Service
Code
Listed
Cash
Negotiated
Rates
Checks
0441T ABLATION PERCUTANEOUS CRYOABLATION INCLUDING IMAGE GUIDANCE LOWER
$894
$715
$773
14
clean
0442T ABLATION PERCUTANEOUS CRYOABLATION INCLUDING IMAGE GUIDANCE NERVE PLEXUS
$894
$715
$773
14
clean
0512T SHOCKWAVE INITITAL WOUND CHARGE
$712
$569
$320
33
clean
0513T SHOCKWAVE EA ADDL WOUND CHARGE
$355
$284
$160
25
clean
0654T- ESOPHAGASTRODUODENOSCOPY FLEXIBLE TRANSNASAL WITH INSERTION
$1,258
$1,006
$1,069
10
clean
US FINE NEEDLE ASPIRATION W/ GUIDANCE
$1,926
$1,541
$958
85
clean
US FINE NEEDLE ASP W/ GUIDE EACH ADD LES
$1,174
$939
$184
55
clean
CT FINE NEEDLE ASPIRATION W/ GUIDANCE
$2,458
$1,966
$1,141
33
clean
10021 FINE NEEDLE ASPIRATION WITHOUT IMAGING GUIDANCE PROFEE
$333
$266
$274
14
clean
US GUIDED SOFT TISSUE LOC DEVICE EA ADDL
$1,903
$1,523
$1,618
10
clean
10060 INCISION AND DRAINAGE OF ABSCESS SIMPLE OR SINGLE
$408
$326
$208
38
clean
10061 INCISION AND DRAINAGE OF ABSCESS COMPLICATED OR MULTIPLE
$700
$560
$318
38
clean
10081 INCISION AND DRAINAGE OF PILONIDAL CYST COMPLICATED PROFEE
$1,119
$895
$951
19
clean
10120 INCISION AND REMOVAL OF FOREIGN BODY SUBCUTANEOUS TISSUES SIMPLE
$489
$391
$356
38
clean
10121 INCISION AND REMOVAL OF FOREIGN BODY SUBCUTANEOUS TISSUES COMPLICATED
$867
$694
$737
19
clean
10140 INCISION AND DRAINAGE OF HEMATOMA SEROMA OR FLUID COLLECTION
$551
$441
$468
38
clean
10160 PUNCTURE ASPIRATION OF ABSCESS HEMATOMA BULLA OR CYST
$425
$340
$208
38
clean
10180 I AND D POST-OP INFECTION-WC CHARGE
$5,853
$4,683
$1,570
39
clean
11000 DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR INFECTED SKIN UP TO 10PERC
$187
$150
$150
38
clean
11004 DEBRIDE OF SKIN SUBQ TISSUE MUSCLE AND FASCIA FOR NECROTIZING SOFT
$1,288
$1,030
$1,030
15
clean
11005 DEBRIDEMENT OF SKIN SUBCUTANEOUS TISSUE MUSCLE AND FASCIA
$1,760
$1,408
$1,408
15
clean
11008 REMOVAL OF PROSTHETIC MATERIAL OR MESH ABDOMINAL WALL
$931
$745
$745
15
clean
11010-DEBRIDEMENT OF OPEN FRACTURE/DISLOCATION SKIN AND SUBCUTANEOUS TISSUE
$1,448
$1,159
$642
19
clean
11042 DEB SUBQ TIS 20 SQ CM/<
$1,268
$1,014
$374
39
clean
11043 DEBRIDEMENT MUSCLE AND/OR FASCIA FIRST 20 SQ CM OR L
$1,316
$1,053
$598
39
clean
11044 DEBRIDEMENT SKIN-SQ TIS MSL BONE 1ST 20SQCM
$3,399
$2,719
$929
39
clean
11045 DEBRIDE SQ TISSUE EACH ADDT'L 20 SQ CM WOUND
$1,700
$1,360
$221
39
clean
11046 DEBRIDEMENT MUSCLE AND/OR FASCIA EACH ADDITIONAL 20
$1,700
$1,360
$241
39
clean
11047 DEBRIDEMENT BONE EA ADD'L 20 SQ CM OR PART THEREOF
$1,700
$1,360
$687
39
clean
11055 PARING OR CUTTING OF BENIGN HYPERKERATOTIC LESION SINGLE LESION
$228
$182
$193
58
clean
11056 PARING OR CUTTING OF BENIGN HYPERKERATOTIC LESION 2 TO 4 LESIONS
$265
$212
$225
58
clean
11102 TANGENTIAL BIOPSY OF SKIN EG SHAVE SCOOP SAUCERIZE CURETTE SINGLE LESION
$327
$261
$261
38
clean
11103 TANGENTIAL BIOPSY OF SKIN EG SHAVE SCOOP SAUCERIZE CURETTE EACH SEP
$163
$130
$130
30
clean
11104 PUNCH BIOPSY OF SKIN INCLUDING SIMPLE CLOSURE WHEN PERFORMED
$405
$324
$341
58
clean
11105 PUNCH BIOPSY OF SKIN INCLUDING SIMPLE CLOSURE WHEN PERFORMED
$191
$152
$162
46
clean
