Service
Code
Listed
Cash
Negotiated
Rates
Checks
HEA MOLECULAR TESTING
$1,584
$720
$1,139
36
clean
LIVER DIS 10 ASSAYS W/ASH
—
$503
$503
15
clean
LIVER DIS 10 ASSAYS W/NASH
—
$503
$503
15
clean
ONCO PRST8 3 GENE UR ALG
—
$760
$760
17
clean
ONC MRNA 5 GEN RSK URTHL CA
—
$760
$760
17
clean
ONC MRNA 5 GEN RECR URTHL CA
—
$760
$760
17
clean
ADRNL CORTCL TUM BCHM ASY 25
—
$1,305
$1,305
15
clean
ONC BLADDER MRNA 219 GEN ALG
—
$3,490
$3,490
15
clean
ONC THYR 10 MICRORNA SEQ ALG
—
$3,002
$3,002
17
clean
ONC AML DNA DETCJ/NONDETCJ
—
$249
$249
17
clean
GLYCA NUC MR SPECTRSC QUAN
—
$34
$34
17
clean
THYROSEQ TESTING
$7,920
$3,600
$5,697
36
clean
JAK2 GENE TRGT SEQ ALYS
—
$122
$122
17
clean
RX METAB ADVRS TRGT SEQ ALYS
—
$742
$742
17
clean
TPMT AND NUDIX HYROLASE NUDT15 GENOTYPING
$1,227
$466
$883
72
clean
NEURO CSF DETCJ PRION PRTN QUAKG CONF CONV QUAL
$578
$541
$539
72
clean
TRGT GEN SEQ DNA 324 GENES
—
$3,500
$3,500
17
clean
B BRGDRFERI ANTB 5 PRTN IGM
—
$17
$17
17
clean
CEREBRAL PERFUSION ANALYS CT W/BLOOD FLOW&VOLUME
$2,745
—
$1,976
24
clean
B BRGDRFERI ANTB 12 PRTN IGG
—
$17
$17
17
clean
TBRF B GRP ANTB 4 PRTN IGM
—
$15
$15
17
clean
TBRF B GRP ANTB 4 PRTN IGG
—
$15
$15
17
clean
ONC BRST DUX CARC IS 12 GENE
—
$3,873
$3,873
17
clean
ONC PRST8 MRNA 17 GENE ALG
—
$3,873
$3,873
17
clean
CPTR-ASST MUSCSKEL NAVIGJ ORTHO FLUOR IMAGES
$503
—
$444
28
clean
CPTR-ASST MUSCSKEL NAVIGJ ORTHO CT/MRI
$839
—
$721
28
clean
ANTI-MERKEL CELL PANEL ARUP
$711
$323
$511
36
clean
ONC MERKEL CLL CARC SRM +/-
—
$323
$323
17
clean
TC MEAS 5 BMRK SFDI M-S ALYS
—
$25
$25
17
clean
ANTB TP TOTAL&RPR IA QUAL
—
$31
$31
17
clean
SYFLS TST NONTREPONEMAL ANTB
—
$18
$18
17
clean
CANDIDA SPECIES PNL AMP PRB
—
$143
$143
17
clean
TCAT PLMT XTRC VRT CRTD STENT RS&I PRQ 1ST VSL
$22,583
—
$8,705
26
clean
IG PARAPROTEIN QUAL BLD/UR
—
$43
$43
17
clean
ONC LNG 5 CLIN RSK FACTR ALG
—
$3,520
$3,520
17
clean
ONC MLNMA PRAME & LINC00518
—
$760
$760
17
clean
ONC CUTAN MLNMA MRNA 23 GENE
—
$1,950
$1,950
17
clean
EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS
$7,913
$283
$6,561
34
clean
HERED COLON CA DO 15 GENES
—
$1,744
$1,744
15
clean
NEPH CKD MULT ECLIA TUM NEC
—
$950
$950
17
clean
TOUCH QUANT SENSORY TEST
—
$46
$46
8
clean
GSTR EMPTG 7 TIMED BRTH SPEC
—
$874
$874
17
clean
VIBRATE QUANT SENSORY TEST
—
$46
$46
8
clean
COOL QUANT SENSORY TEST
—
$70
$70
8
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
$4,950
$4,950
17
clean
HEAT QUANT SENSORY TEST
—
$46
$46
8
clean
NMDP ANES BONE MARROW ASPIR&/BX ANT/PST ILIAC CR
$2,360
—
$1,913
26
clean
IADI 16S&18S RRNA GENES
—
$356
$356
17
clean
TRNSPLJ DON-DRV CLL-FR DNA
—
$2,753
$2,753
17
clean
CRD CERAMIDES LIQ CHROM PLSM
—
$84
$84
17
clean
HERED BRST CA RLTD DO PANEL
—
$1,304
$1,304
15
clean
THE KARIUS TEST
$5,847
$2,126
$4,195
36
clean
GI IBS IA ANTI-CDTB&VINCULIN
—
$112
$112
15
clean
LIVER DS 10 BIOCHEM ASY SRM
—
$503
$503
17
clean
ONC SLD TUM ALYS BRCA1 BRCA2
—
$3,030
$3,030
17
clean
ONC SOLID TUMOR 30 PRTN TRGT
—
$1,305
$1,305
15
clean
RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC
$15,408
$7,010
$7,770
34
clean
PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> NDL
$12,714
$8,413
$8,413
34
clean
PERQ SAC AGMNTJ BI W/WO BALO/ MCHNL DEV 2/> NDLS
$16,448
$8,413
$8,515
34
clean
BIOFIRE RESPIRATORY PANEL 2.1 EA PATHOGEN RPT AS DETECT OR NOT D
$1,674
$417
$1,149
36
clean
NEURO ALZHEIMER CELL AGGREGJ
—
$2,215
$2,215
15
clean
EVAC MEIBOMIAN GLNDS AUTO HT& INTMT PRESS UNI
$158
$152
$146
34
clean
NEURO ALZHEIMER QUAN IMAGING
—
—
$596
6
clean
NJX PLTLT PLASMA W/IMG HARVEST/PREPARATION
$1,000
$470
$800
35
clean
TRLUML PERIPH ATHRC W/RS&I BRCHIOCPHL EA VSL
$25,714
$13,355
$11,920
33
clean
TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA
$33,773
$21,147
$13,509
33
clean
LIQUID CDX
$15,950
$3,500
$10,948
36
clean
NFCT DS VIR RESP RNA 3 TRGT
—
—
$241
4
clean
SARS-COV-2 RNA INFLUENZA A&B AND RSV RNA QUALITATIVE NAAT QST
$495
—
$396
27
clean
TRGT GEN SEQ ALYS PNL 55-74
—
$5,000
$5,000
15
clean
ONC THYR MUT ALYS 10 GEN&37
—
$1,266
$1,266
15
clean
ONC SLD ORG NEO DNA 505 GENE
—
$2,920
$2,920
15
clean
IM/REPL CARTD SINUS BAROREFLX ACTIV DEV TOT SYST
$84,284
$52,995
$15,387
34
clean
IM/REPL CARTD SINS BARREFLX ACT DEV PLS GEN ONLY
$57,901
$35,888
$13,013
34
clean
INTROGATION DEV EVAL CARTD SINS BARREFLX W/I&R
$463
$184
$319
33
clean
INTROGATION DEV EVAL CARTD SINS BARREFLX W/PRGRM
$463
$184
$319
33
clean
PERC LAMINO-/LAMINECTOMY INDIR IMAG GUIDE LUMBAR
$13,923
$8,413
$8,413
35
clean
TEMPR
—
$184
$184
8
clean
ONC LUNG MRNA QUAN PCR 11&3
—
$3,873
$3,873
15
clean
ONC BRST DUX CARC 7 PROTEINS
—
$5,435
$5,435
15
clean
CRD CAD ALYS 3 PRTN 3 PARAM
—
$391
$391
15
clean
CRD CV DS ALY 4 PRTN PLM ALG
—
$391
$391
15
clean
NFCT DS BCT QUAN ANTMCRB SC
—
$8
$8
15
clean
AI DS SLE ALYS 8 IGG AUTOANT
—
$841
$841
15
clean
ONC CUTAN SQ CLL CA MRNA 40
—
$8,500
$8,500
13
clean
NEPH RNA PSTTRNSPL PERPH BLD
—
$2,650
$2,650
13
clean
TRGT GEN SEQ ALYS PNL 83+
—
$5,000
$5,000
13
clean
ONC NEO XOME&TRNS SEQ ALYS
—
$3,438
$3,438
13
clean
TEAR FILM IMG UNI/BI W/I&R
—
$46
$46
8
clean
ONC SLD ORGN TGSA DNA 84/+
—
$3,500
$3,500
14
clean
ONC PLSM CELL DO&MYELOMA ID
—
$2,435
$2,435
13
clean
ONC SLD TUM CRCG TUM CL SLCT
—
$2,435
$2,435
13
clean
TRANSCATHETER RENAL SYMPATH DENERVATION BILAT
$9,235
$6,714
$7,656
34
clean
ONC PRST8 MRNA HOXC6 & DLX1
—
$760
$760
15
clean
ONC PAN CA ALYS MRD PLASMA
—
$3,920
$3,920
15
clean
HEP NAFLD SEMIQ EVL 28 LIPID
—
$792
$792
13
clean
PSYC GENOM ALYS PNL 15 GEN
—
$1,336
$1,336
15
clean
BETA AMYL A?40&A?42 LC-MS/MS
—
—
$124
1
clean
RX METAB/PCX DNA 16 GEN ALYS
—
$1,336
$1,336
15
clean
RX METAB/PCX DNA 25 GEN ALYS
—
$742
$742
15
clean
RX METAB/PCX DNA 27GEN RX IA
—
$742
$742
15
clean
RSA LOWER EXTR EXAM
—
$104
$104
10
clean
NFCT DS BCT/VIRAL TRAIL IP10
—
$261
$261
15
clean
OCT BRST/NODE I&R PER SPEC
—
—
$2,630
2
clean
NFCT DS BV&VAGINITIS AMP PRB
—
—
$293
3
clean
IADNA CHLMYD&GONORR AMP PRB
—
—
$144
3
clean
APOL1 RISK VARIANTS
—
$137
$137
13
clean
ONC OROP/ANAL 17 DNA DDPCR
—
$1,800
$1,800
12
clean
BIA WHOLE BODY
—
$29
$29
8
clean
NEURO ALYS á-AMYL 1-42&1-40
—
$261
$261
13
clean
ONC PRST8 CA ALYS ALL PSA
—
$760
$760
13
clean
ONC LUNG ELISA 7 AUTOANT ALG
—
$783
$783
13
clean
NEURFLMNT LT CHN DIG IA QUAN
—
$116
$116
12
clean
ONC URTHL MRNA 5 GEN ALG
—
$760
$760
13
clean
ONC BLDR 10 UR HRBR URTHL CA
—
$897
$897
12
clean
ONC BLDR 10 PRB RECR BLDR CA
—
$897
$897
12
clean
ONC OVRN BCHM ASY 7 PRTN ALG
—
$897
$897
12
clean
ONC PRST8 CA IMG ALYS 128
—
$706
$706
12
clean
VIS FIELD ASSMNT TECH SUPPT
—
$46
$46
8
clean
TGSAP SL OR NEO DNA523&RNA55
—
$3,289
$3,289
12
clean
ONC NONSM CLL LNG CA 37 GEN
—
$3,500
$3,500
12
clean
NEU PRKSN MSFL a-SYNCLN PRTN
—
$541
$541
12
clean
HDR ELCTRNC SKN SURF BRCHYTX
—
$310
$310
8
clean
PFAS 16 PFAS COMPND LC MS/MS
—
$199
$199
12
clean
HDR ELCTR NTRST/NTRCV BRCHTX
—
$817
$817
8
clean
GI BARET ESPH DNA MTHYLN ALY
—
$1,755
$1,755
12
clean
COLGN CRS-LINK CRN&PACHYMTRY
—
$2,747
$2,747
8
clean
ONC PRST8 MRNA 18 GEN 1ST UR
—
$760
$760
13
clean
ONC BRST SEMIQ MEAS THYM KN
—
$323
$323
12
clean
ONC LUNG FLOW CYTMTRY 5 MRK
—
$760
$760
12
clean
NEPH DBTC CKD MULT ECLIA ALG
—
$950
$950
12
clean
INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD
$49,969
$37,758
$37,758
33
clean
ONC SLD TUM DNA 80 & RNA 36
—
$2,920
$2,920
12
clean
PSYC GENOM ALYS PNL 15 GEN
—
$1,336
