Service
Code
Listed
Cash
Negotiated
Rates
Checks
RBC DNA HEA 35 AG 11 BLD GRP
—
—
$720
9
clean
LIVER DIS 10 ASSAYS W/ASH
—
—
$503
9
clean
LIVER DIS 10 ASSAYS W/NASH
—
—
$503
9
clean
ONCO PRST8 3 GENE UR ALG
—
—
$760
9
clean
ONC MRNA 5 GEN RSK URTHL CA
—
—
$760
9
clean
ONC MRNA 5 GEN RECR URTHL CA
—
—
$760
9
clean
ADRNL CORTCL TUM BCHM ASY 25
—
—
$1,305
9
clean
ONC BLADDER MRNA 219 GEN ALG
—
—
$3,490
9
clean
ONC THYR 10 MICRORNA SEQ ALG
—
—
$3,002
9
clean
ONC AML DNA DETCJ/NONDETCJ
—
—
$249
9
clean
GLYCA NUC MR SPECTRSC QUAN
—
—
$34
9
clean
ONC THYR DNA&MRNA 112 GENES
—
—
$3,600
9
clean
JAK2 GENE TRGT SEQ ALYS
—
—
$122
9
clean
RX METAB ADVRS TRGT SEQ ALYS
—
—
$742
9
clean
TPMT NUDT15 GENES
—
—
$466
9
clean
NEURO CSF PRION PRTN QUAL
—
—
$541
9
clean
TRGT GEN SEQ DNA 324 GENES
—
—
$3,500
9
clean
BREAST REDCT/AUG MAMOPLAC PC
$16
$6
—
0
clean
B BRGDRFERI ANTB 5 PRTN IGM
—
—
$17
9
clean
Pro Fee Schedule
—
—
$85
11
clean
B BRGDRFERI ANTB 12 PRTN IGG
—
—
$17
9
clean
TBRF B GRP ANTB 4 PRTN IGM
—
—
$15
9
clean
TBRF B GRP ANTB 4 PRTN IGG
—
—
$15
9
clean
ONC BRST DUX CARC IS 12 GENE
—
—
$3,873
9
clean
ONC PRST8 MRNA 17 GENE ALG
—
—
$3,873
9
clean
BONE SRGRY CMPTR FLUOR IMAGE
—
—
$150
11
clean
BONE SRGRY CMPTR CT/MRI IMAG
—
—
$150
11
clean
ONC MERKEL CLL CARC SRM QUAN
—
—
$323
9
clean
ONC MERKEL CLL CARC SRM +/-
—
—
$323
9
clean
TC MEAS 5 BMRK SFDI M-S ALYS
—
—
$25
9
clean
ANTB TP TOTAL&RPR IA QUAL
—
—
$31
9
clean
SYFLS TST NONTREPONEMAL ANTB
—
—
$18
9
clean
CANDIDA SPECIES PNL AMP PRB
—
—
$143
9
clean
IG PARAPROTEIN QUAL BLD/UR
—
—
$43
9
clean
ONC LNG 5 CLIN RSK FACTR ALG
—
—
$3,520
9
clean
ONC MLNMA PRAME & LINC00518
—
—
$760
9
clean
ONC CUTAN MLNMA MRNA 23 GENE
—
—
$1,950
9
clean
ESW MUSCSKEL SYS NOS
—
—
$284
9
clean
ESW MUSCSKEL SYS NOS
—
—
$288
11
clean
HERED COLON CA DO 15 GENES
—
—
$1,744
9
clean
NEPH CKD MULT ECLIA TUM NEC
—
—
$950
9
clean
TOUCH QUANT SENSORY TEST
—
—
$46
9
clean
TOUCH QUANT SENSORY TEST
—
—
$13
11
clean
GSTR EMPTG 7 TIMED BRTH SPEC
—
—
$874
9
clean
VIBRATE QUANT SENSORY TEST
—
—
$46
9
clean
VIBRATE QUANT SENSORY TEST
—
—
$13
11
clean
COOL QUANT SENSORY TEST
—
—
$70
9
clean
COOL QUANT SENSORY TEST
—
—
$13
11
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
—
$4,950
9
clean
HEAT QUANT SENSORY TEST
—
—
$46
9
clean
HEAT QUANT SENSORY TEST
—
—
$13
11
clean
IADI 16S&18S RRNA GENES
—
—
$356
9
clean
TRNSPLJ DON-DRV CLL-FR DNA
—
—
$2,753
9
clean
CRD CERAMIDES LIQ CHROM PLSM
—
—
$84
9
clean
HERED BRST CA RLTD DO PANEL
—
—
$1,304
9
clean
NFCT DS DNA UNTRGT NGNRJ SEQ
—
—
$2,126
9
clean
GI IBS IA ANTI-CDTB&VINCULIN
—
—
$112
9
clean
LIVER DS 10 BIOCHEM ASY SRM
—
—
$503
9
clean
ONC SLD TUM ALYS BRCA1 BRCA2
—
—
$3,030
9
clean
CAD CXR WITH INTERP
—
—
$38
11
clean
ONC SOLID TUMOR 30 PRTN TRGT
—
—
$1,305
9
clean
EXC RECTAL TUMOR ENDOSCOPIC
—
—
$7,044
9
clean
EXC RECTAL TUMOR ENDOSCOPIC
—
—
$922
11
clean
PERQ SACRAL AUGMT UNILAT INJ
—
—
$1,835
11
clean
PERQ SACRAL AUGMT UNILAT INJ
—
—
$8,454
9
clean
PERQ SACRAL AUGMT BILAT INJ
—
—
$1,835
11
clean
PERQ SACRAL AUGMT BILAT INJ
—
—
$8,454
9
clean
NFCT DS 22 TRGT SARS-COV-2
—
—
$417
9
clean
NEURO ALZHEIMER CELL AGGREGJ
—
—
$2,215
9
clean
CLEAR EYELID GLAND W/HEAT
—
—
$153
9
clean
NEURO ALZHEIMER QUAN IMAGING
—
—
$511
9
clean
NJX PLATELET PLASMA
—
—
$472
9
clean
TRLUML PERIP ATHRC BRCHIOCPH
—
—
$13,420
9
clean
TRLUML PERIP ATHRC ILIAC ART
—
—
$21,249
9
clean
TRGT GEN SEQ ALYS PNL 311+
—
—
$3,500
9
clean
SARS FLU PANEL
$357
$143
$296
2
clean
TRGT GEN SEQ ALYS PNL 55-74
—
—
$5,000
9
clean
ONC THYR MUT ALYS 10 GEN&37
—
—
$1,266
9
clean
ONC SLD ORG NEO DNA 505 GENE
—
—
$2,920
9
clean
ONC LUNG MRNA QUAN PCR 11&3
—
—
$3,873
9
clean
ONC BRST DUX CARC 7 PROTEINS
—
—
$5,435
9
clean
CRD CAD ALYS 3 PRTN 3 PARAM
—
—
$391
9
clean
CRD CV DS ALY 4 PRTN PLM ALG
—
—
$391
9
clean
NFCT DS BCT QUAN ANTMCRB SC
—
—
$8
9
clean
AI DS SLE ALYS 8 IGG AUTOANT
—
—
$841
9
clean
ONC CUTAN SQ CLL CA MRNA 40
—
—
$8,500
9
clean
NEPH RNA PSTTRNSPL PERPH BLD
—
—
$2,650
9
clean
TRGT GEN SEQ ALYS PNL 83+
—
—
$5,000
9
clean
