Service
Code
Listed
Cash
Negotiated
Rates
Checks
HEA MOLECULAR TESTING
$1,584
$720
$1,131
35
clean
LIVER DIS 10 ASSAYS W/ASH
—
$503
$503
12
clean
LIVER DIS 10 ASSAYS W/NASH
—
$503
$503
12
clean
ONCO PRST8 3 GENE UR ALG
—
$760
$798
15
clean
ONC MRNA 5 GEN RSK URTHL CA
—
$760
$798
15
clean
ONC MRNA 5 GEN RECR URTHL CA
—
$760
$798
15
clean
ADRNL CORTCL TUM BCHM ASY 25
—
$1,305
$1,305
13
clean
ONC BLADDER MRNA 219 GEN ALG
—
$3,490
$3,490
13
clean
ONC THYR 10 MICRORNA SEQ ALG
—
$3,002
$3,152
15
clean
ONC AML DNA DETCJ/NONDETCJ
—
$249
$261
15
clean
GLYCA NUC MR SPECTRSC QUAN
—
$34
$36
15
clean
THYROSEQ TESTING
$7,920
$3,600
$5,656
35
clean
JAK2 GENE TRGT SEQ ALYS
—
$122
$128
15
clean
RX METAB ADVRS TRGT SEQ ALYS
—
$742
$779
15
clean
TPMT AND NUDIX HYROLASE NUDT15 GENOTYPING
$1,227
$466
$844
70
clean
NEURO CSF DETCJ PRION PRTN QUAKG CONF CONV QUAL
$578
$541
$500
70
clean
TRGT GEN SEQ DNA 324 GENES
—
$3,500
$3,675
15
clean
B BRGDRFERI ANTB 5 PRTN IGM
—
$17
$18
15
clean
CEREBRAL PERFUSION ANALYS CT W/BLOOD FLOW&VOLUME
$2,745
—
$2,083
27
clean
B BRGDRFERI ANTB 12 PRTN IGG
—
$17
$18
15
clean
TBRF B GRP ANTB 4 PRTN IGM
—
$15
$16
15
clean
TBRF B GRP ANTB 4 PRTN IGG
—
$15
$16
15
clean
ONC BRST DUX CARC IS 12 GENE
—
$3,873
$4,067
15
clean
ONC PRST8 MRNA 17 GENE ALG
—
$3,873
$4,067
15
clean
CPTR-ASST MUSCSKEL NAVIGJ ORTHO FLUOR IMAGES
$503
—
$428
27
clean
CPTR-ASST MUSCSKEL NAVIGJ ORTHO CT/MRI
$839
—
$713
27
clean
ANTI-MERKEL CELL PANEL ARUP
$711
$323
$533
35
clean
ONC MERKEL CLL CARC SRM +/-
—
$323
$339
15
clean
TC MEAS 5 BMRK SFDI M-S ALYS
—
$25
$26
15
clean
ANTB TP TOTAL&RPR IA QUAL
—
$31
$33
15
clean
SYFLS TST NONTREPONEMAL ANTB
—
$18
$19
15
clean
CANDIDA SPECIES PNL AMP PRB
—
$143
$150
15
clean
TCAT PLMT XTRC VRT CRTD STENT RS&I PRQ 1ST VSL
$22,583
—
$11,920
29
clean
IG PARAPROTEIN QUAL BLD/UR
—
$43
$46
15
clean
ONC LNG 5 CLIN RSK FACTR ALG
—
$3,520
$3,696
15
clean
ONC MLNMA PRAME & LINC00518
—
$760
$798
15
clean
ONC CUTAN MLNMA MRNA 23 GENE
—
$1,950
$2,048
15
clean
EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS
$7,913
$266
$6,196
35
clean
HERED COLON CA DO 15 GENES
—
$1,744
$1,744
13
clean
NEPH CKD MULT ECLIA TUM NEC
—
$950
$998
15
clean
TOUCH QUANT SENSORY TEST
—
$43
$43
8
clean
GSTR EMPTG 7 TIMED BRTH SPEC
—
$874
$918
15
clean
VIBRATE QUANT SENSORY TEST
—
$43
$43
8
clean
COOL QUANT SENSORY TEST
—
$66
$66
8
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
$4,950
$4,950
15
clean
HEAT QUANT SENSORY TEST
—
$43
$43
8
clean
NMDP ANES BONE MARROW ASPIR&/BX ANT/PST ILIAC CR
$2,360
—
$1,848
29
clean
IADI 16S&18S RRNA GENES
—
$356
$374
15
clean
TRNSPLJ DON-DRV CLL-FR DNA
—
$2,753
$2,891
15
clean
CRD CERAMIDES LIQ CHROM PLSM
—
$84
$88
15
clean
HERED BRST CA RLTD DO PANEL
—
$1,304
$1,304
13
clean
THE KARIUS TEST
$5,847
$2,126
$4,023
35
clean
GI IBS IA ANTI-CDTB&VINCULIN
—
$112
$112
13
clean
LIVER DS 10 BIOCHEM ASY SRM
—
$503
$529
15
clean
ONC SLD TUM ALYS BRCA1 BRCA2
—
$3,030
$3,182
15
clean
CAD CXR WITH INTERP
—
—
$24
1
clean
ONC SOLID TUMOR 30 PRTN TRGT
—
$1,305
$1,305
13
clean
RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC
$15,408
$6,589
$8,627
35
clean
PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> NDL
$12,714
$7,907
$8,419
35
clean
PERQ SAC AGMNTJ BI W/WO BALO/ MCHNL DEV 2/> NDLS
$16,448
$7,907
$8,748
35
clean
BIOFIRE RESPIRATORY PANEL 2.1 EA PATHOGEN RPT AS DETECT OR NOT D
$1,674
$417
$1,143
35
clean
NEURO ALZHEIMER CELL AGGREGJ
—
$2,215
$2,215
13
clean
EVAC MEIBOMIAN GLNDS AUTO HT& INTMT PRESS UNI
$158
$143
$143
35
clean
NEURO ALZHEIMER QUAN IMAGING
—
—
$803
5
clean
NJX PLTLT PLASMA W/IMG HARVEST/PREPARATION
$1,000
$442
$783
35
clean
TRLUML PERIPH ATHRC W/RS&I BRCHIOCPHL EA VSL
$25,714