$1,336
12
clean
CV DS ACS BLD ALG 5 YR SCORE
—
$391
$391
12
clean
PRGRMG EVAL CARDIAC MODULJ
—
$44
$44
8
clean
INTERRO EVAL CARDIAC MODULJ
—
$44
$44
8
clean
TRANSURETHRAL WATERJET ABLATION PROSTATE COMPL
$11,301
$10,890
$8,965
34
clean
GI MALABS AAT CALPRO PNCRTC
—
$62
$62
12
clean
GLY RCPTR ALPHA1 IGG SRM/CSF
—
$37
$37
12
clean
KLHL11 ANTB SR/CSF ASY QUAL
—
$37
$37
12
clean
ONC PRST8 5 DNA REG MRK PCR
—
$760
$760
12
clean
RX METAB ADVRS VRNT ALYS 25
—
$417
$417
12
clean
ABLTJ PERC LXTR/PERPH NRV
—
$2,300
$2,300
8
clean
ABLTJ PERC PLEX/TRNCL NRV
—
$7,542
$7,542
8
clean
INSJ IMPLTBL GLUCOSE SENSOR
—
$2,154
$3,828
9
clean
RMVL IMPLTBL GLUCOSE SENSOR
—
$234
$234
9
clean
REMVL INSJ IMPLTBL GLUC SENS
—
$2,154
$3,828
9
clean
INSJ AQUEOUS DRAIN DEV 1ST
—
$6,076
$6,076
9
clean
VISUAL EP TEST FOR GLAUCOMA
—
$184
$184
8
clean
ONC SLD TUM BLD/SLV 648 GENE
—
$4,500
$4,500
12
clean
HERED PRST8 CA GSAP 23 GENES
—
$1,304
$1,304
12
clean
FRACTIONAL ABL LSR FENESTRATION FIRST 100 SQCM
$1,916
$721
$1,612
34
clean
FRACTIONAL ABL LSR FENESTRATION EA ADDL 100 SQCM
$958
—
$831
27
clean
TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH
$14,714
—
$11,925
26
clean
OCT MID EAR I&R UNILATERAL
—
$46
$46
8
clean
OCT MID EAR I&R BILATERAL
—
$46
$46
8
clean
EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR
$27,248
$13,355
$11,644
34
clean
NEAR IFR 2IMG MIBMN GLND I&R
—
$70
$70
8
clean
PATTERN ERG W/I&R
—
$367
$367
13
clean
ESW INTEG WND HLG 1ST WND
—
$234
$234
8
clean
INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING
$8,958
—
$7,624
26
clean
INSERTION REPLACEMENT COMPLETE IIMS
$39,298
$22,459
$27,061
33
clean
PRGRMG DEV EVAL IIMS IP
—
$44
$44
8
clean
INTERROG DEV EVAL IIMS IP
—
$44
$44
8
clean
ANTMC GUIDE 3D PRINT 1ST GD
—
$70
$70
10
clean
EVAC MEIBOMIAN GLND HEAT BI
—
$70
$70
8
clean
TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS
$6,353
—
$5,695
26
clean
TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS
$1,816
—
$1,628
26
clean
INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE
$66,076
$37,758
$45,500
33
clean
PRGRMG DEV EVAL ICDS SS IP
—
$44
$44
8
clean
INTERROG DEV EVAL ICDS SS IP
—
$44
$44
8
clean
REM INTERROG DEV ICDS TECH
—
$44
$44
8
clean
ABLTJ MAL BRST TUM PERQ CRTX
—
$4,510
$4,510
8
clean
ELEC ALYS CPLX PRGRMG IINS
—
$108
$108
8
clean
R-T FLUOR WOUND IMG 1ST SITE
—
$367
$367
10
clean
IRE ABLTJ 1+TUM ORGAN PERQ
—
$12,261
$12,261
8
clean
IRE ABLTJ 1+TUMORS OPEN
—
$12,261
$12,261
8
clean
REM OCT RTA TECHL SPRT MIN 8
—
—
$101
2
clean
CYSTO W/PRST8 COMMISSUROTOMY
—
$10,890
$10,890
8
clean
ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN
$103,031
$41,219
$17,927
33
clean
AUTO QUAN C PLAQ CPTR ALYS
—
$1,119
$1,119
8
clean
PERQ NJX ALGC CELL &/PRDCT UNI/BI FLUOR LMBR 1ST
$40,912
$15,153
$28,172
33
clean
PERQ NJX ALGC CELL &/PRDCT UNI/BI FLUOR LMBR EA
$20,457
—
$15,343
24
clean
PERQ NJX ALGC CELL&/PRDCT UNI/BI CT LMBR 1ST
$40,912
$15,153
$28,172
33
clean
CT BREAST W/3D BI C-/C+
—
$421
$431
12
clean
NCNTC IFR SPCTRSC O/T PAD 1
—
$46
$46
8
clean
TCAT RMVL/DEBULK ICAR MASS SUCTION DEVICE PERQ
$17,207
$6,714
$7,997
33
clean
TTVI/RPLCMT PROSTC VLV PERQ W/R HRT CATH&ANGRPH
$36,785
—
$8,618
27
clean
INSJ GTUBE PERQ MAG GASTRPXY
—
$2,234
$2,234
8
clean
QUAN MR TIS WO MRI 1ORGN
—
$1,119
$1,119
12
clean
QUAN MR TISS W/MRI 1ORGN
—
$1,119
$1,119
8
clean
PRGRMG DEV EVAL SCRMS REMOTE
—
$44
$44
8
clean
EGD FLX TRANSNASAL TUBE/CATH
—
$4,480
$4,480
8
clean
TPRNL FOCAL ABLTJ MAL PRST8
—
$5,987
$5,987
8
clean
ELEC IMPD SPECTRSC 1+SKN LES
—
$70
$70
10
clean
IMPLT ANT SGM IO NBIO RX SYS
—
$4,738
$4,738
8
clean
INSJ ANT SGM DRG DEV TRAB MW W/O RES&CTRC RMVL1+
$15,110
$6,076
$7,770
34
clean