11106 INCISIONAL BIOPSY OF SKIN EG WEDGE INCLUDING SIMPLE CLOSURE
$500
$400
$400
38
clean
11107 INCISIONAL BIOPSY OF SKIN EG WEDGE INCLUDING SIMPLE CLOSURE
$192
$154
$163
30
clean
11200 REMOVAL OF SKIN TAGS MULTIPLE FIBROCUTANEOUS TAGS ANY AREA
$296
$236
$209
38
clean
11201 REMOVAL OF SKIN TAGS MULTIPLE FIBROCUTANEOUS TAGS ANY AREA EACH
$61
$49
$52
38
clean
11300 SHAVING OF EPIDERMAL OR DERMAL LESION SINGLE LESION TRUNK ARMS OR LEGS
$327
$261
$148
19
clean
11301 SHAVING OF EPIDERMAL OR DERMAL LESION SINGLE LESION TRUNK ARMS
$394
$316
$179
38
clean
11302 SHAVING OF EPIDERMAL OR DERMAL LESION SINGLE LESION TRUNK ARMS OR
$445
$356
$202
38
clean
11303 SHAVING OF EPIDERMAL OR DERMAL LESION SINGLE LESION TRUNK
$493
$395
$221
19
clean
11305 SHAVING OF EPIDERMAL OR DERMAL LESION SCALP NECK HANDS FEET
$340
$272
$209
38
clean
11306 SHAVING OF EPIDERMAL OR DERMAL LESION SCALP NECK HANDS FEET
$398
$318
$181
19
clean
11307 SHAVING OF EPIDERMAL OR DERMAL LESION SCALP NECK HANDS FEET
$452
$362
$206
19
clean
11308 SHAVING OF EPIDERMAL OR DERMAL LESION SCALP NECK HANDS FEET
$469
$375
$213
38
clean
11310 SHAVING OF LESION FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANE < 0.5CM
$377
$302
$171
19
clean
11311 SHAVING OF LESION FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANE 0.6-1.0CM
$445
$356
$202
38
clean
11312 SHAVING OF LESION FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANE 1.1-2.0CM
$510
$408
$232
19
clean
11313 SHAVING OF EPIDERMAL OR DERMAL LESION SINGLE LESION
$591
$473
$262
19
clean
11400 EXCISION BENIGN LESION INCLUDING MARGINS TRUNK ARMS OR LEGS < 0.5CM
$415
$332
$353
38
clean
11401 EXCISION BENIGN LESION INCLUDING MARGINS TRUNK ARMS OR LEGS 0.6-1.0CM
$510
$408
$408
38
clean
11402 EXCISION BENIGN LESION INCLUDING MARGINS TRUNK ARMS OR LEGS 1.1-2.0CM
$557
$446
$446
38
clean
11403 EXCISION BENIGN LESION INCLUDING MARGINS TRUNK ARMS OR LEGS 2.1-3.0CM
$646
$517
$549
33
clean
11404 EXCISION BENIGN LESION INCLUDING MARGINS TRUNK ARMS OR LEGS 3.1-4.0CM
$734
$588
$624
38
clean
11406 EXCISION BENIGN LESION INCLUDING MARGINS TRUNK ARMS OR LEGS >4.0CM
$1,051
$840
$893
38
clean
11420 EXCISION BENIGN LESION INCLUDING MARGINS SCALP NECK HANDS FEET
$404
$324
$344
19
clean
11421 EXCISION BENIGN LESION INCLUDING MARGINS SCALP NECK HANDS FEET GENI
$523
$419
$445
57
clean
11422 EXCISION BENIGN LESION INCLUDING MARGINS SCALP NECK HANDS FEET
$585
$468
$497
33
clean
11423 EXCISION BENIGN LESION INCLUDING MARGINS SCALP NECK HANDS FEET
$656
$525
$558
38
clean
11424 EXCISION BENIGN LESION INCLUDING MARGINS SCALP NECK HANDS
$789
$631
$662
38
clean
11426 EXCISION BENIGN LESION INCLUDING MARGINS SCALP NECK HANDS FEET GENITALIA
$1,143
$915
$947
38
clean
11440 EXCISION BENIGN LESION INCLUDING MARGINS FACE EARS EYELID
$457
$366
$369
38
clean
11441 EXCISION BENIGN LESION INCLUDING MARGINS FACE EARS EYELIDS NOSE
$568
$454
$482
33
clean
11442 EXCISION BENIGN LESION INCLUDING MARGINS FACE EARS EYELIDS NOSE
$633
$507
$538
38
clean
11443 EXCISION BENIGN LESION INCLUDING MARGINS FACE EARS EYELIDS NOSE
$757
$606
$643
38
clean
11444 EXCISION OTHER BENIGN LESION INCLUDING MARGINS EXCEPT SKIN TAG
