Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC RBC DNA HEA 35 AG 11 BLD GRP
$756
$864
$720
319
clean
HC TPMT NUDT15 GENES
$2,926
$559
$1,170
331
clean
HC NEURO CSF PRION PRTN QUAL
$2,927
$649
$1,358
331
clean
HC TRGT GEN SEQ DNA 324 GENES
$17,640
$4,200
$8,785
331
clean
HC CT PERFUSION W/CONTRAST CBF
$1,102
$209
$661
322
clean
BONE SRGRY CMPTR FLUOR IMAGE
$29,343
$5,575
$7,163
365
clean
BONE SRGRY CMPTR CT/MRI IMAG
$29,343
$5,575
$7,163
365
clean
HC PERQ STENT/CHEST VERT ART
$6,189
$1,176
$6,908
317
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
—
$4,950
197
clean
HC INFECTIOUS DISEASE DNA UNTARGETED NEXT-GEN SEQUENCING
$6,379
$2,551
$2,169
325
clean
EXC RECTAL TUMOR ENDOSCOPIC
—
—
$7,044
346
clean
HC PERQ SACRAL AUGMT UNILAT INJ
$6,043
$1,148
$8,453
406
clean
HC PERQ SACRAL AUGMT BILAT INJ
$6,043
$1,148
$8,453
406
clean
HC NFCT DS 22 TRGT SARS-COV-2
$1,050
$500
$417
331
clean
HC NJX PLATELET PLASMA
$2,834
$538
$2,210
696
clean
HC CATH/EP TRLUML PERIP ATHR BRCHIO
$28,228
$5,363
$15,598
395
clean
HC CATH/EP TRLUM PERIP ATHR ILC ART
$28,228
$5,363
$21,248
742
clean
HC TRGT GEN SEQ ALYS PNL 311+
$10,500
$4,200
$6,300
325
clean
HC PERQ LAMOT/LAM LUMBAR
$23,137
$4,396
$18,047
740
clean
HC TRANSCATH RENAL SYMP DENERV BILAT
$10,363
$1,969
$7,565
400
clean
MRGFUS STRTCTC LES ABLTJ
—
—
$15,091
228
clean
HC INSJ/RPLC CARDIAC MODULJ SYS
$83,802
$15,922
$37,938
740
clean
HC PRGRMG EVAL CARDIAC MODULJ
$135
$26
$99
394
clean
HC INTERRO EVAL CARDIAC MODULJ
$135
$26
$99
394
clean
WATERJET PROSTATE ABLTJ CMPL
—
—
$10,942
346
clean
HC GLYCINE RECEPTOR ALPHA1 SRM/CSF
$1,575
$44
$75
405
clean
HC KELCH-LIKE PROTEIN 11 ANTB SR/CSF ASY QUAL
$1,575
$44
$75
374
clean
ABLTJ PERC LXTR/PERPH NRV
$17,950
$2,736
$6,487
752
clean
ABLTJ PERC PLEX/TRNCL NRV
$16,151
$3,069
$7,578
752
clean
INSJ AQUEOUS DRAIN DEV 1ST
—
—
$6,487
346
clean
HC TMVI PERCUTANEOUS APPROACH
$44,459
$8,447
$14,113
323
clean
HC TMVI TRANSTHORACIC EXPOSURE
$44,459
$8,447
$14,113
323
clean
HC CATH/EP EV FEMPOP ARTL REVSC
$40,260
$7,649
$20,884
406
clean
HC NTRAPX C FFR W/3D FUNCJL MAP
$1,500
$285
$2,454
415
clean
RF SPECTRSC NTRAOP MRGN ASMT
—
—
$13,586
151
clean
EVAC MEIBOMIAN GLND HEAT BI
—
—
$387
309
clean
HC INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE
$112,979
$21,466
$15,563
725
clean
HC PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON
$2,042
$388
$349
399
clean
HC INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON
$2,042
$388
$220
405
clean
HC REM INTERROG DEV EVAL SS LD ICDS <90D PHY/QHP
$2,042
$388
$402
322
clean
HC REM INTERROG DEV EVAL SS LD ICDS < 90D TECH
$2,042
$388
$205
399
clean
IRE ABLTJ 1+TUM ORGAN PERQ
—
—
$12,320
334
clean
HC CATH/EP TCAT RMVL/DBLK ICAR MAS PERQ
$19,168
$3,642
$7,263
730
clean
HC TTVI/RPLCMT W/PRSTC VLV PERQ
$24,276
$4,612
$14,566
540
clean
EGD FLX TRANSNASAL TUBE/CATH
—
—
$6,487
334
clean
IMPLT ANT SGM IO NBIO RX SYS
—
—
$7,163
310
clean
HC CC SCALP COOL PLMT MNTR RMVL
$451
$86
$293
296
clean
INSJ ANT SGM AQ DRG DEV 1+
—
—
$6,487
346
clean
HISTOTRIPSY MAL HEPATCEL TIS
—
—
$11,080
315
clean
HC DGTZ GLS MCRSCP SLD LEVEL II SURG PATH
$63
$12
$46
290
clean
HC DGTZ GLS MCRSCP SLD LEVEL III SURG PATH
$143
$27
$104
290
clean
HC DGTZ GLS MCRSCP SLD LEVEL IV SURG PATH
$164
$31
$120
290
clean
HC DGTZ GLS MCRSCP SLD LEVEL V SURG PATH
$183
$35
$134
292
clean
HC DGTZ GLS MCRSCP SLD SPEC STAIN GRP I MICROORG
$52
$10
$38
290
clean
HC DGTZ GLS MCRSCP SLD SPEC STAIN GRP II ALL OTH
$32
$6
$25
290
clean
HC DGTZ GLS MCRSCP SLD IMHCHEM/IMCYTCHM 1ST 1STN
$81
$15
$59
292
clean
HC DGTZ GLS MCRSCP SLD IMHCHEM/IMCYTCHM EA ADDL 1
$34
$7
$27
292
clean
HC DGTZ GLS MCRSCP SLD IMHCHEM/IMCTCHM EA MULT ANTB
$66
$12
$48
292
clean
HC DGTZ GLS MCRSCP SLD M/PHMTRC ALYS TUMOR IMHCHEM
$47
$9
$34
292
clean
HC CATH/EP TCAT INS 2CHMBR LDLS PM CMPL
$66,914
$12,714
$22,567
738
clean