ABLTJ B9 THYR NDUL PERQ LASR
—
$1,908
$1,908
8
clean
HISTOTRIPSY MAL HEPATCEL TIS
—
$20,610
$20,610
10
clean
Showing the first 200 of 17,496 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 37187/o
error
mrf_cash_above_gross
discounted cash price $13,355 exceeds gross charge $13,015
CPT 19281/o
error
mrf_cash_above_gross
discounted cash price $1,908 exceeds gross charge $1,729
CPT 25605/o
error
mrf_cash_above_gross
discounted cash price $1,885 exceeds gross charge $1,692
warn
mrf_negotiated_above_gross_systematic
5,742 of 7,840 comparable items (73%) 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 $3,299 exceeds the gross charge $1,584
warn
mrf_rate_without_estimate
1,182,873 of 1,182,873 percentage/algorithm rates across 8,238 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 29999/o
info
mrf_cash_under_tenth_of_gross
cash price $282 is 5% of the gross charge $5,893
CPT 73221/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 7% of the gross charge $4,113
CPT 73223/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 9% of the gross charge $4,827
CPT 82575/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 7% of the gross charge $143
CPT 86140/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 5% of the gross charge $108
CPT 82607/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 9% of the gross charge $160
CPT 76390/o
info
mrf_cash_under_tenth_of_gross
cash price $104 is 5% of the gross charge $2,056
CPT 81001/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 3% of the gross charge $107
CPT 81002/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 8% of the gross charge $45
CPT 81003/o
info
mrf_cash_under_tenth_of_gross
cash price $2 is 3% of the gross charge $80
CPT 84300/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 7% of the gross charge $72
CPT 82656/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 7% of the gross charge $158
CPT 87015/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 9% of the gross charge $77
CPT 81025/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 6% of the gross charge $138
CPT 84315/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 7% of the gross charge $50
CPT 87040/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 5% of the gross charge $229
CPT 81050/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 5% of the gross charge $76
CPT 87045/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 8% of the gross charge $112
CPT 73700/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 4% of the gross charge $2,860
CPT 98966/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 4% of the gross charge $428
CPT 70336/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 9% of the gross charge $3,189
CPT 73701/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,300
CPT 73702/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,630
CPT 76700/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 9% of the gross charge $1,362
CPT 87075/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 7% of the gross charge $138
CPT 73706/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 7% of the gross charge $2,994
CPT 86308/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 4% of the gross charge $120
CPT 26989/o
info
mrf_cash_under_tenth_of_gross
cash price $282 is 8% of the gross charge $3,374
CPT 73718/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 8% of the gross charge $3,432
CPT 87081/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 5% of the gross charge $130
CPT 84433/o
info
mrf_cash_under_tenth_of_gross
cash price $22 is 4% of the gross charge $537