ONC NEO XOME&TRNS SEQ ALYS
—
—
$3,438
9
clean
Tear film imaging, unilateral or bilateral, with interpretation and report
—
—
$20
11
clean
Tear film imaging, unilateral or bilateral, with interpretation and report
—
—
$46
9
clean
ONC SLD ORGN TGSA DNA 84/+
—
—
$3,500
9
clean
ONC PLSM CELL DO&MYELOMA ID
—
—
$2,435
9
clean
ONC SLD TUM CRCG TUM CL SLCT
—
—
$2,435
9
clean
TRNSCTH RENAL SYMP DENRV BIL
—
—
$6,747
9
clean
ONC PRST8 MRNA HOXC6 & DLX1
—
—
$760
9
clean
ONC PAN CA ALYS MRD PLASMA
—
—
$3,920
9
clean
HEP NAFLD SEMIQ EVL 28 LIPID
—
—
$792
9
clean
PSYC GENOM ALYS PNL 15 GEN
—
—
$1,336
9
clean
RX METAB/PCX DNA 16 GEN ALYS
—
—
$1,336
9
clean
RX METAB/PCX DNA 25 GEN ALYS
—
—
$742
9
clean
RX METAB/PCX DNA 27GEN RX IA
—
—
$742
9
clean
RSA LOWER EXTR EXAM
—
—
$104
9
clean
NFCT DS BCT/VIRAL TRAIL IP10
—
—
$261
9
clean
APOL1 RISK VARIANTS
—
—
$137
9
clean
ONC OROP/ANAL 17 DNA DDPCR
—
—
$1,800
9
clean
BIA WHOLE BODY
—
—
$29
9
clean
BIA WHOLE BODY
—
—
$26
11
clean
NEURO ALYS ß-AMYL 1-42&1-40
—
—
$261
9
clean
ONC PRST8 CA ALYS ALL PSA
—
—
$760
9
clean
ONC LUNG ELISA 7 AUTOANT ALG
—
—
$783
9
clean
ONC URTHL MRNA 5 GEN ALG
—
—
$760
9
clean
ONC BLDR 10 UR HRBR URTHL CA
—
—
$897
9
clean
ONC BLDR 10 PRB RECR BLDR CA
—
—
$897
9
clean
ONC OVRN BCHM ASY 7 PRTN ALG
—
—
$897
9
clean
ONC PRST8 CA IMG ALYS 128
—
—
$706
9
clean
VIS FIELD ASSMNT TECH SUPPT
—
—
$46
9
clean
TGSAP SL OR NEO DNA523&RNA55
—
—
$3,289
9
clean
ONC NONSM CLL LNG CA 37 GEN
—
—
$3,500
9
clean
NEU PRKSN MSFL a-SYNCLN PRTN
—
—
$541
9
clean
PFAS 16 PFAS COMPND LC MS/MS
—
—
$199
9
clean
HDR ELCTR NTRST/NTRCV BRCHTX
—
—
$821
9
clean
Pro Fee Schedule
—
—
$1,361
11
clean
GI BARET ESPH DNA MTHYLN ALY
—
—
$1,755
9
clean
COLGN CRS-LINK CRN&PACHYMTRY
—
—
$2,761
9
clean
COLGN CRS-LINK CRN&PACHYMTRY
—
—
$350
11
clean
ONC PRST8 MRNA 18 GEN 1ST UR
—
—
$760
9
clean
ONC BRST SEMIQ MEAS THYM KN
—
—
$323
9
clean
ONC LUNG FLOW CYTMTRY 5 MRK
—
—
$760
9
clean
NEPH DBTC CKD MULT ECLIA ALG
—
—
$950
9
clean
INSJ/RPLC CARDIAC MODULJ SYS
—
—
$37,940
9
clean
ONC SLD TUM DNA 80 & RNA 36
—
—
$2,920
9
clean
PSYC GENOM ALYS PNL 15 GEN
—
—
$1,336
9
clean
CV DS ACS BLD ALG 5 YR SCORE
—
—
$391
9
clean
PRGRMG EVAL CARDIAC MODULJ
—
—
$44
9
clean
INTERRO EVAL CARDIAC MODULJ
—
—
$44
9
clean
Pro Fee Schedule
—
—
$758
11
clean
GI MALABS AAT CALPRO PNCRTC
—
—
$62
9
clean
GLY RCPTR ALPHA1 IGG SRM/CSF
—
—
$37
9
clean
KLHL11 ANTB SR/CSF ASY QUAL
—
—
$37
9
clean
ONC PRST8 5 DNA REG MRK PCR
—
—
$760
9
clean
RX METAB ADVRS VRNT ALYS 25
—
—
$417
9
clean
IMPLTJ SYNTH RNFCMT ABDL WAL
—
—
$275
11
clean
MYOCRD CONTRAST PRFUJ ECHO
—
—
$23
11
clean
ABLTJ PERC LXTR/PERPH NRV
—
—
$215
11
clean
ABLTJ PERC LXTR/PERPH NRV
—
—
$2,311
9
clean
ABLTJ PERC PLEX/TRNCL NRV
—
—
$7,578
9
clean
ABLTJ PERC PLEX/TRNCL NRV
—
—
$215
11
clean
INSJ IMPLTBL GLUCOSE SENSOR
—
—
$55
11
clean
INSJ IMPLTBL GLUCOSE SENSOR
—
—
$3,847
9
clean
RMVL IMPLTBL GLUCOSE SENSOR
—
—
$64
11
clean
RMVL IMPLTBL GLUCOSE SENSOR
—
—
$235
9
clean
REMVL INSJ IMPLTBL GLUC SENS
—
—
$91
11
clean
REMVL INSJ IMPLTBL GLUC SENS
—
—
$3,847
9
clean
INSJ AQUEOUS DRAIN DEV 1ST
—
—
$785
11
clean
INSJ AQUEOUS DRAIN DEV 1ST
—
—
$6,106
9
clean
VISUAL EP TEST FOR GLAUCOMA
—
—
$185
9
clean
ONC SLD TUM BLD/SLV 648 GENE
—
—
$4,500
9
clean
HERED PRST8 CA GSAP 23 GENES
—
—
$1,304
9
clean
FXJL ABL LSR 1ST 100 SQ CM
—
—
$173
11
clean
FXJL ABL LSR 1ST 100 SQ CM
—
—
$724
9
clean
FXJL ABL LSR EA ADDL 100SQCM
—
—
$72
11
clean
TMVI PERCUTANEOUS APPROACH
—
—
$1,351
11
clean
TMVI TRANSTHORACIC EXPOSURE
—
—
$1,351
11
clean
OCT MID EAR I&R UNILATERAL
—
—
$46
9
clean
OCT MID EAR I&R UNILATERAL
—
—
$10
11
clean
OCT MID EAR I&R BILATERAL
—
—
$46
9
clean
EV FEMPOP ARTL REVSC
—
—
$13,420
9
clean
EV FEMPOP ARTL REVSC
—
—
$653
11
clean
NEAR IFR 2IMG MIBMN GLND I&R
—
—
$29
11
clean
NEAR IFR 2IMG MIBMN GLND I&R
—
—
$70
9
clean
PATTERN ERG W/I&R
—
—
$369
9
clean
PATTERN ERG W/I&R
—
—
$52
33
clean
ESW INTEG WND HLG 1ST WND
—
—
$330
11
clean
ESW INTEG WND HLG 1ST WND
—
—
$235
9
clean
NTRAPX C FFR W/3D FUNCJL MAP
—
—
$34
11
clean