$949
$759
$759
19
clean
11446 EXCISION OTHER BENIGN LESION INCLUDING MARGINS EXCEPT SKIN TAG
$1,265
$1,012
$1,075
19
clean
11600 EXCISION MALIGNANT LESION INCLUDING MARGINS TRUNK ARMS OR LEGS < 0.5CM
$625
$500
$531
19
clean
11601 EXC MALIGNANT LESION INCL. MARGINS TRNK/ARMS/LEGS EXCISED DIAMETER
$724
$579
$538
38
clean
11602 EXCISION MALIGNANT LESION INCLUDING MARGINS TRUNK ARMS OR LEGS 1.1-2.0CM
$809
$647
$494
38
clean
11603 EXCISION MALIGNANT LESION INCLUDING MARGINS TRUNK ARMS OR LEGS 2.1-3.0CM
$887
$709
$719
38
clean
11604 EXCISION MALIGNANT LESION INCLUDING MARGINS TRUNK ARMS OR LEGS 3.1-4.0CM
$1,023
$818
$818
19
clean
11606 EXCISION MALIGNANT LESION INCLUDING MARGINS TRUNK ARMS OR LEGS EXCISED
$965
$772
$835
38
clean
11620 EXCISION MALIGNANT LESION INCLUDING MARGINS SCALP NECK HANDS FEET
$629
$503
$535
19
clean
11621 EXCISION MALIGNANT LESION INCLUDING MARGINS SCALP NECK HANDS FEET
$727
$582
$604
33
clean
11622 EXCISION MALIGNANT LESION INCLUDING MARGINS SCALP NECK HANDS FEET
$829
$663
$554
38
clean
11623 EXCISION MALIGNANT LESION INCLUDING MARGINS SCALP NECK HANDS FEET GENIT
$975
$780
$659
38
clean
11624 EXCISION MALIGNANT LESION INCLUDING MARGINS SCALP NECK HANDS FEET
$789
$631
$672
38
clean
11626 EXCISION MALIGNANT LESION INCLUDING MARGINS SCALP NECK
$1,305
$1,044
$923
38
clean
11640 EXCISION MALIGNANT LESION INCLUDING MARGINS FACE EARS EYELIDS NOSE
$643
$514
$546
19
clean
11641 EXCISION MALIGNANT LESION INCLUDING MARGINS FACE EARS EYELIDS NOSE LIPS
$680
$544
$578
38
clean
11642 EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM
$887
$709
$645
57
clean
11643 EXCISION MALIGNANT LESION INCLUDING MARGINS FACE EARS EYELIDS NOSE
$1,051
$840
$685
38
clean
11644 EXCISION MALIGNANT LESION INCLUDING MARGINS FACE EARS EYELIDS NOSE
$1,295
$1,036
$832
38
clean
11646 EXCISION MALIGNANT LESION INCLUDING MARGINS FACE EARS
$1,673
$1,338
$1,214
38
clean
11730 AVULSION OF NAIL PLATE PARTIAL OR COMPLETE SIMPLE SINGLE
$365
$292
$166
38
clean
11750 EXCISION OF NAIL AND NAIL MATRIX PARTIAL OR COMPLETE FOR PERMANENT REMOVAL
$518
$414
$408
38
clean
11770 EXCISION OF PILONIDAL CYST OR SINUS SIMPLE PROFEE
$1,163
$930
$988
19
clean
11772 EXCISION OF PILONIDAL CYST OR SINUS COMPLICATED PROFEE
$1,292
$1,033
$1,098
19
clean
11981 INSERTION NON-BIODEGRADABLE DRUG DELIVERY IMPLANT
$350
$280
$298
33
clean
11982 REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT
$399
$319
$317
38
clean
11983 REMOVAL WITH REINSERTION NON-BIODEGRADABLE DRUG DELIVERY IMPLANT
$495
$396
$398
33
clean
12001 SIMPLE REPAIR OF WOUNDS SCALP NECK AXILLAE GENITALIA TRUNK
$303
$242
$209
38
clean
12002 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP NECK AXILLAE EXTERNAL
$377
$302
$311
14
clean
12006 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP NECK AXILLAE
$687
$550
$567
14
clean
12011 SIMPLE REPAIR OF WOUNDS OF FACE EARS EYELIDS NOSE LIPS MUCOUS
$371
$297
$209
38
clean
12013 SIMPLE REPAIR OF WOUNDS OF FACE EARS EYELIDS NOSE LIPS MUCOUS
$391
$313
$209
19
clean
12015 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE EARS EYELIDS NOSE LIPS AND/OR