CPT 73720/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 7% of the gross charge $5,616
CPT 70450/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 5% of the gross charge $2,504
CPT 87101/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 6% of the gross charge $130
CPT P3000/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 6% of the gross charge $301
CPT 73721/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 7% of the gross charge $4,290
CPT 82735/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 8% of the gross charge $230
CPT 70460/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 8% of the gross charge $2,695
CPT 87102/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 6% of the gross charge $130
CPT 68530/o
info
mrf_cash_under_tenth_of_gross
cash price $352 is 6% of the gross charge $5,651
CPT 82746/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 8% of the gross charge $196
CPT 87904/o
info
mrf_cash_under_tenth_of_gross
cash price $26 is 9% of the gross charge $290
CPT 70470/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,410
CPT 73723/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 8% of the gross charge $5,005
CPT P9012/o
info
mrf_cash_under_tenth_of_gross
cash price $75 is 7% of the gross charge $1,104
CPT 70480/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 5% of the gross charge $2,360
CPT 87107/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 8% of the gross charge $130
CPT 70481/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 7% of the gross charge $2,859
CPT 96366/o
info
mrf_cash_under_tenth_of_gross
cash price $54 is 9% of the gross charge $605
CPT 70482/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,464
CPT 84466/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 6% of the gross charge $199
CPT 87116/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 9% of the gross charge $118
CPT A9521/o
info
mrf_cash_under_tenth_of_gross
cash price $802 is 8% of the gross charge $9,448
CPT 70486/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 5% of the gross charge $2,420
CPT 74150/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 6% of the gross charge $1,980
CPT 84479/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 5% of the gross charge $123
CPT 70487/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 7% of the gross charge $2,906
CPT 74160/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 7% of the gross charge $3,025
CPT 82800/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 3% of the gross charge $321
CPT P9031/o
info
mrf_cash_under_tenth_of_gross
cash price $148 is 9% of the gross charge $1,713
CPT 70488/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,376
CPT 74170/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 5% of the gross charge $3,850
CPT 82803/o
info
mrf_cash_under_tenth_of_gross
cash price $26 is 6% of the gross charge $468
CPT 87147/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 8% of the gross charge $66
CPT 70490/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 5% of the gross charge $2,657
CPT 74174/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 9% of the gross charge $4,752
CPT 84484/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 7% of the gross charge $173
CPT 76830/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 10% of the gross charge $1,255
CPT 70491/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,388
CPT 74175/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,517
CPT 81177/o
info
mrf_cash_under_tenth_of_gross
cash price $137 is 7% of the gross charge $1,925
CPT 22899/o
info
mrf_cash_under_tenth_of_gross
cash price $282 is 5% of the gross charge $5,888