$12,552
$13,682
35
clean
TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA
$33,773
$19,876
$20,564
35
clean
LIQUID CDX
$15,950
$3,500
$10,892
35
clean
NFCT DS VIR RESP RNA 3 TRGT
—
—
$293
3
clean
SARS-COV-2 RNA INFLUENZA A&B AND RSV RNA QUALITATIVE NAAT QST
$495
—
$378
28
clean
TRGT GEN SEQ ALYS PNL 55-74
—
$5,000
$5,000
13
clean
ONC THYR MUT ALYS 10 GEN&37
—
$1,266
$1,266
13
clean
ONC SLD ORG NEO DNA 505 GENE
—
$2,920
$2,920
13
clean
IM/REPL CARTD SINUS BAROREFLX ACTIV DEV TOT SYST
$84,284
$49,809
$15,761
35
clean
IM/REPL CARTD SINS BARREFLX ACT DEV PLS GEN ONLY
$57,901
$33,730
$15,603
35
clean
INTROGATION DEV EVAL CARTD SINS BARREFLX W/I&R
$463
$173
$347
35
clean
INTROGATION DEV EVAL CARTD SINS BARREFLX W/PRGRM
$463
$173
$347
35
clean
PERC LAMINO-/LAMINECTOMY INDIR IMAG GUIDE LUMBAR
$13,923
$7,907
$8,748
35
clean
TEMPR
—
$173
$173
7
clean
ONC LUNG MRNA QUAN PCR 11&3
—
$3,873
$3,873
13
clean
ONC BRST DUX CARC 7 PROTEINS
—
$5,435
$5,435
13
clean
CRD CAD ALYS 3 PRTN 3 PARAM
—
$391
$391
13
clean
CRD CV DS ALY 4 PRTN PLM ALG
—
$391
$391
13
clean
NFCT DS BCT QUAN ANTMCRB SC
—
$8
$8
13
clean
AI DS SLE ALYS 8 IGG AUTOANT
—
$841
$841
13
clean
ONC CUTAN SQ CLL CA MRNA 40
—
$8,500
$8,500
11
clean
NEPH RNA PSTTRNSPL PERPH BLD
—
$2,650
$2,650
11
clean
TRGT GEN SEQ ALYS PNL 83+
—
$5,000
$5,000
11
clean
ONC NEO XOME&TRNS SEQ ALYS
—
$3,438
$3,438
11
clean
TEAR FILM IMG UNI/BI W/I&R
—
$43
$45
8
clean
ONC SLD ORGN TGSA DNA 84/+
—
$3,500
$3,500
13
clean
ONC PLSM CELL DO&MYELOMA ID
—
$2,435
$2,435
11
clean
ONC SLD TUM CRCG TUM CL SLCT
—
$2,435
$2,435
11
clean
TRANSCATHETER RENAL SYMPATH DENERVATION BILAT
$9,235
$6,311
$7,231
35
clean
ONC PRST8 MRNA HOXC6 & DLX1
—
$760
$760
13
clean
ONC PAN CA ALYS MRD PLASMA
—
$3,920
$3,920
13
clean
HEP NAFLD SEMIQ EVL 28 LIPID
—
$792
$792
11
clean
PSYC GENOM ALYS PNL 15 GEN
—
$1,336
$1,336
13
clean
RX METAB/PCX DNA 16 GEN ALYS
—
$1,336
$1,336
13
clean
RX METAB/PCX DNA 25 GEN ALYS
—
$742
$742
13
clean
RX METAB/PCX DNA 27GEN RX IA
—
$742
$742
13
clean
RSA LOWER EXTR EXAM
—
$97
$104
10
clean
INTRAOP OCT BRST/NODE SPEC
—
—
$1,526
1
clean
NFCT DS BCT/VIRAL TRAIL IP10
—
$261
$261
13
clean
OCT BRST/NODE I&R PER SPEC
—
—
$2,630
3
clean
NFCT DS BV&VAGINITIS AMP PRB
—
—
$293
2
clean
IADNA CHLMYD&GONORR AMP PRB
—
—
$144
2
clean
APOL1 RISK VARIANTS
—
$137
$137
11
clean
ONC OROP/ANAL 17 DNA DDPCR
—
$1,800
$1,800
11
clean
BIA WHOLE BODY
—
$27
$27
7
clean
NEURO ALYS á-AMYL 1-42&1-40
—
$261
$261
11
clean
ONC PRST8 CA ALYS ALL PSA
—
$760
$760
11
clean
ONC LUNG ELISA 7 AUTOANT ALG
—
$783
$783
11
clean
NEURFLMNT LT CHN DIG IA QUAN
—
$116
$116
11
clean
ONC URTHL MRNA 5 GEN ALG
—
$760
$760
11
clean
ONC BLDR 10 UR HRBR URTHL CA
—
$897
$897
11
clean
ONC BLDR 10 PRB RECR BLDR CA
—
$897
$897
11
clean
ONC OVRN BCHM ASY 7 PRTN ALG
—
$897
$897
11
clean
ONC PRST8 CA IMG ALYS 128
—
$706
$706
11
clean
VIS FIELD ASSMNT TECH SUPPT
—
$43
$45
8
clean
TGSAP SL OR NEO DNA523&RNA55
—
$3,289
$3,289
11
clean
ONC NONSM CLL LNG CA 37 GEN
—
$3,500
$3,500
11
clean
NEU PRKSN MSFL a-SYNCLN PRTN
—
$541
$541
11
clean
HDR ELCTRNC SKN SURF BRCHYTX
—
$291
$298
8
clean
PFAS 16 PFAS COMPND LC MS/MS
—
$199
$199
11
clean
HDR ELCTR NTRST/NTRCV BRCHTX
—
$768
$787
8
clean
GI BARET ESPH DNA MTHYLN ALY
—
$1,755
$1,755
11
clean
COLGN CRS-LINK CRN&PACHYMTRY
—
$2,582
$2,582
7
clean
ONC PRST8 MRNA 18 GEN 1ST UR
—
$760
$760
11
clean
ONC BRST SEMIQ MEAS THYM KN
—
$323
$323
11
clean
ONC LUNG FLOW CYTMTRY 5 MRK
—
$760
$760
11
clean
NEPH DBTC CKD MULT ECLIA ALG
—
$950
$950
11
clean
INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD
$49,969
$35,488
$37,477
35
clean
ONC SLD TUM DNA 80 & RNA 36
—
$2,920
$2,920
11
clean
PSYC GENOM ALYS PNL 15 GEN