$327
$261
$216
20
clean
12020 TREATMENT OF SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE PROFEE
$996
$797
$635
19
clean
12032 LAYER CLOSURE OF WOUND S SCALP 2.6-7.5CM
$993
$794
$451
38
clean
12034 REPAIR INTERMEDIATE WOUNDS OF SCALP AXILLAE TRUNK AND/OR EXTREMITIES
$1,105
$884
$490
19
clean
12035 REPAIR INTERMEDIATE WOUNDS OF SCALP AXILLAE TRUNK AND/OR EXTREMITIES
$935
$748
$415
19
clean
12036 REPAIR INTERMEDIATE WOUNDS OF SCALP AXILLAE TRUNK AND/OR
$1,448
$1,159
$642
19
clean
12037 REPAIR INTERMEDIATE WOUNDS OF SCALP AXILLAE TRUNK AND/OR EXTREMITIES
$1,362
$1,090
$604
19
clean
12042 REPAIR INTERMEDIATE WOUNDS OF NECK HANDS FEET AND/OR EXTERNAL GENITALIA
$1,017
$813
$451
19
clean
12044 REPAIR INTERMEDIATE WOUNDS OF NECK HANDS FEET AND/OR EXTERNAL
$1,255
$1,004
$557
19
clean
12051 REPAIR INTERMEDIATE WOUNDS OF FACE EARS EYELIDS NOSE LIPS
$928
$742
$412
19
clean
12052 INTERMED REPAIR OF WOUNDS FACE EARS EYELIDS NOSE LIPS MUCOUS
$1,040
$832
$473
19
clean
13100 REPAIR COMPLEX TRUNK 1.1 CM TO 2.5 CM PROFEE
$663
$531
$564
14
clean
13120 REPAIR COMPLEX SCALP ARMS AND/OR LEGS 1.1 CM TO 2.5 CM PROFEE
$1,182
$946
$525
19
clean
13121 REPAIR COMPLEX SCALP ARMS AND/OR LEGS 2.6 CM TO 7.5 CM PROFEE
$1,420
$1,136
$630
19
clean
13122 REPAIR COMPLEX SCALP ARMS AND/OR LEGS EACH ADDITIONAL 5 CM
$432
$345
$194
19
clean
13131 REPAIR COMPLEX FOREHEAD CHEEKS CHIN MOUTH NECK AXILLAE
$799
$639
$451
19
clean
13132 REPAIR COMPLEX FOREHEAD CHEEKS CHIN MOUTH NECK AXILLAE GENITALIA
$1,571
$1,257
$697
19
clean
13133 REPAIR COMPLEX FOREHEAD CHEEKS CHIN MOUTH NECK AXILLAE
$534
$427
$388
19
clean
13152 REPAIR COMPLEX EYELIDS NOSE EARS AND/OR LIPS 2.6 CM TO 7.5 CM PROFEE
$1,428
$1,142
$635
19
clean
13160 SECONDARY CLOSURE OF SURGICAL WOUND OR DEHISCENCE
$2,889
$2,311
$2,311
19
clean
15002 PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT CIBO
$1,176
$941
$635
19
clean
15004 SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN
$1,071
$857
$635
19
clean
15040 HARVEST OF SKIN FOR TISSUE CULTURED SKIN AUTOGRAFT 100 SQ CM OR LESS
$629
$503
$451
19
clean
15050 PINCH GRAFT SINGLE OR MULTIPLE TO COVER SMALL ULCER UP TO DEFECT SIZE
$1,311
$1,049
$635
19
clean
15100 SPLIT-THICKNESS AUTOGRAFT TRUNK ARMS LEGS FIRST 100 SQ
$2,549
$2,039
$2,039
19
clean
15101 SPLIT-THICKNESS AUTOGRAFT TRUNK ARMS LEGS EACH ADDIT
$629
$503
$535
19
clean
15120 SPLIT-THICKNESS AUTOGRAFT FACE SCALP EYELIDS
$2,447
$1,958
$1,958
19
clean
15271 APPLICATION OF SKIN GRAFT TO TRUNK/ARMS/LEGS UP TO 100 SQ CM FIRST
$510
$408
$430
58
clean
15272 APPLY SKIN SUB-LEGS EACH ADD 25 SQ CM WOUND
$1,700
$1,360
$97
39
clean
15273 APPLY SKIN SUB - LEGS FIRST 100 SQ CM WOUND PROFEE
$7,372
$5,897
$873
39
clean
15274 APPLY SKIN SUB-LEGS EACH ADD 100 SQ CM WOUND
$1,700
$1,360
$272
39
clean
15275 SKIN SUB GRAFT FACE/NK/HF/G UP TO 100 SQ
$3,911
$3,129
$466
39
clean
15276 APPLY SKIN SUB GRAFT UPO 100SQCM EA ADDI CHARGE
$1,700
$1,360
$109
39
clean
15277 SKIN SUB APP HANDS FEET DIGITS HEAD TOTAL WOUND>=100 S
$3,911
$3,129
$971
39
clean
15278 SKIN SUB APP HANDS FEET DIGITS HEAD TOTAL WOUND>=100 S
$1,700
$1,360
$313
39
clean
15740 FLAP ISLAND PEDICLE REQUIRING IDENTIFICATION AND DISSECTION OF
$2,223
$1,778
$1,778
19
clean
15830 EXCISION EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE
$2,624
$2,100
$2,100
19
clean
15852 DRESSING CHANGE FOR OTHER THAN BURNS UNDER ANESTHESIA
$170
$136
$144
19
clean
15933 EXCISION SACRAL PRESSURE ULCER WITH PRIMARY SUTURE WITH OSTECTOMY PROFEE
$1,935
$1,548
$1,645
19
clean
16000 INITIAL TREATMENT FIRST DEGREE BURN WHEN NO MORE THAN LOCAL TREATMENT
$258
$207
$188
19
clean
16020 DRESSINGS AND/OR DEBRIDEMENT OF PARTIAL-THICKNESS BURNS
$274
$219
$233
58
clean
16025 DRESSINGS AND/OR DEBRIDEMENT OF PARTIAL-THICKNESS BURNS INITIAL OR SUB
$519
$415
$236
38
clean
17000 DESTRUCTION EG LASER SURGERY ELECTROSURGERY CRYOSURGERY CHEMO
$179
$143
$126
19
clean
17003 DESTRUCTION PREMALIGNANT LESIONS SECOND THROUGH 14 LESIONS EACH
$20
$16
$17
19
clean
17106 DESTRUCTION OF CUTANEOUS VASCULAR PROLIFERAT LTTL
$1,119
$895
$496
19
clean
17110 DESTRUCTION OF BENIGN LESIONS 1-14 LESIONS
$364
$291
$209
38
clean
17111 DESTRUCTION OF BENIGN LESIONS 15 + LESIONS
$428
$343
$221
19
clean
17250 CHEMICAL CAUTERIZATION OF GRANULATION TISSUE PROUD FLESH SINUS
$279
$223
$240
46
clean
17340 CRYOTHERAPY CO2 SLUSH LIQUID N2 FOR ACNE
$179
$143
$111
19
clean
US BREAST CYST ASPIRATION LEFT
$1,295
$1,036
$853
102
clean
19020 MASTOTOMY WITH EXPLORATION OR DRAINAGE OF ABSCESS DEEP PROFEE
$1,190
$952
$1,011
19
clean
MG BREAST BIOPSY W/ STEREO GUIDE RIGHT
$4,682
$3,746
$3,181
66
clean
US BREAST BIOPSY RIGHT
$3,952
$3,162
$2,295
66
clean
US BREAST BIOPSY EACH ADD LESION RT
$2,584
$2,067
$1,163
50
clean