CPT 70492/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,520
CPT 74176/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 8% of the gross charge $3,740
CPT 76856/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 10% of the gross charge $1,293
CPT 82820/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 2% of the gross charge $548
CPT G0103/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 6% of the gross charge $325
CPT P9038/o
info
mrf_cash_under_tenth_of_gross
cash price $176 is 9% of the gross charge $1,863
CPT 70496/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,443
CPT 74177/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 9% of the gross charge $4,650
CPT A9548/b
info
mrf_cash_under_tenth_of_gross
cash price $715 is 10% of the gross charge $7,178
CPT 70498/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,410
CPT 74178/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 7% of the gross charge $6,430
CPT 76873/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 5% of the gross charge $2,523
CPT 70540/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 8% of the gross charge $3,520
CPT 74181/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 9% of the gross charge $3,311
CPT 87168/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 4% of the gross charge $105
CPT 82948/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 9% of the gross charge $55
CPT 88161/o
info
mrf_cash_under_tenth_of_gross
cash price $29 is 9% of the gross charge $336
CPT 70543/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 8% of the gross charge $4,949
CPT 74183/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 8% of the gross charge $5,225
CPT 82950/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 7% of the gross charge $65
CPT 86386/o
info
mrf_cash_under_tenth_of_gross
cash price $22 is 1% of the gross charge $2,170
CPT 87176/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 8% 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 95700/o
info
mrf_cash_under_tenth_of_gross
cash price $184 is 7% of the gross charge $2,750
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 70544/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 8% of the gross charge $3,575
CPT 86406/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 8% of the gross charge $135
CPT 87181/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 6% of the gross charge $83
CPT 22999/o
info
mrf_cash_under_tenth_of_gross
cash price $282 is 6% of the gross charge $4,407
CPT 81187/o
info
mrf_cash_under_tenth_of_gross
cash price $137 is 8% of the gross charge $1,671
CPT C2699/b
info
mrf_cash_under_tenth_of_gross
cash price $41 is 0% of the gross charge $19,013
CPT C2699/o
info
mrf_cash_under_tenth_of_gross
cash price $41 is 0% of the gross charge $19,013
CPT 82962/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 4% of the gross charge $83
CPT 70546/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 10% of the gross charge $4,345
CPT 96411/o
info
mrf_cash_under_tenth_of_gross
cash price $84 is 7% of the gross charge $1,124
CPT P9055/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 7% of the gross charge $3,971
CPT 86430/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 7% of the gross charge $90
CPT 70547/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 10% of the gross charge $2,864
CPT 82978/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 9% of the gross charge $168
CPT 87205/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 5% of the gross charge $94
CPT 88182/o
info
mrf_cash_under_tenth_of_gross
cash price $63 is 6% of the gross charge $968
