,974
CPT 82575/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 7% of the gross charge $143
CPT 85611/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 5% of the gross charge $80
CPT 86804/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 7% of the gross charge $210
CPT 95700/o
info
mrf_cash_under_tenth_of_gross
cash price $184 is 6% of the gross charge $3,080
CPT Q5120/b
info
mrf_cash_under_tenth_of_gross
cash price $28 is 2% of the gross charge $1,696
CPT Q5120/o
info
mrf_cash_under_tenth_of_gross
cash price $28 is 2% of the gross charge $1,696
CPT 84140/o
info
mrf_cash_under_tenth_of_gross
cash price $21 is 9% of the gross charge $226
CPT 82607/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 9% of the gross charge $160
CPT 85651/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 4% of the gross charge $105
CPT Q5122/b
info
mrf_cash_under_tenth_of_gross
cash price $132 is 8% of the gross charge $1,696
CPT Q5122/o
info
mrf_cash_under_tenth_of_gross
cash price $132 is 8% of the gross charge $1,696
CPT 71250/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 5% of the gross charge $2,317
CPT 85652/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 3% of the gross charge $81
CPT A9521/o
info
mrf_cash_under_tenth_of_gross
cash price $802 is 8% of the gross charge $9,448
CPT 71260/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 7% of the gross charge $3,185
CPT 67399/o
info
mrf_cash_under_tenth_of_gross
cash price $352 is 7% of the gross charge $4,950
CPT 71270/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 5% of the gross charge $3,930
CPT 84153/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 6% of the gross charge $328
CPT 71271/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 6% of the gross charge $2,090
CPT 85705/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 5% of the gross charge $205
CPT 22899/o
info
mrf_cash_under_tenth_of_gross
cash price $282 is 5% of the gross charge $5,888
CPT 71275/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,575
CPT 84156/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 3% of the gross charge $143
CPT 36513/o
info
mrf_cash_under_tenth_of_gross
cash price $515 is 9% of the gross charge $5,865
CPT 85810/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 9% of the gross charge $128
CPT 71550/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 9% of the gross charge $3,144
CPT J2506/b
info
mrf_cash_under_tenth_of_gross
cash price $58 is 4% of the gross charge $1,300
CPT J2506/o
info
mrf_cash_under_tenth_of_gross
cash price $58 is 4% of the gross charge $1,300
CPT 77046/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 6% of the gross charge $4,895
CPT 82656/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 7% of the gross charge $158
CPT J7402/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 0% of the gross charge $3,523
CPT 77047/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 6% of the gross charge $5,060
CPT J7402/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 0% of the gross charge $3,523
CPT 71552/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 10% of the gross charge $4,244
CPT 74415/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 8% of the gross charge $2,475
CPT A9548/b
info
mrf_cash_under_tenth_of_gross
cash price $715 is 10% of the gross charge $7,178
CPT 87497/o
info
mrf_cash_under_tenth_of_gross
cash price $43 is 5% of the gross charge $853
CPT P3000/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 6% of the gross charge $301
CPT 96411/o
info
mrf_cash_under_tenth_of_gross
cash price $84 is 7% of the gross charge $1,124
CPT P9012/o
info
mrf_cash_under_tenth_of_gross
cash price $75 is 6% of the gross charge $1,157
CPT 0272U/o
info
mrf_cash_under_tenth_of_gross
cash price $608 is 9% of the gross charge $7,013
CPT 22999/o
info
mrf_cash_under_tenth_of_gross
cash price $282 is 6% of the gross charge $4,407
CPT A9557/b
info
mrf_cash_under_tenth_of_gross
cash price $684 is 9% of the gross charge $7,296
CPT 86037/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 4% of the gross charge $303
CPT A9557/o
info
mrf_cash_under_tenth_of_gross
cash price $684 is 9% of the gross charge $7,296
CPT G0103/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 6% of the gross charge $325
CPT 29999/o
info
mrf_cash_under_tenth_of_gross
cash price $282 is 5% of the gross charge $5,893
CPT 81177/o
info
mrf_cash_under_tenth_of_gross
cash price $137 is 7% of the gross charge $1,925
CPT C2642/b
info
mrf_cash_under_tenth_of_gross
cash price $127 is 7% of the gross charge $1,696
CPT C2642/o
info
mrf_cash_under_tenth_of_gross
cash price $127 is 7% of the gross charge $1,696
CPT 26989/o
info
mrf_cash_under_tenth_of_gross
cash price $282 is 8% of the gross charge $3,374
CPT C2699/b
info
mrf_cash_under_tenth_of_gross
cash price $41 is 0% of the gross charge $19,013
CPT 86051/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 7% of the gross charge $158
CPT C2699/o
info
mrf_cash_under_tenth_of_gross
cash price $41 is 0% of the gross charge $19,013
CPT P9031/o
info
mrf_cash_under_tenth_of_gross
cash price $148 is 9% of the gross charge $1,713
CPT 0279U/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 4% of the gross charge $303
CPT 17999/o
info
mrf_cash_under_tenth_of_gross
cash price $234 is 5% of the gross charge $4,804
CPT 72125/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 4% of the gross charge $2,860
CPT 84300/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 7% of the gross charge $72
CPT 81185/o
info
mrf_cash_under_tenth_of_gross
cash price $846 is 9% of the gross charge $8,938
CPT P9038/o
info
mrf_cash_under_tenth_of_gross
cash price $176 is 9% of the gross charge $1,863
CPT 72127/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 5% of the gross charge $3,858
CPT 86140/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 5% of the gross charge $108
CPT 82735/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 8% of the gross charge $230
CPT J2679/b
info
mrf_cash_under_tenth_of_gross
cash price $7 is 1% of the gross charge $716
CPT 72128/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 6% of the gross charge $2,012
CPT 75561/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 9% of the gross charge $4,675
CPT 77084/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 8% of the gross charge $3,630
CPT 81187/o
info
mrf_cash_under_tenth_of_gross
cash price $137 is 8% of the gross charge $1,671
CPT 84307/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 4% of the gross charge $437
CPT J2679/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 1% of the gross charge $716
CPT 82746/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 8% of the gross charge $196
CPT 72129/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 9% of the gross charge $2,310
CPT 84315/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 7% of the gross charge $50
CPT 72130/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 7% of the gross charge $2,970
CPT 72131/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 5% of the gross charge $2,310
CPT 80048/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 5% of the gross charge $187
CPT 77280/o
info
mrf_cash_under_tenth_of_gross
cash price $156 is 7% of the gross charge $2,136
CPT 58579/o
info
mrf_cash_under_tenth_of_gross
cash price $237 is 7% of the gross charge $3,629
CPT 72133/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 7% of the gross charge $3,084