—
$1,336
$1,336
11
clean
CV DS ACS BLD ALG 5 YR SCORE
—
$391
$391
11
clean
PRGRMG EVAL CARDIAC MODULJ
—
$41
$42
8
clean
INTERRO EVAL CARDIAC MODULJ
—
$41
$42
8
clean
TRANSURETHRAL WATERJET ABLATION PROSTATE COMPL
$11,301
$10,235
$8,849
35
clean
GI MALABS AAT CALPRO PNCRTC
—
$62
$62
11
clean
GLY RCPTR ALPHA1 IGG SRM/CSF
—
$37
$37
11
clean
KLHL11 ANTB SR/CSF ASY QUAL
—
$37
$37
11
clean
ONC PRST8 5 DNA REG MRK PCR
—
$760
$760
11
clean
RX METAB ADVRS VRNT ALYS 25
—
$417
$417
11
clean
MYOCRD CONTRAST PRFUJ ECHO
—
—
$113
1
clean
ABLTJ PERC LXTR/PERPH NRV
—
$2,161
$2,161
7
clean
ABLTJ PERC PLEX/TRNCL NRV
—
$7,088
$7,088
7
clean
INSJ IMPLTBL GLUCOSE SENSOR
—
$3,598
$3,598
7
clean
RMVL IMPLTBL GLUCOSE SENSOR
—
$220
$220
7
clean
REMVL INSJ IMPLTBL GLUC SENS
—
$3,598
$3,598
7
clean
INSJ AQUEOUS DRAIN DEV 1ST
—
$5,711
$5,711
7
clean
VISUAL EP TEST FOR GLAUCOMA
—
$173
$178
8
clean
ONC SLD TUM BLD/SLV 648 GENE
—
$4,500
$4,500
11
clean
HERED PRST8 CA GSAP 23 GENES
—
$1,304
$1,304
11
clean
FRACTIONAL ABL LSR FENESTRATION FIRST 100 SQCM
$1,916
$678
$1,533
35
clean
FRACTIONAL ABL LSR FENESTRATION EA ADDL 100 SQCM
$958
—
$814
27
clean
TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH
$14,714
—
$11,521
29
clean
OCT MID EAR I&R UNILATERAL
—
$43
$45
8
clean
OCT MID EAR I&R BILATERAL
—
$43
$45
8
clean
EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR
$27,248
$12,552
$12,552
35
clean
NEAR IFR 2IMG MIBMN GLND I&R
—
$66
$67
8
clean
PATTERN ERG W/I&R
—
$345
$345
10
clean
ESW INTEG WND HLG 1ST WND
—
$220
$220
7
clean
INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING
$8,958
—
$7,014
29
clean
INSERTION REPLACEMENT COMPLETE IIMS
$39,298
$21,109
$29,474
35
clean
PRGRMG DEV EVAL IIMS IP
—
$41
$42
8
clean
INTERROG DEV EVAL IIMS IP
—
$41
$42
8
clean
RF SPECTRSC NTRAOP MRGN ASMT
—
—
$185
1
clean
ANTMC GUIDE 3D PRINT 1ST GD
—
$66
$70
10
clean
ANTMC GUIDE 3D PRINT EA ADDL
—
—
$35
1
clean
EVAC MEIBOMIAN GLND HEAT BI
—
$66
$66
7
clean
TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS
$6,353
—
$5,305
29
clean
TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS
$1,816
—
$1,531
29
clean
INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE
$66,076
$35,488
$49,557
35
clean
PRGRMG DEV EVAL ICDS SS IP
—
$41
$41
7
clean
INTERROG DEV EVAL ICDS SS IP
—
$41
$41
7
clean
REM INTERROG DEV ICDS TECH
—
$41
$41
7
clean
ABLTJ MAL BRST TUM PERQ CRTX
—
$4,238
$4,238
7
clean
ELEC ALYS CPLX PRGRMG IINS
—
$102
$104
8
clean
R-T FLUOR WOUND IMG 1ST SITE
—
$345
$369
10
clean
R-T FLUOR WOUND IMG EA ADDL
—
—
$116
1
clean
IRE ABLTJ 1+TUM ORGAN PERQ
—
$11,524
$11,524
7
clean
IRE ABLTJ 1+TUMORS OPEN
—
$11,524
$11,524
7
clean
REM OCT RTA TECHL SPRT MIN 8
—
—
$101
3
clean
REM MNTR PULM FLU MNTR SETUP
—
—
$182
1
clean
REM MNTR PULM FLU MNTR ALYS
—
—
$57
1
clean
CYSTO W/PRST8 COMMISSUROTOMY
—
$10,235
$10,235
7
clean
ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN
$103,031
$38,741
$38,741
35
clean
AUTO QUANTIFICATION C PLAQUE
—
—
$262
1
clean
AUTO QUAN C PLAQ DATA PREP
—
—
$95
1
clean
AUTO QUAN C PLAQ CPTR ALYS
—
$1,052
$1,052
8
clean
AUTO QUAN C PLAQ I&R
—
—
$118
1
clean
PERQ NJX ALGC CELL &/PRDCT UNI/BI FLUOR LMBR 1ST
$40,912
$14,242
$27,939
35
clean
PERQ NJX ALGC CELL &/PRDCT UNI/BI FLUOR LMBR EA
$20,457
—
$15,895
27
clean
PERQ NJX ALGC CELL&/PRDCT UNI/BI CT LMBR 1ST
$40,912
$14,242
$27,939
35
clean
CT BREAST W/3D BI C-/C+
—
$395
$453
12
clean
NCNTC IFR SPCTRSC O/T PAD 1
—
$43
$45
8
clean
TCAT RMVL/DEBULK ICAR MASS SUCTION DEVICE PERQ
$17,207
$6,311
$9,218
35
clean
TTVI/RPLCMT PROSTC VLV PERQ W/R HRT CATH&ANGRPH
$36,785
—
$9,218
29
clean
INSJ GTUBE PERQ MAG GASTRPXY
—
$2,100
$2,100
7
clean