CPT 70549/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 10% of the gross charge $4,404
CPT 74251/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 7% of the gross charge $2,974
CPT 83001/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 6% of the gross charge $316
CPT 87207/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 6% of the gross charge $101
CPT 70551/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 7% of the gross charge $4,073
CPT 83002/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 6% of the gross charge $316
CPT 85002/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $150
CPT 87210/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 9% of the gross charge $62
CPT 70552/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 9% of the gross charge $4,620
CPT 85007/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 4% of the gross charge $105
CPT 87220/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 7% of the gross charge $62
CPT 70553/o
info
mrf_cash_under_tenth_of_gross
cash price $421 is 7% of the gross charge $5,631
CPT 85008/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 2% of the gross charge $144
CPT 95800/o
info
mrf_cash_under_tenth_of_gross
cash price $184 is 8% of the gross charge $2,310
CPT 86602/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 6% of the gross charge $182
CPT 88240/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 5% of the gross charge $278
CPT 85027/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 6% of the gross charge $106
CPT 31899/o
info
mrf_cash_under_tenth_of_gross
cash price $229 is 7% of the gross charge $3,299
CPT 83026/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 2% of the gross charge $238
CPT 95806/o
info
mrf_cash_under_tenth_of_gross
cash price $184 is 10% of the gross charge $1,925
CPT 85032/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 7% of the gross charge $61
CPT 86619/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 4% of the gross charge $328
CPT 17999/o
info
mrf_cash_under_tenth_of_gross
cash price $234 is 5% of the gross charge $4,804
CPT 85044/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 6% of the gross charge $77
CPT 87272/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 8% of the gross charge $141
CPT 77046/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 6% of the gross charge $4,895
CPT 86625/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 5% of the gross charge $282
CPT 77047/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 6% of the gross charge $5,060
CPT 85048/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 9% of the gross charge $28
CPT 74415/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 8% of the gross charge $2,475
CPT 71250/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 5% of the gross charge $2,692
CPT 85049/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 6% of the gross charge $75
CPT 71260/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,354
CPT 83068/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 6% of the gross charge $154
CPT 71270/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,737
CPT 71271/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 6% of the gross charge $2,035
CPT 85130/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 4% of the gross charge $292
CPT 67399/o
info
mrf_cash_under_tenth_of_gross
cash price $352 is 7% of the gross charge $4,950
CPT 87299/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 6% of the gross charge $248
CPT 71275/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 6% of the gross charge $3,587