HC CATH/EP TCAT INS 2CHMBR LDLS PM RA
$66,914
$12,714
$20,884
738
clean
HC CATH/EP TCAT INS 2CHMBR LDLS PM RV
$66,914
$12,714
$22,567
399
clean
HC CATH/EP TCAT INS 1CHMBR LDLS PM RA
$19,168
$3,642
$20,884
738
clean
HC CATH/EP PRGRMG EVL LDLS PM 1CHMBR IP
$19,168
$3,642
$9,967
375
clean
HC DGTZ GLS MCRSCP SLD CYTP SMEARS W/INTERPJ
$40
$8
$29
292
clean
HC DGTZ GLS MCRSCP SLD CYTP SLCTV CELL NHNCMNT TQ
$29
$6
$21
292
clean
HC DGTZ GLS MCRSCP SLD CYTP FNA INTERPJ&REPRT
$94
$18
$69
292
clean
HC DGTZ GLS MCRSCP SLD M/PHMTRC ISH EA MULT PRB STN
$47
$9
$34
292
clean
HC QUAN MRI ALYS BRN W/DX MRI
$842
$160
$566
399
clean
HC FNA BX W/O IMG GDN EA ADDL
$3,181
$604
$2,481
324
clean
FNA BX W/US GDN 1ST LES
$6,346
$1,206
$4,100
763
clean
FNA BX W/US GDN EA ADDL
$3,335
$634
$4,100
600
clean
HC FNA BX W/FLUOR GDN 1ST LES
$5,002
$950
$3,902
406
clean
FNA BX W/CT GDN 1ST LES
$5,002
$950
$3,902
763
clean
HC FNA BX W/CT GDN EA ADDL
$3,335
$634
$4,100
324
clean
HC FNA BX W/MR GDN 1ST LES
$5,002
$950
$3,902
406
clean
HC FNA BX W/MR GDN EA ADDL
$3,335
$634
$4,100
317
clean
FNA BX W/O IMG GDN 1ST LES
$6,346
$1,206
$1,699
719
clean
HC GUIDE CATHET FLUID DRAINAGE
$3,948
$750
$2,434
719
clean
HC PERQ DEV SOFT TISS 1ST LESION
$8,125
$1,544
$4,100
763
clean
HC PERQ DEV SOFT TISS ADD LESION
$2,116
$402
$4,100
600
clean
HC ACNE SURGERY
$757
$144
$590
384
clean
HC INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
$6,346
$1,206
$1,352
719
clean
HC INCISION&DRAINAGE ABSCESS COMPLICATED/MULTIPLE
$2,241
$426
$1,748
763
clean
HC I&D PILONID CYST; SIMPLE
$1,009
$192
$1,175
719
clean
HC I&D PILONID CYST; CPLX
$1,655
$314
$1,991
719
clean
HC INCISION&REMOVAL FOREIGN BODY SUBQ TISS SIMPLE
$4,741
$901
$1,352
719
clean
HC INC & REM FB SQ; COMPL
$4,979
$946
$3,884
763
clean
HC I&D HMTMA SEROMA/FLUID COLLJ
$2,893
$550
$2,257
719
clean
HC PUNCTURE ASPIR ABSC HMTMA BULLA
$2,596
$493
$1,352
719
clean
HC I&D CPLX POSTOP WND INF
$7,090
$1,347
$5,530
763
clean
DBRDMT ECZ/INFECTED SKIN<10%
$785
$149
$1,794
719
clean
DBRDMT SKIN ABDOMINAL WALL
—
—
$4,206
275
clean
DEBRIDE SKIN AT FX SITE
$2,389
$454
$2,242
763
clean
DEBRIDE SKIN MUSC AT FX SITE
$2,541
$483
$2,242
763
clean
DEB SKIN BONE AT FX SITE
$3,579
$680
$4,206
763
clean
DBRDMT SUBQ TIS 1ST 20SQCM/<
$7,857
$1,493
$4,100
763
clean
DBRDMT MUSC&/FSCA 1ST 20/<
$20,147
$3,828
$4,100
763
clean
DBRDMT BONE 1ST 20 SQ CM/<
$30,018
$5,703
$6,091
763
clean
DBRDMT SUBQ TISS EACH ADDL
$3,425
$651
$6,487
600
clean
DBRDMT MUSC&/FSCA EA ADDL
$7,052
$1,340
$6,487
600
clean
DBRDMT BONE EACH ADDL
$12,491
$2,373
$6,593
600
clean
HC PARING/CUTG B9 HYPRKER LES, SINGLE
$6,346
$1,206
$4,100
384
clean
HC PARING/CUTG B9 HYPRKER LES, 2-4
$6,346
$1,206
$4,100
384
clean
HC PARING/CUTG B9 HYPRKER LES, > 4
$4,264
$810
$3,112
384
clean
HC TANGNTL BX SKIN SINGLE LES
$6,346
$1,206
$4,100
384
clean
HC TANGNTL BX SKIN EA SEP/ADDL
$621
$118
$2,050
324
clean
HC PUNCH BX SKIN SINGLE LESION
$6,346
$1,206
$2,050
719
clean
HC PUNCH BX SKIN EA SEP/ADDL
$621
$118
$4,100
600
clean
HC INCAL BX SKN SINGLE LES
$1,657
$315
$2,050
763
clean
HC INCAL BX SKN EA SEP/ADDL
$1,935
$368
$2,050
324
clean
HC REMOVAL OF SKIN TAGS, UP TO 15
$634
$120
$1,175
719
clean
HC REMOVE SKIN TAGS EA ADD 10
$317
$60
$1,175
324
clean
HC SHAVING SKIN LES 1 TRUNK/ARM/LEG DIAM 0.5CM/<
$294
$56
$1,175
719
clean
HC SHVG SKIN LES 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM
$493
$94
$522
384
clean
HC SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM
$524
$99
$522
384
clean
HC SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM >2.0 CM
$624
$118
$522
384
clean
HC SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/<
$1,059
$201
$826
384
clean
HC SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM
$434
$82
$522
384
clean
HC SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM
$557
$106
$522
384
clean
HC SHAVING SKIN LESION 1 S/N/H/F/G DIAM >2.0 CM