INSJ/RPLCMT COMPL IIMS
—
—
$22,568
9
clean
PRGRMG DEV EVAL IIMS IP
—
—
$44
9
clean
INTERROG DEV EVAL IIMS IP
—
—
$44
9
clean
Pro Fee Schedule
—
—
$176
11
clean
RF SPECTRSC NTRAOP MRGN ASMT
—
—
$60
11
clean
LOW-LEVEL LASER THERAPY
—
—
$6
11
clean
ANTMC GUIDE 3D PRINT 1ST GD
—
—
$70
9
clean
ANTMC GUIDE 3D PRINT 1ST GD
—
—
$38
11
clean
ANTMC GUIDE 3D PRINT EA ADDL
—
—
$19
11
clean
EVAC MEIBOMIAN GLND HEAT BI
—
—
$70
9
clean
TTVR PERQ EA ADDL PROSTH
—
—
$435
11
clean
INSJ/RPLCMT ICDS SS ELTRD
—
—
$37,940
9
clean
PRGRMG DEV EVAL ICDS SS IP
—
—
$44
9
clean
INTERROG DEV EVAL ICDS SS IP
—
—
$74
11
clean
Showing the first 200 of 18,816 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 88104/b
warn
mrf_negotiated_above_gross
highest negotiated rate $105 exceeds the gross charge $67
CPT 88112/b
warn
mrf_negotiated_above_gross
highest negotiated rate $95 exceeds the gross charge $63
CPT 50434/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,393 exceeds the gross charge $1,438
CPT 93880/b
warn
mrf_negotiated_above_gross
highest negotiated rate $262 exceeds the gross charge $96
CPT 88161/b
warn
mrf_negotiated_above_gross
highest negotiated rate $113 exceeds the gross charge $62
CPT 88173/b
warn
mrf_negotiated_above_gross
highest negotiated rate $233 exceeds the gross charge $172
CPT 93922/b
warn
mrf_negotiated_above_gross
highest negotiated rate $113 exceeds the gross charge $31
CPT 88300/b
warn
mrf_negotiated_above_gross
highest negotiated rate $22 exceeds the gross charge $10
CPT 93923/b
warn
mrf_negotiated_above_gross
highest negotiated rate $179 exceeds the gross charge $55
CPT 88302/b
warn
mrf_negotiated_above_gross
highest negotiated rate $46 exceeds the gross charge $16
CPT 93924/b
warn
mrf_negotiated_above_gross
highest negotiated rate $220 exceeds the gross charge $60
CPT 88304/b
warn
mrf_negotiated_above_gross
highest negotiated rate $59 exceeds the gross charge $26
CPT 93925/b
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $94
CPT 88307/b
warn
mrf_negotiated_above_gross
highest negotiated rate $399 exceeds the gross charge $187
CPT 93926/b
warn
mrf_negotiated_above_gross
highest negotiated rate $178 exceeds the gross charge $57
CPT 88309/b
warn
mrf_negotiated_above_gross
highest negotiated rate $600 exceeds the gross charge $355
CPT 93930/b
warn
mrf_negotiated_above_gross
highest negotiated rate $273 exceeds the gross charge $95
CPT 88312/b
warn
mrf_negotiated_above_gross
highest negotiated rate $156 exceeds the gross charge $61
CPT J1162/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,003 exceeds the gross charge $5,342
CPT 88313/b
warn
mrf_negotiated_above_gross
highest negotiated rate $114 exceeds the gross charge $28
CPT J1410/o
warn
mrf_negotiated_above_gross
highest negotiated rate $708 exceeds the gross charge $595
CPT 88341/b
warn
mrf_negotiated_above_gross
highest negotiated rate $126 exceeds the gross charge $69
CPT J1610/o
warn
mrf_negotiated_above_gross
highest negotiated rate $355 exceeds the gross charge $325
CPT 88342/b
warn
mrf_negotiated_above_gross
highest negotiated rate $147 exceeds the gross charge $85
CPT 88344/b
warn
mrf_negotiated_above_gross
highest negotiated rate $239 exceeds the gross charge $94
CPT 94060/b
warn
mrf_negotiated_above_gross
highest negotiated rate $54 exceeds the gross charge $24
CPT 88360/b
warn
mrf_negotiated_above_gross
highest negotiated rate $167 exceeds the gross charge $102
CPT 88364/b
warn
mrf_negotiated_above_gross
highest negotiated rate $185 exceeds the gross charge $84
CPT 88365/b
warn
mrf_negotiated_above_gross
highest negotiated rate $246 exceeds the gross charge $107
CPT J2690/o
warn
mrf_negotiated_above_gross
highest negotiated rate $352 exceeds the gross charge $169
CPT 88368/b
warn
mrf_negotiated_above_gross
highest negotiated rate $205 exceeds the gross charge $102
CPT 94727/b
warn
mrf_negotiated_above_gross
highest negotiated rate $62 exceeds the gross charge $28
CPT J2760/o
warn
mrf_negotiated_above_gross
highest negotiated rate $791 exceeds the gross charge $243