CPT 83090/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 7% of the gross charge $240
CPT 20999/o
info
mrf_cash_under_tenth_of_gross
cash price $282 is 10% of the gross charge $2,895
CPT 80048/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 5% of the gross charge $187
CPT 86658/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 7% of the gross charge $198
CPT 0272U/o
info
mrf_cash_under_tenth_of_gross
cash price $608 is 9% of the gross charge $7,013
CPT 71550/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 9% of the gross charge $3,144
CPT 85210/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 10% of the gross charge $134
CPT 80051/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 6% of the gross charge $119
CPT 86663/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 6% of the gross charge $211
CPT J7402/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 0% of the gross charge $3,523
CPT 86664/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 7% of the gross charge $228
CPT 87327/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 8% of the gross charge $165
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 80069/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 4% of the gross charge $197
CPT 85245/o
info
mrf_cash_under_tenth_of_gross
cash price $23 is 9% of the gross charge $254
CPT 80074/o
info
mrf_cash_under_tenth_of_gross
cash price $48 is 7% of the gross charge $660
CPT 87335/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 7% of the gross charge $175
CPT 80076/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 5% of the gross charge $167
CPT 77084/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 8% of the gross charge $3,630
CPT 85260/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 5% of the gross charge $385
CPT 82009/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 6% of the gross charge $77
CPT 0279U/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 4% of the gross charge $303
CPT 81244/o
info
mrf_cash_under_tenth_of_gross
cash price $45 is 4% of the gross charge $1,047
CPT 85270/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 9% of the gross charge $198
CPT 80143/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 8% of the gross charge $222
CPT 82010/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 6% of the gross charge $138
CPT 85280/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 6% of the gross charge $309
CPT 87341/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 6% of the gross charge $184
CPT 28405/o
info
mrf_cash_under_tenth_of_gross
cash price $282 is 8% of the gross charge $3,391
CPT 82013/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 8% of the gross charge $161
CPT 97018/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 8% of the gross charge $105
CPT 85290/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 8% of the gross charge $215
CPT 87380/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 7% of the gross charge $248
CPT 85291/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 4% of the gross charge $215
CPT 77280/o
info
mrf_cash_under_tenth_of_gross
cash price $156 is 7% of the gross charge $2,136
CPT 85292/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 5% of the gross charge $358
CPT 87389/o
info
mrf_cash_under_tenth_of_gross
cash price $24 is 10% of the gross charge $245
CPT G0398/o
info
mrf_cash_under_tenth_of_gross
cash price $184 is 5% of the gross charge $3,633
CPT 80156/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 7% of the gross charge $220
CPT 77290/o
info
mrf_cash_under_tenth_of_gross
cash price $431 is 9% of the gross charge $4,824