19120 EXCISION OF CYST FIBROADENOMA OR OTHER BENIGN OR MALIGNANT TUMOR
$1,513
$1,210
$1,286
19
clean
19125 EXCISION OF BREAST LESION IDENTIFIED BY PREOPERATIVE PLACEMENT
$1,635
$1,308
$1,389
19
clean
19126 EXCISION OF BREAST LESION IDENTIFIED BY PREOPERATIVE PLACEMENT
$578
$462
$491
19
clean
MG DEVICE PLCMNT W/ MAMMO GUIDE RIGHT
$2,163
$1,730
$1,153
66
clean
MG DEV PLCMT W/ MAM GUIDE ADD LESION LT
$1,305
$1,044
$1,109
51
clean
19301 MASTECTOMY PARTIAL EG LUMPECTOMY TYLECTOMY QUADRANTECTOMY
$1,522
$1,218
$1,294
19
clean
19302 MASTECTOMY PARTIAL EG LUMPECTOMY TYLECTOMY QUADRANT
$2,058
$1,646
$1,749
19
clean
19307 MASTECTOMY MODIFIED RADICAL INCLUDING AXILLARY LYMPH NODES
$4,293
$3,434
$3,434
19
clean
19330 REMOVAL OF MAMMARY IMPLANT MATERIAL PROFEE
$2,246
$1,797
$1,909
19
clean
20240 BIOPSY BONE OPEN SUPERFICIAL EG STERNUM SPINOUS PROCESS RIB PATELLA
$663
$531
$564
19
clean
20520 REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON SHEATH SIMPLE
$703
$563
$511
38
clean
20525 REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON SHEATH DEEP OR COMPLICATED
$1,577
$1,262
$1,340
19
clean
20526 INJECTION THERAPEUTIC EG LOCAL ANESTHETIC CORTICOSTEROID CARPAL TUNNEL
$275
$220
$220
19
clean
20550 INJECTION S SINGLE TENDON SHEATH OR LIGAMENT APONEUROSIS EG
$187
$150
$159
19
clean
20551 INJECTION S SINGLE TENDON ORIGIN/INSERTION
$191
$152
$162
19
clean
20552 INJECTION S SINGLE OR MULTIPLE TRIGGER POINT S 1 OR 2 MUSCLE S
$180
$144
$153
38
clean
20553 INJECTION S SINGLE OR MULTIPLE TRIGGER POINT S 3 OR MORE MUSCLE S
$201
$161
$171
19
clean
20600 ARTHROCENTESIS ASPIRATION AND/OR INJECTION SMALL JOINT OR BURSA EG
$171
$137
$145
19
clean
20605 ARTHROCENTESIS ASPIRATION AND/OR INJECTION INTERMEDIATE JOINT OR BURSA
$453
$363
$202
38
clean
XR JOINT/BURSA MAJOR ARTHR/ASP/INJ LEFT
$1,109
$887
$296
99
clean
20612 ASPIRATION AND/OR INJECTION OF GANGLION CYST S ANY LOCATION
$211
$169
$179
19
clean
20670 REMOVAL OF IMPLANT SUPERFICIAL BURIED WIRE PIN OR ROD
$1,221
$976
$1,037
19
clean
20680 REMOVAL OF IMPLANT DEEP EG BURIED WIRE PIN SCREW METAL BAND NAIL
$1,360
$1,088
$1,156
19
clean
20690 APPLICATION OF A UNIPLANE PINS OR WIRES IN 1 PLANE UNILATERAL
$1,352
$1,082
$1,170
14
clean
20694 REMOVAL UNDER ANESTHESIA OF EXTERNAL FIXATION SYSTEM PROFEE
$1,431
$1,145
$1,216
19
clean
21011 EXCISION TUMOR SOFT TISS OF FACE/SCALP SUBCUT LESS THAN 2 CM
$1,207
$965
$929
19
clean
21012 EXCISION TUMOR SOFT TISSUE OF FACE OR SCALP SUBCUTANEOUS 2 CM OR GREATER
$1,145
$916
$916
19
clean
21014 EXCISION TUMOR SOFT TISSUE OF FACE AND SCALP SUBFASCIAL 2 CM OR GREATER
$1,174
$939
$918
38
clean
21552 EXCISION TUMOR SOFT TISSUE OF NECK OR ANTERIOR THORAX
$2,085
$1,668
$1,772
19
clean
21554 EXCISION TUMOR SOFT TISSUE OF NECK OR ANTERIOR THORAX
$1,663
$1,331
$1,414
19
clean
21555 EXCISION TUMOR SOFT TISSUE OF NECK OR ANTERIOR THORAX SUB
$1,440
$1,152
$1,224
19
clean
21931 EXCISION TUMOR SOFT TISSUE OF BACK OR FLANK SUBCUTANEOUS 3 CM OR GREATER
$1,611
$1,289
$1,369
57
clean
21932 EXCISION TUMOR SOFT TISSUE OF BACK OR FLANK SUBFASCIAL EG
$1,511
$1,209
$1,284
38
clean
21933 PROFEE-EXC BACK TUM DEEP 5CM/>
$1,618
$1,295
$1,375
19
clean
22900 EXCISION TUMOR SOFT TISSUE OF ABDOMINAL WALL SUBFASCIAL EG
$1,292
$1,033
$1,098
19
clean
22902 EXCISION TUMOR SOFT TISSUE OF ABDOMINAL WALL SUBCUTANEOUS LESS THAN 3 CM
$1,590
$1,272
$1,352
19
clean
23030 INCISION AND DRAINAGE SHOULDER AREA DEEP ABSCESS OR HEMATOMA PROFEE
$1,421
$1,137
$1,208
19
clean
23071 EXCISION TUMOR SOFT TISSUE OF SHOULDER AREA SUBCUTANEOUS 3 CM OR GREATER
$1,435
$1,148
$1,220
19
clean
23076 EXCISION TUMOR SOFT TISSUE OF SHOULDER AREA SUBFASCIAL EG
$1,228
$982
$1,044
19
clean
23120 CLAVICULECTOMY PARTIAL PROFEE
$1,324
$1,059
$1,125
19
clean
23130 ACROMIOPLASTY OR ACROMIONECTOMY PARTIAL WITH OR WITHOUT CORACOACROMIAL
$1,392
$1,113
$1,183
19
clean
23412 REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF EG ROTATOR CUFF OPEN CHRONIC
$1,930
$1,544
$1,641
19
clean
23430 REPAIR BICEPS TENDON.
$1,670
$1,336
$1,419
19
clean
23470 ARTHROPLASTY GLENOHUMERAL JOINT HEMIARTHROPLASTY PROFEE
$2,719
$2,175
$2,311
19
clean
23472 ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER GLENOID
$3,284
$2,627
$2,791
19
clean
23515 OPEN TREATMENT OF CLAVICULAR FRACTURE INCLUDES INTERNAL FIXATION
$1,627
$1,302
$1,383
19
clean
23545 CLOSED TREATMENT OF ACROMIOCLAVICULAR DISLOCATION WITH MANIPULATION PROFEE
$1,192
$953
$686
19
clean
Showing the first 200 of 2,090 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
348 of 1,455 comparable items (24%) 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 $5,479 exceeds the gross charge $894
CPT 70490/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 86695/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT P9035/o