Showing the first 200 of 14,503 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 25605/o
error
mrf_cash_above_gross
discounted cash price $1,771 exceeds gross charge $1,692
CPT 19281/o
error
mrf_cash_above_gross
discounted cash price $1,793 exceeds gross charge $1,729
warn
mrf_negotiated_above_gross_systematic
4,851 of 7,915 comparable items (61%) 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
854,883 of 854,883 percentage/algorithm rates across 9,207 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 74177/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 9% of the gross charge $4,650
CPT 93986/o
info
mrf_cash_under_tenth_of_gross
cash price $118 is 10% of the gross charge $1,210
CPT 81177/o
info
mrf_cash_under_tenth_of_gross
cash price $137 is 7% of the gross charge $1,925
CPT 88161/o
info
mrf_cash_under_tenth_of_gross
cash price $27 is 8% of the gross charge $336
CPT 70544/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 7% of the gross charge $3,575
CPT 74178/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 6% of the gross charge $6,430
CPT 87168/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 4% of the gross charge $105
CPT 93990/o
info
mrf_cash_under_tenth_of_gross
cash price $118 is 9% of the gross charge $1,353
CPT 76873/o
info
mrf_cash_under_tenth_of_gross
cash price $118 is 5% of the gross charge $2,523
CPT 82820/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 2% of the gross charge $548
CPT 74181/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 8% of the gross charge $3,311
CPT 70546/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 9% of the gross charge $4,345
CPT 87176/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 8% of the gross charge $72
CPT J0873/b
info
mrf_cash_under_tenth_of_gross
cash price $0 is 6% of the gross charge $1
CPT 70547/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 9% of the gross charge $2,864
CPT 74183/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 8% of the gross charge $5,225
CPT 87181/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 6% of the gross charge $83
CPT J0873/o
info
mrf_cash_under_tenth_of_gross
cash price $0 is 6% of the gross charge $1
CPT 86386/o
info
mrf_cash_under_tenth_of_gross
cash price $22 is 1% of the gross charge $2,170
CPT 93226/o
info
mrf_cash_under_tenth_of_gross
cash price $66 is 3% of the gross charge $1,925
CPT 82948/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 9% of the gross charge $55
CPT 70549/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 9% of the gross charge $4,404
CPT 86406/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 8% of the gross charge $135
CPT 88182/o
info
mrf_cash_under_tenth_of_gross
cash price $59 is 6% of the gross charge $968
CPT 82950/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 7% of the gross charge $65
CPT 81185/o
info
mrf_cash_under_tenth_of_gross
cash price $846 is 9% of the gross charge $8,938
CPT 70551/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 7% of the gross charge $4,073
CPT 81187/o
info
mrf_cash_under_tenth_of_gross
cash price $137 is 8% of the gross charge $1,671
CPT 86430/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 7% of the gross charge $90
CPT 87205/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 5% of the gross charge $94
CPT 70552/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 9% of the gross charge $4,620
CPT 82962/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 4% of the gross charge $83
CPT 70553/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 7% of the gross charge $5,631
CPT 87207/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 6% of the gross charge $101
CPT J2690/b
info
