Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC RBC Antigen Typing Dna Hea Gene Analysis 35 Antigens Whole Blood Reference
$3,539
$2,300
$1,653
207
clean
HC Warde Liver Disease Ten Biochemical Assays Serum (Nash)
$669
$435
$502
414
clean
HC Anes All Procedures Muscles & Nerves Head Neck&Posterior Trnk Nos(Restricted Method II CAH)
—
$16,594
$10,448
102
clean
HC Warde 3700116 Neurology Prion Protein Detection Quaking-Induced Confirmational Conversion CSF Ql
$677
$440
$530
207
clean
HC Anes Proc on Extremities Anterior Trunk and Perineum Nos (Restricted Method II CAH)
—
$16,426
$1,462
102
clean
PR Anes Proc on Extremities Anterior Trunk & Perineum Reconstr Proc Breast
—
$55,028
$29,398
101
clean
HC Computed Tomography Cerebral Perfusion W/Contrast
$1,080
$702
$504
122
clean
PR Anesthesia Procedures on Cervical Spine and Cord Not Otherwise Specified
—
$56,398
$46,178
94
clean
PR Anesthesia for Procedures in Lumbar Region Not Otherwise Specified
—
$44,543
$26,099
95
clean
PR Anesthesia for Extensive Spine & Spinal Cord Procedures
—
$29,573
$26,099
95
clean
PR Anesthesia for Hernia Repairs in Lower Abdomen Not Otherwise Specified
—
$51,648
$23,285
102
clean
HC Anesthesia for Open Procedures Hip Joint/Total Hip Arthroplasty (Restricted Method II CAH)
—
$54,332
$46,178
94
clean
HC Anes All Proc Nrv/Musc/Tendons/Fascia/Bursae Knee and/or Popliteal Area(Rest Bcpl Meth II CAH)
—
$22,647
$11,769
102
clean
PR Anesthesia for All Open Procedures on Lower One-Third of Femur
—
$32,151
$10,448
102
clean
HC Anesthesia for Open or Surgical Arthroscopic Proc Knee Joint Nos (Restricted Method II CAH)
—
$42,879
$46,178
94
clean
HC Anesthesia for Open or Surgical Arthroscopic Proc Knee Joint(Tka) (Restricted Method II CAH)
—
$50,221
$46,178
94
clean
HC Anes Proc on Nrvs Muscles Tendons&Fascia of Lwr Leg/Ankle&Foot Nos(Restricted Method II CAH)
—
$26,193
$26,099
102
clean
PR Anes Proc Nerves/Musc/Tndns/Fascia of Lwr Leg/Ank/Ft Gastroc Recession
—
$48,049
$26,099
101
clean
HC Anes for Open Procs on Bones of Lwr Leg Ankle and Foot Nos (Restricted Method II CAH)
—
$45,993
$26,099
101
clean
HC Anes Open/Surg Arthro Proc Hmrl Head/Neck Sc Jt/Ac Jt/Shld Jt Nos (Restricted Method II CAH)
—
$46,771
$26,099
101
clean
PR Anes Open/Surg Arthro Proc on Hmrl H&N Sc Jt Acj & Shld Jt Tot Shld Repl
—
$67,108
$63,065
91
clean
PR Anes Proc Nrvs/Musc/Tndn Fsc & Bursae Upr Arm & Elb Tenoplasty Elb/Shld
—
$51,295
$26,099
102
clean
PR Anes Proc Nrv/Musc/Tndn Fsc Bursae Upr Arm/Elb Tenodesis Rupt Tndn Bicep
—
$61,492
$26,099
101
clean
HC Anes All Procedures Nrv/Musc/Tndn/Fsc/Bursae Forearm/Wrist/Hand (Restricted Method II CAH)
—
$15,749
$7,024
102
clean
HC Anesthesia Distal Rad/Ulna Wrist/Hand Jt Open Nos (Restricted Method II CAH)
—
$45,361
$26,099
101
clean
HC Infectious Disease Pathogen Specific Nucleic Acid 22 Targets Including Sars-Cov-2 Qual (Biofire 2.1)
$1,473
$957
$688
207
clean
HC Injection(S) Platelet Rich Plasma, W Image Guid, Harvesting & Prep When Performed
—
$43,724
$1,607
94
clean
HC Denervation Transcatheter Renal Sympathetic Bilat
$9,411
$6,117
$7,058
207
clean
HC Envasc Venous Arterialization Tibial/Peroneal Intravasc Stnt Gft Lt