$618
$117
$1,175
719
clean
HC SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM/<
$396
$75
$1,175
719
clean
HC SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM
$546
$104
$522
384
clean
HC SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM
$657
$125
$522
384
clean
HC SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM >2.0 CM
$843
$160
$657
384
clean
EXC TR-EXT B9+MARG 0.5 CM<
$1,520
$289
$2,050
763
clean
EXC TR-EXT B9+MARG 0.6-1 CM
$3,572
$679
$2,786
763
clean
EXC TR-EXT B9+MARG 1.1-2 CM
$6,346
$1,206
$4,100
763
clean
EXC TR-EXT B9+MARG 2.1-3CM
$5,064
$962
$3,950
763
clean
EXC TR-EXT B9+MARG 3.1-4 CM
$5,574
$1,059
$4,347
763
clean
EXC TR-EXT B9+MARG >4.0 CM
$8,478
$1,611
$6,487
763
clean
EXC H-F-NK-SP B9+MARG 0.5/<
$3,674
$698
$3,774
763
clean
EXC H-F-NK-SP B9+MARG 0.6-1
$4,290
$815
$3,347
763
clean
EXC H-F-NK-SP B9+MARG 1.1-2
$5,234
$995
$4,083
763
clean
EXC H-F-NK-SP B9+MARG 2.1-3
$6,092
$1,158
$4,752
763
clean
EXC H-F-NK-SP B9+MARG 3.1-4
$6,951
$1,321
$5,421
763
clean
EXC H-F-NK-SP B9+MARG >4 CM
$10,598
$2,014
$6,487
763
clean
EXC FACE-MM B9+MARG 0.5 CM/<
$2,854
$542
$2,226
763
clean
EXC FACE-MM B9+MARG 0.6-1 CM
$3,049
$579
$2,378
763
clean
EXC FACE-MM B9+MARG 1.1-2 CM
$3,379
$642
$2,636
763
clean
EXC FACE-MM B9+MARG 2.1-3 CM
$4,121
$783
$3,774
763
clean
EXC FACE-MM B9+MARG 3.1-4 CM
$5,274
$1,002
$4,114
763
clean
EXC FACE-MM B9+MARG >4 CM
$7,582
$1,441
$6,151
763
clean
EXC SKN HDRDNT AX SMPL/NTRM
$2,724
$518
$6,151
763
clean
EXC SKN HDRDNT AX COMPLEX
$9,758
$1,854
$6,487
763
clean
EXC SKN HDRDNT ING SMPL/NTRM
$9,196
$1,747
$6,487
763
clean
EXC SKN HDRDNT ING COMPLEX
$9,758
$1,854
$6,487
763
clean
EXC SKN H/P/P/U SMPL/NTRM
$9,758
$1,854
$6,487
763
clean
EXC SKN H/P/P/U COMPLEX
$9,758
$1,854
$6,487
763
clean
EXC TR-EXT MAL+MARG 0.5 CM/<
$4,523
$859
$3,528
763
clean
EXC TR-EXT MAL+MARG 0.6-1 CM
$5,637
$1,071
$4,100
763
clean
EXC TR-EXT MAL+MARG 1.1-2 CM
$6,195
$1,177
$4,100
763
clean
EXC TR-EXT MAL+MARG 2.1-3 CM
$7,371
$1,401
$4,100
763
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
$8,178
$1,554
$4,100
763
clean
EXC TR-EXT MAL+MARG >4 CM
$12,142
$2,307
$6,487
763
clean
EXC H-F-NK-SP MAL+MARG 0.5/<
$1,465
$278
$3,774
763
clean
EXC S/N/H/F/G MAL+MRG 0.6-1
$1,952
$371
$2,050
763
clean
EXC S/N/H/F/G MAL+MRG 1.1-2
$1,473
$280
$2,050
763
clean
EXC S/N/H/F/G MAL+MRG 2.1-3
$3,922
$745
$3,774
719
clean
EXC S/N/H/F/G MAL+MRG 3.1-4
$5,408
$1,028
$4,218
763
clean
EXC S/N/H/F/G MAL+MRG >4 CM
$7,184
$1,365
$6,151
763
clean
EXC F/E/E/N/L MAL+MRG 0.5CM<
$1,495
$284
$2,050
763
clean
EXC F/E/E/N/L MAL+MRG 0.6-1
$5,638
$1,071
$4,100
763
clean
EXC F/E/E/N/L MAL+MRG 1.1-2
$2,188
$416
$2,050
763
clean
EXC F/E/E/N/L MAL+MRG 2.1-3
$3,922
$745
$3,774
763
clean
EXC F/E/E/N/L MAL+MRG 3.1-4
$5,408
$1,028
$4,218
763
clean
EXC F/E/E/N/L MAL+MRG >4 CM
$7,184
$1,365
$6,151
763
clean
HC TRIM NAIL(S)
$219
$42
$232
384
clean
HC DEBRIDE NAIL, 1-5
$6,346
$1,206
$4,100
384
clean
HC DEBRIDE NAIL, 6 OR MORE
$6,346
$1,206
$4,100
384
clean
HC REMOVAL OF NAIL PLATE
$1,552
$295
$1,210
719
clean
HC REMOVE NAIL PLATE, ADD-ON
$621
$118
$4,100
600
clean
HC DRAIN BLOOD FROM UNDER NAIL
$279
$53
$232
384
clean
HC REMOVAL OF NAIL BED
$1,475
$280
$2,050
763
clean
BIOPSY NAIL UNIT
$2,008
$382
$2,050
763
clean
HC REPAIR OF NAIL BED
$2,281
$433
$1,434
719
clean
HC RECONST NAIL BED W GRFT
$5,714
$1,086
$4,286
719
clean
EXCISION OF NAIL FOLD TOE
$795
$151
$620
719
clean
HC EXC PILONID CYST; SMPL
$7,845
$1,491
$6,119
763
clean
HC EXCISION PILONIDAL CYST/SINUS EXTENSIVE
$3,710
$705
$6,151
763
clean
REMOVE PILONIDAL CYST COMPL
—
—
$6,487
357
clean
HC INJECTION INTO SKIN LESIONS
$6,346
$1,206
$1,352
719
clean
HC ADDED SKIN LESIONS INJECTION
$4,610
$876
$1,352
719
clean
HC SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC
$642
$122
$911
384
clean
INSERT TISSUE EXPANDER(S)
—