mrf_cash_under_tenth_of_gross
cash price $194 is 7% of the gross charge $2,846
CPT J2690/o
info
mrf_cash_under_tenth_of_gross
cash price $194 is 7% of the gross charge $2,846
CPT 74251/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 7% of the gross charge $2,974
CPT 87210/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 9% of the gross charge $62
CPT 82978/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 9% of the gross charge $168
CPT 87220/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 7% of the gross charge $62
CPT 88240/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 5% of the gross charge $278
CPT 93271/o
info
mrf_cash_under_tenth_of_gross
cash price $102 is 5% of the gross charge $2,026
CPT 83001/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 6% of the gross charge $316
CPT 93279/o
info
mrf_cash_under_tenth_of_gross
cash price $41 is 9% of the gross charge $460
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 86602/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 6% of the gross charge $182
CPT 94619/o
info
mrf_cash_under_tenth_of_gross
cash price $66 is 9% of the gross charge $739
CPT 85007/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 4% of the gross charge $105
CPT 29999/o
info
mrf_cash_under_tenth_of_gross
cash price $266 is 5% of the gross charge $5,893
CPT 85008/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 2% of the gross charge $144
CPT 0101T/o
info
mrf_cash_under_tenth_of_gross
cash price $266 is 3% of the gross charge $7,913
CPT 96366/o
info
mrf_cash_under_tenth_of_gross
cash price $51 is 8% of the gross charge $605
CPT 77046/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 5% of the gross charge $4,895
CPT 87272/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 8% of the gross charge $141
CPT 71250/o
info
mrf_cash_under_tenth_of_gross
cash price $118 is 4% of the gross charge $2,692
CPT 77047/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 5% of the gross charge $5,060
CPT 86619/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 4% of the gross charge $328
CPT 71260/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 6% of the gross charge $3,354
CPT 85027/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 6% of the gross charge $106
CPT D0150/o
info
mrf_cash_under_tenth_of_gross
cash price $143 is 9% of the gross charge $1,630
CPT 74415/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 8% of the gross charge $2,475
CPT 83026/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 2% of the gross charge $238
CPT 86625/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 5% of the gross charge $282
CPT 71270/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 5% of the gross charge $3,737
CPT 85032/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 7% of the gross charge $61
CPT G0398/o
info
mrf_cash_under_tenth_of_gross
cash price $173 is 5% of the gross charge $3,633
CPT 71271/o
info
mrf_cash_under_tenth_of_gross
cash price $118 is 6% of the gross charge $2,035
CPT 85044/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 6% of the gross charge $77
CPT 71275/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 5% of the gross charge $3,587
CPT 79005/o
info
mrf_cash_under_tenth_of_gross
cash price $248 is 10% of the gross charge $2,585
CPT 85048/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 9% of the gross charge $28
CPT 71550/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 9% of the gross charge $3,144
CPT 87299/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 6% of the gross charge $248
CPT 85049/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 6% of the gross charge $75