info
mrf_item_fields_vary
this code and setting cover at least 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 70491/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 86696/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, max differ, so no cross-line comparison was made for this item
CPT 70492/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 86713/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 differ, so no cross-line comparison was made for this item
CPT P9071/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 70496/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 86735/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, max differ, so no cross-line comparison was made for this item
CPT Q0144/b
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 70498/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 86762/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 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 differ, so no cross-line comparison was made for this item
CPT 70540/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 86765/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT Q9967/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 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, min, max differ, so no cross-line comparison was made for this item
CPT 70542/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 86787/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT S0032/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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, min, max differ, so no cross-line comparison was made for this item
CPT 70543/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 86800/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, max differ, so no cross-line comparison was made for this item
CPT S9443/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 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 70544/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 86803/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, 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, max differ, so no cross-line comparison was made for this item
CPT 70545/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 86850/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 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 70546/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 86870/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, max differ, so no cross-line comparison was made for this item
CPT 29126/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 70547/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 70548/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 87040/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 differ, so no cross-line comparison was made for this item
CPT 29365/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 70549/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 87070/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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, min, max differ, so no cross-line comparison was made for this item
CPT 70551/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 87081/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29425/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 70552/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 29445/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 70553/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 87101/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 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, max differ, so no cross-line comparison was made for this item
CPT 71045/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 87102/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 29580/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 71046/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 87116/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 differ, so no cross-line comparison was made for this item
CPT 29581/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 71047/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 87184/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 differ, so no cross-line comparison was made for this item
CPT 0512T/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 29584/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 71100/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, max differ, so no cross-line comparison was made for this item
CPT 87186/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 differ, so no cross-line comparison was made for this item