CPT 94729/b
warn
mrf_negotiated_above_gross
highest negotiated rate $78 exceeds the gross charge $20
CPT 95705/o
warn
mrf_negotiated_above_gross
highest negotiated rate $668 exceeds the gross charge $414
CPT 95782/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,349 exceeds the gross charge $310
CPT 95805/b
warn
mrf_negotiated_above_gross
highest negotiated rate $595 exceeds the gross charge $143
CPT 90684/o
warn
mrf_negotiated_above_gross
highest negotiated rate $594 exceeds the gross charge $370
CPT 90744/o
warn
mrf_negotiated_above_gross
highest negotiated rate $57 exceeds the gross charge $55
CPT 95810/b
warn
mrf_negotiated_above_gross
highest negotiated rate $861 exceeds the gross charge $273
CPT 90746/o
warn
mrf_negotiated_above_gross
highest negotiated rate $128 exceeds the gross charge $116
CPT 95811/b
warn
mrf_negotiated_above_gross
highest negotiated rate $900 exceeds the gross charge $285
CPT 78451/b
warn
mrf_negotiated_above_gross
highest negotiated rate $432 exceeds the gross charge $191
CPT 95819/b
warn
mrf_negotiated_above_gross
highest negotiated rate $627 exceeds the gross charge $141
CPT 78452/b
warn
mrf_negotiated_above_gross
highest negotiated rate $598 exceeds the gross charge $191
CPT P9071/o
warn
mrf_negotiated_above_gross
highest negotiated rate $530 exceeds the gross charge $267
CPT 76536/b
warn
mrf_negotiated_above_gross
highest negotiated rate $153 exceeds the gross charge $64
CPT 76642/b
warn
mrf_negotiated_above_gross
highest negotiated rate $118 exceeds the gross charge $78
CPT 76705/b
warn
mrf_negotiated_above_gross
highest negotiated rate $121 exceeds the gross charge $67
CPT 76775/b
warn
mrf_negotiated_above_gross
highest negotiated rate $83 exceeds the gross charge $65
CPT 92953/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6 exceeds the gross charge $2
CPT 76815/b
warn
mrf_negotiated_above_gross
highest negotiated rate $112 exceeds the gross charge $74
CPT 93288/b
warn
mrf_negotiated_above_gross
highest negotiated rate $78 exceeds the gross charge $52
CPT 76857/b
warn
mrf_negotiated_above_gross
highest negotiated rate $69 exceeds the gross charge $56
CPT 93303/b
warn
mrf_negotiated_above_gross
highest negotiated rate $304 exceeds the gross charge $154
CPT 93304/b
warn
mrf_negotiated_above_gross
highest negotiated rate $215 exceeds the gross charge $90
CPT 93306/b
warn
mrf_negotiated_above_gross
highest negotiated rate $273 exceeds the gross charge $159
CPT A4315/o
warn
mrf_negotiated_above_gross
highest negotiated rate $67 exceeds the gross charge $34
CPT A4344/o
warn
mrf_negotiated_above_gross
highest negotiated rate $41 exceeds the gross charge $20
CPT 76937/b
warn
mrf_negotiated_above_gross
highest negotiated rate $53 exceeds the gross charge $33
CPT 93308/b
warn
mrf_negotiated_above_gross
highest negotiated rate $136 exceeds the gross charge $57
CPT 93312/b
warn
mrf_negotiated_above_gross
highest negotiated rate $328 exceeds the gross charge $246
CPT 76942/b
warn
mrf_negotiated_above_gross
highest negotiated rate $81 exceeds the gross charge $78
CPT A6197/o
warn
mrf_negotiated_above_gross
highest negotiated rate $42 exceeds the gross charge $27
CPT 93320/b
warn
mrf_negotiated_above_gross
highest negotiated rate $70 exceeds the gross charge $44
CPT B4087/o
warn
mrf_negotiated_above_gross
highest negotiated rate $57 exceeds the gross charge $41
CPT 93325/b
warn
mrf_negotiated_above_gross
highest negotiated rate $33 exceeds the gross charge $8
CPT 93350/b
warn
mrf_negotiated_above_gross
highest negotiated rate $258 exceeds the gross charge $184
CPT 93351/b
warn
mrf_negotiated_above_gross
highest negotiated rate $322 exceeds the gross charge $191
CPT 37184/o
warn
mrf_negotiated_above_gross
highest negotiated rate $38,504 exceeds the gross charge $30,775
CPT 37225/o
warn
mrf_negotiated_above_gross
highest negotiated rate $38,504 exceeds the gross charge $30,775
CPT 86904/o
warn
mrf_negotiated_above_gross
highest negotiated rate $127 exceeds the gross charge $100
CPT 86970/o
warn