CPT 83068/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 6% of the gross charge $154
CPT 71552/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 9% of the gross charge $4,244
CPT D0240/o
info
mrf_cash_under_tenth_of_gross
cash price $97 is 8% of the gross charge $1,212
CPT 85130/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 4% of the gross charge $292
CPT 86658/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 7% of the gross charge $198
CPT 87327/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 8% of the gross charge $165
CPT 80048/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 5% of the gross charge $187
CPT 86663/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 6% of the gross charge $211
CPT D0250/o
info
mrf_cash_under_tenth_of_gross
cash price $97 is 4% of the gross charge $2,438
CPT 83090/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 7% of the gross charge $240
CPT 86664/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 7% of the gross charge $228
CPT 80051/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 6% of the gross charge $119
CPT 85210/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 10% of the gross charge $134
CPT D0270/o
info
mrf_cash_under_tenth_of_gross
cash price $97 is 6% of the gross charge $1,520
CPT 77084/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 7% of the gross charge $3,630
CPT 87335/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 7% of the gross charge $175
CPT 92517/o
info
mrf_cash_under_tenth_of_gross
cash price $173 is 10% of the gross charge $1,811
CPT 92518/o
info
mrf_cash_under_tenth_of_gross
cash price $173 is 10% of the gross charge $1,811
CPT D0272/o
info
mrf_cash_under_tenth_of_gross
cash price $97 is 6% of the gross charge $1,670
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 75561/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 10% of the gross charge $3,956
CPT 80074/o
info
mrf_cash_under_tenth_of_gross
cash price $48 is 7% of the gross charge $660
CPT 87341/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 6% of the gross charge $184
CPT 22899/o
info
mrf_cash_under_tenth_of_gross
cash price $266 is 5% of the gross charge $5,888
CPT 80076/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 5% of the gross charge $167
CPT 96411/o
info
mrf_cash_under_tenth_of_gross
cash price $79 is 7% of the gross charge $1,124
CPT 77280/o
info
mrf_cash_under_tenth_of_gross
cash price $147 is 7% of the gross charge $2,136
CPT 85260/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 5% of the gross charge $385
CPT 87380/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 7% of the gross charge $248
CPT 67399/o
info
mrf_cash_under_tenth_of_gross
cash price $331 is 7% of the gross charge $4,950
CPT 80143/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 8% of the gross charge $222
CPT 82009/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 6% of the gross charge $77
CPT 85270/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 9% of the gross charge $198
CPT G0475/o
info
mrf_cash_under_tenth_of_gross
cash price $24 is 8% of the gross charge $312
CPT 77290/o
info
mrf_cash_under_tenth_of_gross
cash price $405 is 8% of the gross charge $4,824
CPT 81244/o
info
mrf_cash_under_tenth_of_gross
cash price $45 is 4% of the gross charge $1,047
CPT 87389/o
info
mrf_cash_under_tenth_of_gross
cash price $24 is 10% of the gross charge $245
CPT 72125/o
info
mrf_cash_under_tenth_of_gross
cash price $118 is 4% of the gross charge $2,970
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 96417/o
info
mrf_cash_under_tenth_of_gross
cash price $79 is 9% of the gross charge $836