CPT 0513T/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 29705/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 71101/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 87205/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 differ, so no cross-line comparison was made for this item
CPT 10005/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 71111/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 87210/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 differ, so no cross-line comparison was made for this item
CPT 10006/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 71120/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 87220/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 differ, so no cross-line comparison was made for this item
CPT 10009/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 71130/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 87273/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 10120/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 71250/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, 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 differ, so no cross-line comparison was made for this item
CPT 71260/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 87389/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 differ, so no cross-line comparison was made for this item
CPT 71270/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 87430/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 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 min differ, so no cross-line comparison was made for this item
CPT 71271/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 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 71275/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 87491/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, max differ, so no cross-line comparison was made for this item
CPT 10180/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 71550/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 87493/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 11000/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 71551/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 87497/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 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 71552/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 87502/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 differ, so no cross-line comparison was made for this item
CPT 11043/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 72040/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 87522/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 differ, so no cross-line comparison was made for this item
CPT 11044/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 72052/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 87591/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 differ, so no cross-line comparison was made for this item
CPT 11045/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 72070/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 11046/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 72072/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 11047/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 72074/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 87798/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 differ, so no cross-line comparison was made for this item
CPT 11055/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 72080/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 87799/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 11056/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 72081/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 87804/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 differ, so no cross-line comparison was made for this item
CPT 11102/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 72082/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 differ, so no cross-line comparison was made for this item
CPT 11103/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 72100/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 11104/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 72110/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 88305/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 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 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 72114/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 11106/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 72120/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 88720/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 11107/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 72125/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 89051/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 differ, so no cross-line comparison was made for this item