mrf_negotiated_above_gross
highest negotiated rate $127 exceeds the gross charge $100
CPT 86978/o
warn
mrf_negotiated_above_gross
highest negotiated rate $127 exceeds the gross charge $100
CPT 43235/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,010 exceeds the gross charge $1,310
CPT 43239/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,010 exceeds the gross charge $1,310
warn
mrf_rate_without_estimate
35,544 of 35,544 percentage/algorithm rates across 2,017 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
warn
mrf_stale
last updated 2025-08-07, 385 days ago; the rule requires an update at least once a year
CPT 43753/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 73706/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77076/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87498/o
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 93619/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0121/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43762/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 73718/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77077/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87529/o
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 93620/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0130/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43762/o
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 73719/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77078/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87633/o
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 93621/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0168/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43763/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 73720/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77080/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87798/o
info
mrf_item_fields_vary
this code and setting cover at least 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 93622/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0279/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 44388/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 73721/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77081/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93623/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0378/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 45005/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 73722/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77084/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88104/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93624/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0398/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 45378/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 73723/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77085/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88106/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93631/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0399/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 46040/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 73725/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77086/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88108/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93640/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0400/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 46050/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74018/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77280/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93641/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0406/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 46083/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74019/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77285/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88112/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93642/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0407/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 47000/o
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 74021/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77290/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88120/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93644/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0408/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49082/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74022/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77293/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88121/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93660/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0416/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49083/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74150/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77295/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88125/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93662/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0425/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49083/o
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 74160/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77300/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88141/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 93724/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0426/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49405/o
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 74170/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77301/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88142/o
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 93745/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0427/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74174/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77306/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88160/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0452/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 51700/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74175/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77307/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93880/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G6001/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 51701/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74176/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77316/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88161/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93880/o
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 G6002/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 51702/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74177/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77317/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88162/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93882/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0171/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, min, max differ, so no cross-line comparison was made for this item
CPT 51705/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74178/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77318/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88172/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93886/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0256/o
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 51725/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74181/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77321/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93888/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0280/o
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 51726/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74182/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item