CPT 82013/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 8% of the gross charge $161
CPT 85290/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 8% of the gross charge $215
CPT 72127/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 5% of the gross charge $3,858
CPT 85291/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 4% of the gross charge $215
CPT 72128/o
info
mrf_cash_under_tenth_of_gross
cash price $118 is 4% of the gross charge $2,929
CPT J1451/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 9% of the gross charge $66
CPT 80156/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 7% of the gross charge $220
CPT 85292/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 5% of the gross charge $358
CPT J1451/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 9% of the gross charge $66
CPT 72129/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 6% of the gross charge $3,259
CPT 85293/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 4% of the gross charge $491
CPT 22999/o
info
mrf_cash_under_tenth_of_gross
cash price $266 is 6% of the gross charge $4,407
CPT 72130/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 5% of the gross charge $3,589
CPT 80158/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 7% of the gross charge $248
CPT 82043/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 7% of the gross charge $83
CPT 72131/o
info
mrf_cash_under_tenth_of_gross
cash price $118 is 4% of the gross charge $3,051
CPT 81253/o
info
mrf_cash_under_tenth_of_gross
cash price $62 is 9% of the gross charge $660
CPT 77307/o
info
mrf_cash_under_tenth_of_gross
cash price $405 is 8% of the gross charge $4,830
CPT 87467/o
info
mrf_cash_under_tenth_of_gross
cash price $25 is 3% of the gross charge $758
CPT 72133/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 5% of the gross charge $3,843
CPT 75635/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 5% of the gross charge $3,960
CPT 80162/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 8% of the gross charge $165
CPT 86713/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 8% of the gross charge $193
CPT 82077/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 8% of the gross charge $222
CPT 72141/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 6% of the gross charge $4,263
CPT 77318/o
info
mrf_cash_under_tenth_of_gross
cash price $405 is 10% of the gross charge $4,224
CPT 80164/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 6% of the gross charge $212
CPT 12018/o
info
mrf_cash_under_tenth_of_gross
cash price $220 is 9% of the gross charge $2,420
CPT 31899/o
info
mrf_cash_under_tenth_of_gross
cash price $215 is 7% of the gross charge $3,299
CPT 72142/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 8% of the gross charge $4,703
CPT 72146/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 6% of the gross charge $4,329
CPT 88720/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 9% of the gross charge $55
CPT 80170/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 9% of the gross charge $173
CPT 72147/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 8% of the gross charge $4,835
CPT 77333/o
info
mrf_cash_under_tenth_of_gross
cash price $147 is 9% of the gross charge $1,648
CPT 85362/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 6% of the gross charge $106
CPT 72148/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 6% of the gross charge $4,439
CPT 81267/o
info
mrf_cash_under_tenth_of_gross
cash price $207 is 9% of the gross charge $2,317
CPT 89050/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $143
CPT 85378/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 6% of the gross charge $171