—
$6,487
357
clean
RPLCMT TISS XPNDR PERM IMPLT
—
—
$8,453
357
clean
HC RMVL TIS XPNDR WO INSJ IMPLT
$8,849
$1,681
$6,487
763
clean
HC SQ HORMONE PELLET IMPL
$463
$88
$911
384
clean
HC INSERTION DRUG DLVR IMPLANT
$601
$114
$1,175
719
clean
HC REMOVE DRUG IMPLANT
$601
$114
$1,175
719
clean
HC REMOVE W INS DRUG IMPLANT
$824
$157
$1,175
719
clean
HC SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<
$6,346
$1,206
$1,562
719
clean
HC SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM
$2,089
$397
$1,562
719
clean
HC SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM
$2,608
$496
$1,562
719
clean
HC RPR S/N/A/GEN/TRK12.6-20.0CM
$3,518
$668
$2,568
406
clean
HC RPR S/N/A/GEN/TRK20.1-30.0CM
$1,016
$193
$792
406
clean
HC RPR S/N/A/GEN/TKR > 30CM
$1,000
$190
$1,562
763
clean
HC SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<
$13,538
$2,572
$1,562
719
clean
HC SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0CM
$1,025
$195
$800
384
clean
HC RPR F/E/E/N/L/M 5.1-7.5 CM
$1,287
$245
$1,004
384
clean
Showing the first 200 of 7,716 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 82664/b
error
mrf_cash_above_gross
discounted cash price $74 exceeds gross charge $65
CPT 81266/b
error
mrf_cash_above_gross
discounted cash price $366 exceeds gross charge $305
CPT 86826/b
error
mrf_cash_above_gross
discounted cash price $44 exceeds gross charge $37
CPT 43999/b
error
mrf_cash_above_gross
discounted cash price $6,000 exceeds gross charge $2,673
CPT 86008/b
error
mrf_cash_above_gross
discounted cash price $22 exceeds gross charge $12
CPT 81432/b
error
mrf_cash_above_gross
discounted cash price $1,565 exceeds gross charge $1,070
CPT 86053/b
error
mrf_cash_above_gross
discounted cash price $45 exceeds gross charge $19
CPT 31238/b
error
mrf_cash_above_gross
discounted cash price $3,845 exceeds gross charge $1,970
CPT 0001U/b
error
mrf_cash_above_gross
discounted cash price $864 exceeds gross charge $756
CPT 0087U/b
error
mrf_cash_above_gross
discounted cash price $3,791 exceeds gross charge $3,159
CPT 86231/b
error
mrf_cash_above_gross
discounted cash price $15 exceeds gross charge $6
CPT 0088U/b
error
mrf_cash_above_gross
discounted cash price $3,791 exceeds gross charge $3,159
CPT 81595/b
error
mrf_cash_above_gross
discounted cash price $3,888 exceeds gross charge $3,240
CPT 97803/b
error
mrf_cash_above_gross
discounted cash price $46 exceeds gross charge $40
CPT 86363/b
error
mrf_cash_above_gross
discounted cash price $45 exceeds gross charge $19
warn
mrf_negotiated_above_gross_systematic
3,983 of 5,490 comparable items (73%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $1,836 exceeds the gross charge $756
warn
mrf_rate_without_estimate
171,513 of 171,513 percentage/algorithm rates across 3,175 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 81173/b
info
mrf_cash_under_tenth_of_gross
cash price $362 is 10% of the gross charge $3,685
CPT 86618/b
info
mrf_cash_under_tenth_of_gross
cash price $20 is 9% of the gross charge $228
CPT 81177/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 81178/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 87535/b
info
mrf_cash_under_tenth_of_gross
cash price $42 is 6% of the gross charge $694
CPT 81179/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 81180/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 84392/b
info
mrf_cash_under_tenth_of_gross
cash price $7 is 8% of the gross charge $87
CPT 81181/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 81182/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 81183/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 81184/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 81187/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 81188/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 84436/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 8% of the gross charge $98