CPT 11200/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 31500/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 72126/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 90380/b
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 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, min, max differ, so no cross-line comparison was made for this item
CPT 72127/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 11201/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 32554/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 72128/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 min differ, so no cross-line comparison was made for this item
CPT 32555/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 72129/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 90471/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 11308/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 72130/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 90472/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 11400/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 72131/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 11401/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 36000/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 72132/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 11402/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 36416/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 differ, so no cross-line comparison was made for this item
CPT 72133/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 36430/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 72141/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 90634/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36556/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 72142/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 90656/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11404/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 72146/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 90662/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72147/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 90670/b
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 11406/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 72148/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 90677/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72149/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/b
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 36589/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 72156/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 90707/b
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 11421/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 36590/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 differ, so no cross-line comparison was made for this item
CPT 72157/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 90715/b
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 36593/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 72158/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 90716/b
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 36620/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 72170/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 90732/b
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 11423/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 72192/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 90744/b
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 11424/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 differ, so no cross-line comparison was made for this item
CPT 72193/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 90746/b
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 11426/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 differ, so no cross-line comparison was made for this item
CPT 38505/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, max differ, so no cross-line comparison was made for this item
CPT 72194/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 90791/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 11440/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 72195/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 90832/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 differ, so no cross-line comparison was made for this item