CPT 72149/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 8% of the gross charge $4,675
CPT 77336/o
info
mrf_cash_under_tenth_of_gross
cash price $147 is 9% of the gross charge $1,690
CPT 89051/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 4% of the gross charge $143
CPT 80178/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 5% of the gross charge $135
CPT 83727/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 6% of the gross charge $275
CPT 85379/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 8% of the gross charge $127
CPT 72156/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 7% of the gross charge $6,026
CPT 89055/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 5% of the gross charge $94
CPT 80179/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 8% of the gross charge $222
CPT 82140/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 8% of the gross charge $183
CPT 83735/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 5% of the gross charge $138
CPT 27299/o
info
mrf_cash_under_tenth_of_gross
cash price $266 is 9% of the gross charge $3,042
CPT 72157/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 7% of the gross charge $5,984
CPT 77370/o
info
mrf_cash_under_tenth_of_gross
cash price $147 is 9% of the gross charge $1,705
CPT J1602/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 5% of the gross charge $209
CPT 72158/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 7% of the gross charge $6,039
CPT J1602/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 5% of the gross charge $209
CPT 80183/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 8% of the gross charge $161
CPT 87497/o
info
mrf_cash_under_tenth_of_gross
cash price $43 is 5% of the gross charge $853
CPT 89190/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 9% of the gross charge $64
CPT 95700/o
info
mrf_cash_under_tenth_of_gross
cash price $173 is 6% of the gross charge $2,750
CPT 77373/o
info
mrf_cash_under_tenth_of_gross
cash price $1,944 is 5% of the gross charge $35,474
CPT 82154/o
info
mrf_cash_under_tenth_of_gross
cash price $29 is 10% of the gross charge $303
CPT 80184/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 9% of the gross charge $165
CPT 80185/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 8% of the gross charge $166
CPT 86784/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 7% of the gross charge $191
CPT 72191/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 8% of the gross charge $2,530
CPT 85420/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 5% of the gross charge $120
CPT 72192/o
info
mrf_cash_under_tenth_of_gross
cash price $118 is 4% of the gross charge $2,805
CPT P3000/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 6% of the gross charge $301
CPT 72193/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 6% of the gross charge $3,245
CPT 85441/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 4% of the gross charge $112
CPT 77402/o
info
mrf_cash_under_tenth_of_gross
cash price $121 is 10% of the gross charge $1,254
CPT 97018/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 8% of the gross charge $105
CPT 72194/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 5% of the gross charge $3,630
CPT 85460/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 5% of the gross charge $165
CPT 72195/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 8% of the gross charge $3,346
CPT 85461/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 8% of the gross charge $112
CPT 86804/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 7% of the gross charge $210