CPT 81191/b
info
mrf_cash_under_tenth_of_gross
cash price $249 is 8% of the gross charge $3,008
CPT 81192/b
info
mrf_cash_under_tenth_of_gross
cash price $249 is 8% of the gross charge $3,008
CPT 84439/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 7% of the gross charge $149
CPT 81193/b
info
mrf_cash_under_tenth_of_gross
cash price $249 is 8% of the gross charge $3,008
CPT 81194/b
info
mrf_cash_under_tenth_of_gross
cash price $622 is 8% of the gross charge $7,519
CPT 81200/b
info
mrf_cash_under_tenth_of_gross
cash price $57 is 3% of the gross charge $2,174
CPT 82397/b
info
mrf_cash_under_tenth_of_gross
cash price $17 is 8% of the gross charge $221
CPT 87594/b
info
mrf_cash_under_tenth_of_gross
cash price $42 is 9% of the gross charge $486
CPT 87623/b
info
mrf_cash_under_tenth_of_gross
cash price $42 is 8% of the gross charge $515
CPT 81204/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 84466/b
info
mrf_cash_under_tenth_of_gross
cash price $15 is 9% of the gross charge $171
CPT 81209/b
info
mrf_cash_under_tenth_of_gross
cash price $47 is 2% of the gross charge $2,906
CPT 84481/b
info
mrf_cash_under_tenth_of_gross
cash price $20 is 8% of the gross charge $247
CPT 86688/b
info
mrf_cash_under_tenth_of_gross
cash price $17 is 9% of the gross charge $191
CPT 84485/b
info
mrf_cash_under_tenth_of_gross
cash price $9 is 4% of the gross charge $217
CPT 82525/b
info
mrf_cash_under_tenth_of_gross
cash price $15 is 8% of the gross charge $191
CPT 84550/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 10% of the gross charge $56
CPT 84577/b
info
mrf_cash_under_tenth_of_gross
cash price $20 is 7% of the gross charge $297
CPT 81234/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 81236/b
info
mrf_cash_under_tenth_of_gross
cash price $339 is 5% of the gross charge $7,122
CPT 82565/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 8% of the gross charge $72
CPT 86710/b
info
mrf_cash_under_tenth_of_gross
cash price $16 is 7% of the gross charge $218
CPT 82570/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 8% of the gross charge $77
CPT 84597/b
info
mrf_cash_under_tenth_of_gross
cash price $16 is 7% of the gross charge $237
CPT 86713/b
info
mrf_cash_under_tenth_of_gross
cash price $18 is 8% of the gross charge $224
CPT 81242/b
info
mrf_cash_under_tenth_of_gross
cash price $44 is 2% of the gross charge $2,174
CPT 81244/b
info
mrf_cash_under_tenth_of_gross
cash price $54 is 3% of the gross charge $1,901
CPT 84703/b
info
mrf_cash_under_tenth_of_gross
cash price $9 is 4% of the gross charge $234
CPT 81251/b
info
mrf_cash_under_tenth_of_gross
cash price $57 is 3% of the gross charge $2,174
CPT 81252/b
info
mrf_cash_under_tenth_of_gross
cash price $121 is 3% of the gross charge $4,372
CPT 86747/b
info
mrf_cash_under_tenth_of_gross
cash price $18 is 10% of the gross charge $181
CPT 81253/b
info
mrf_cash_under_tenth_of_gross
cash price $74 is 6% of the gross charge $1,188
CPT 81254/b
info
mrf_cash_under_tenth_of_gross
cash price $42 is 4% of the gross charge $951
CPT 81255/b
info
mrf_cash_under_tenth_of_gross
cash price $62 is 3% of the gross charge $2,174
CPT 81257/b
info
mrf_cash_under_tenth_of_gross
cash price $123 is 8% of the gross charge $1,461
CPT 85025/b
info
mrf_cash_under_tenth_of_gross
cash price $9 is 7% of the gross charge $139
CPT 81260/b
info
mrf_cash_under_tenth_of_gross
cash price $47 is 2% of the gross charge $2,174
CPT 81262/b
info
mrf_cash_under_tenth_of_gross
cash price $82 is 3% of the gross charge $2,376
CPT 85048/b
info
mrf_cash_under_tenth_of_gross
cash price $3 is 6% of the gross charge $53
CPT 82679/b
info
mrf_cash_under_tenth_of_gross
cash price $30 is 10% of the gross charge $313
CPT 82705/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 10% of the gross charge $64
CPT 81271/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 82710/b
info
mrf_cash_under_tenth_of_gross
cash price $20 is 8% of the gross charge $260
CPT 85210/b
info
mrf_cash_under_tenth_of_gross
cash price $16 is 10% of the gross charge $158
CPT 81275/b
info
mrf_cash_under_tenth_of_gross
cash price $232 is 8% of the gross charge $2,843
CPT 82726/b
info
mrf_cash_under_tenth_of_gross
cash price $24 is 8% of the gross charge $309
CPT 85230/b
info
mrf_cash_under_tenth_of_gross
cash price $21 is 10% of the gross charge $217
CPT 86813/b
info
mrf_cash_under_tenth_of_gross
cash price $70 is 8% of the gross charge $843
CPT 85240/b
info
mrf_cash_under_tenth_of_gross
cash price $21 is 7% of the gross charge $296
CPT 81278/b
info
mrf_cash_under_tenth_of_gross
cash price $249 is 8% of the gross charge $3,008
CPT 85245/b
info
mrf_cash_under_tenth_of_gross
cash price $28 is 10% of the gross charge $287
CPT 85246/b
info
mrf_cash_under_tenth_of_gross
cash price $28 is 9% of the gross charge $323
CPT 81284/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 85250/b
info
mrf_cash_under_tenth_of_gross
cash price $23 is 10% of the gross charge $233
CPT 81290/b
info
mrf_cash_under_tenth_of_gross
cash price $47 is 2% of the gross charge $2,174
CPT 85270/b
info
mrf_cash_under_tenth_of_gross
cash price $21 is 8% of the gross charge $258
CPT 82784/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 7% of the gross charge $150
CPT 81294/b
info
mrf_cash_under_tenth_of_gross
cash price $243 is 10% of the gross charge $2,543
CPT 85291/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 9% of the gross charge $116
CPT 81295/b
info
mrf_cash_under_tenth_of_gross
cash price $458 is 7% of the gross charge $6,416
CPT 82787/b
info
mrf_cash_under_tenth_of_gross
cash price $10 is 4% of the gross charge $236
CPT 81297/b
info
mrf_cash_under_tenth_of_gross
cash price $256 is 4% of the gross charge $6,415
CPT 85300/b
info
mrf_cash_under_tenth_of_gross
cash price $14 is 7% of the gross charge $206
CPT 86850/b
info
mrf_cash_under_tenth_of_gross
cash price $12 is 3% of the gross charge $395
CPT 85303/b
info
mrf_cash_under_tenth_of_gross
cash price $17 is 7% of the gross charge $252
CPT 81302/b
info
mrf_cash_under_tenth_of_gross
cash price $633 is 10% of the gross charge $6,503
CPT 86880/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 7% of the gross charge $89
CPT 81303/b
info
mrf_cash_under_tenth_of_gross
cash price $144 is 10% of the gross charge $1,462
CPT 85306/b
info
mrf_cash_under_tenth_of_gross
cash price $18 is 8% of the gross charge $230
CPT 81304/b
info
mrf_cash_under_tenth_of_gross
cash price $180 is 7% of the gross charge $2,733
CPT 85307/b
info
mrf_cash_under_tenth_of_gross
cash price $18 is 10% of the gross charge $188
CPT 86885/b
info
mrf_cash_under_tenth_of_gross
cash price $7 is 4% of the gross charge $187
CPT 86886/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 5% of the gross charge $131
CPT 85347/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 6% of the gross charge $86
CPT 86900/b
info
mrf_cash_under_tenth_of_gross
cash price $4 is 1% of the gross charge $294
CPT 88267/b
info
mrf_cash_under_tenth_of_gross
cash price $226 is 8% of the gross charge $2,922
CPT 81312/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 82948/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 8% of the gross charge $76
CPT 85362/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 8% of the gross charge $99
CPT 86901/b
info
mrf_cash_under_tenth_of_gross
cash price $4 is 1% of the gross charge $294
CPT 82950/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 7% of the gross charge $77
CPT 86902/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 4% of the gross charge $180
CPT 86905/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $180
CPT 82955/b
info
mrf_cash_under_tenth_of_gross
cash price $12 is 9% of the gross charge $129
CPT 81322/b
info
mrf_cash_under_tenth_of_gross
cash price $56 is 6% of the gross charge $913
CPT 85384/b
info
mrf_cash_under_tenth_of_gross
cash price $12 is 10% of the gross charge $117
CPT 81326/b
info
mrf_cash_under_tenth_of_gross
cash price $56 is 2% of the gross charge $2,253
CPT 82977/b
info
mrf_cash_under_tenth_of_gross
cash price $9 is 9% of the gross charge $94
CPT 81329/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 81330/b
info
mrf_cash_under_tenth_of_gross
cash price $56 is 3% of the gross charge $2,174
CPT 81331/b
info
mrf_cash_under_tenth_of_gross
cash price $61 is 5% of the gross charge $1,232
CPT 81333/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 85420/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 7% of the gross charge $106
CPT 81336/b
info
mrf_cash_under_tenth_of_gross
cash price $362 is 10% of the gross charge $3,685
CPT 81338/b
info
mrf_cash_under_tenth_of_gross
cash price $180 is 9% of the gross charge $2,076
CPT 81341/b
info
mrf_cash_under_tenth_of_gross
cash price $60 is 3% of the gross charge $2,376
CPT 85520/b
info
mrf_cash_under_tenth_of_gross
cash price $16 is 5% of the gross charge $295
CPT 81343/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 81344/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 85540/b
info
mrf_cash_under_tenth_of_gross
cash price $10 is 7% of the gross charge $143
CPT 87070/b
info
mrf_cash_under_tenth_of_gross
cash price $10 is 6% of the gross charge $178
CPT 85610/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $172
CPT 87077/b
info
mrf_cash_under_tenth_of_gross
cash price $10 is 7% of the gross charge $144
CPT 83080/b
info
mrf_cash_under_tenth_of_gross
cash price $20 is 6% of the gross charge $347
CPT 87081/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 7% of the gross charge $113
CPT 85613/b
info
mrf_cash_under_tenth_of_gross
cash price $12 is 6% of the gross charge $207
CPT 83090/b
info
mrf_cash_under_tenth_of_gross
cash price $22 is 9% of the gross charge $226
CPT 87086/b
info
mrf_cash_under_tenth_of_gross
cash price $10 is 7% of the gross charge $131
CPT 85652/b
info
mrf_cash_under_tenth_of_gross
cash price $3 is 8% of the gross charge $40
CPT 87102/b
info
mrf_cash_under_tenth_of_gross
cash price $10 is 7% of the gross charge $138
CPT 81377/b
info
mrf_cash_under_tenth_of_gross
cash price $114 is 8% of the gross charge $1,378
CPT 81379/b
info
mrf_cash_under_tenth_of_gross
cash price $402 is 7% of the gross charge $5,864
CPT 83516/b
info
mrf_cash_under_tenth_of_gross
cash price $14 is 7% of the gross charge $192
CPT 81380/b
info
mrf_cash_under_tenth_of_gross
cash price $213 is 8% of the gross charge $2,604
CPT 83519/b
info
mrf_cash_under_tenth_of_gross
cash price $22 is 9% of the gross charge $236
CPT 83520/b
info
mrf_cash_under_tenth_of_gross
cash price $21 is 6% of the gross charge $343
CPT 85732/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 6% of the gross charge $137
CPT 81383/b
info
mrf_cash_under_tenth_of_gross
cash price $131 is 9% of the gross charge $1,447
CPT 87116/b
info
mrf_cash_under_tenth_of_gross
cash price $13 is 10% of the gross charge $131
CPT 81400/b
info
mrf_cash_under_tenth_of_gross
cash price $77 is 6% of the gross charge $1,330
CPT 83528/b
info
mrf_cash_under_tenth_of_gross
cash price $24 is 6% of the gross charge $427
CPT 80048/b
info
mrf_cash_under_tenth_of_gross
cash price $10 is 6% of the gross charge $179
CPT 86003/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 8% of the gross charge $74
CPT 80053/b
info
mrf_cash_under_tenth_of_gross
cash price $13 is 4% of the gross charge $326
CPT 83550/b
info
mrf_cash_under_tenth_of_gross
cash price $10 is 10% of the gross charge $106
CPT 88741/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 0% of the gross charge $3,461
CPT 86021/b
info
mrf_cash_under_tenth_of_gross
cash price $18 is 8% of the gross charge $216
CPT 83615/b
info
mrf_cash_under_tenth_of_gross
cash price $7 is 5% of the gross charge $132
CPT 87168/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 7% of the gross charge $71
CPT 89050/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 9% of the gross charge $66
CPT 80143/b
info
mrf_cash_under_tenth_of_gross
cash price $22 is 9% of the gross charge $250
CPT 81413/b
info
mrf_cash_under_tenth_of_gross
cash price $702 is 4% of the gross charge $16,040
CPT 86023/b
info
mrf_cash_under_tenth_of_gross
cash price $15 is 7% of the gross charge $212
CPT 87169/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 9% of the gross charge $57
CPT 89051/b
info
mrf_cash_under_tenth_of_gross
cash price $7 is 5% of the gross charge $124
CPT 80151/b
info
mrf_cash_under_tenth_of_gross
cash price $22 is 9% of the gross charge $250
CPT 87172/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 7% of the gross charge $75
CPT 86038/b
info
mrf_cash_under_tenth_of_gross
cash price $15 is 9% of the gross charge $158
CPT 89060/b
info
mrf_cash_under_tenth_of_gross
cash price $9 is 8% of the gross charge $110
CPT 83662/b
info
mrf_cash_under_tenth_of_gross
cash price $23 is 4% of the gross charge $557
CPT 87177/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 9% of the gross charge $114
CPT 83663/b
info
mrf_cash_under_tenth_of_gross
cash price $23 is 6% of the gross charge $356
CPT 80161/b
info
mrf_cash_under_tenth_of_gross
cash price $22 is 9% of the gross charge $250
CPT 83664/b
info
mrf_cash_under_tenth_of_gross
cash price $23 is 2% of the gross charge $1,464
CPT 83670/b
info
mrf_cash_under_tenth_of_gross
cash price $12 is 5% of the gross charge $228
CPT 83690/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 6% of the gross charge $128
CPT 80167/b
info
mrf_cash_under_tenth_of_gross
cash price $22 is 9% of the gross charge $250
CPT 86060/b
info
mrf_cash_under_tenth_of_gross
cash price $9 is 9% of the gross charge $98
CPT 81455/b
info
mrf_cash_under_tenth_of_gross
cash price $46 is 1% of the gross charge $4,598
CPT 87205/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 4% of the gross charge $118
CPT 86140/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 5% of the gross charge $126
CPT 87207/b
info
mrf_cash_under_tenth_of_gross
cash price $7 is 7% of the gross charge $98
CPT 80178/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 9% of the gross charge $84
CPT 80179/b
info
mrf_cash_under_tenth_of_gross
cash price $22 is 9% of the gross charge $250
CPT 83835/b
info
mrf_cash_under_tenth_of_gross
cash price $20 is 7% of the gross charge $282
CPT 90791/b
info
mrf_cash_under_tenth_of_gross
cash price $46 is 6% of the gross charge $720
CPT 80181/b
info
mrf_cash_under_tenth_of_gross
cash price $22 is 9% of the gross charge $250
CPT 87254/b
info
mrf_cash_under_tenth_of_gross
cash price $23 is 9% of the gross charge $274
CPT 90832/b
info
mrf_cash_under_tenth_of_gross
cash price $23 is 2% of the gross charge $1,047
CPT 86200/b
info
mrf_cash_under_tenth_of_gross
cash price $16 is 9% of the gross charge $178
CPT 83930/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 9% of the gross charge $87
CPT 90853/b
info
mrf_cash_under_tenth_of_gross
cash price $23 is 8% of the gross charge $274
CPT 80197/b
info
mrf_cash_under_tenth_of_gross
cash price $16 is 9% of the gross charge $184
CPT 86255/b
info
mrf_cash_under_tenth_of_gross
cash price $14 is 6% of the gross charge $243
CPT 86256/b
info
mrf_cash_under_tenth_of_gross
cash price $14 is 7% of the gross charge $205
CPT 90880/b
info
mrf_cash_under_tenth_of_gross
cash price $46 is 6% of the gross charge $732
CPT 83986/b
info
mrf_cash_under_tenth_of_gross
cash price $4 is 7% of the gross charge $61
CPT 87305/b
info
mrf_cash_under_tenth_of_gross
cash price $14 is 9% of the gross charge $165