$34,861
$22,660
$24,420
558
clean
PR Inj Bone-Sub Into Subchondral Bn Dfct Incl Img Gud & Arthro Asst Jt Visl
—
$34,756
$26,099
101
clean
HC Aspiration Fine Needle (Fna) Biopsy W/Ultrasound Guidance 1st Lesion
$2,810
$1,827
$2,051
207
clean
HC Aspiration Fine Needle (Fna) Biopsy W/Ultrasound Guidance Each Additional Lesion
$1,040
$676
$486
114
clean
HC Aspiration Fine Needle (Fna) Biopsy W/Fluoroscopic Guidance 1st Lesion
$1,227
$798
$980
186
clean
HC Aspiration Fine Needle (Fna) Biopsy W/CT Guidance 1st Lesion
$1,481
$963
$1,111
207
clean
HC Aspiration Fine Needle (Fna) Biopsy W/CT Guidance Each Additional Lesion
$1,084
$705
$506
112
clean
HC Aspiration Fine Needle (Fna) Biopsy W/MRI Guidance 1st Lesion
$1,386
$901
$1,040
207
clean
HC Aspiration Fine Needle (Fna) Biopsy W/MRI Guidance Each Additional Lesion
$1,084
$705
$506
114
clean
HC Aspiration Fine Needle (Fna) W/Biopsy W/O Imaging Guidance 1st Lesion
$1,691
$1,099
$1,072
200
clean
HC Drainage by Catheter Image Guided Soft Tissue Percutaneous Rt
$1,060
$689
$795
600
clean
HC Placement Soft Tissue Localization Device(S) Percutaneous 1st Lesion Lt
—
$10,634
$10,448
102
clean
HC Placement Soft Tissue Localization Device(S) Percutaneous 1st Lesion Bl
$3,732
$2,426
$1,866
828
clean
HC Placement Soft Tissue Localization Device(S) Percutaneous Each Additional Lesion
$981
$638
$458
114
clean
HC Incision & Drainage Abscess Simple/Single
$487
$317
$365
200
clean
HC Incision & Drainage Cyst Pilonidal Simple
$732
$476
$586
200
clean
HC Incision & Drainage Hematoma/Seroma/Fluid Collection
—
$11,051
$5,940
102
clean
HC Incision & Drainage Hematoma/Seroma/Fluid Collection
$2,203
$1,432
$1,652
200
clean
HC Puncture Aspiration Abscess/Hematoma/Bulla/Cyst
$511
$332
$408
200
clean
HC Incision & Drainage Wound Post OP Infection Complex
—
$16,594
$10,448
102
clean
HC Incision & Drainage Wound Post OP Infection Complex
$3,200
$2,080
$2,560
207
clean
HC Debridement Subcutaneous Tissue <= 20 Sq Cm
$2,367
$1,539
$1,446
207
clean
HC Debridement Subcutaneous Tissue <= 20 Sq Cm
—
$16,426
$1,462
102
clean
HC Debridement Muscle/Fascia <= 20 Sq Cm
—
$18,524
$11,769
102
clean
HC Debridement Muscle/Fascia <= 20 Sq Cm
$1,707
$1,110
$1,354
207
clean
HC Debridement Subcutaneous Tissue Each Additional 20 Sq Cm
$869
$565
$406
114
clean
HC Debridement Muscle/Fascia Each Additional 20 Sq Cm
$326
$212
$152
114
clean
HC Biopsy Skin Tangential Single Lesion
$302
$196
$302
200
clean
HC Biopsy Skin Tangential Additional Lesion
$139
$90
$65
114
clean
HC Biopsy Skin Punch Single Lesion
$716
$465
$570
200
clean
HC Biopsy Skin Punch Additional Lesion
$150
$98
$70
114
clean
HC Biopsy Skin Incisional Single Lesion
$714
$464
$698
207
clean
HC Biopsy Skin Incisional Additional Lesion
$247
$161
$115
114
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia <= 0.5 Cm
$1,777
$1,155
$1,422
207
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 2.1 - 3.0 Cm
—
$37,289
$46,178
101
clean
HC Repair Superficial Wounds Simple Scalp/Neck/Axillae/Genitalia/Trunk/Extermities 2.6 - 7.5 Cm
$371
$241
$278
200
clean
HC Repair Superficial Wounds Simple Face/Ears/Eyelids/Nose/Lips/Muc Memb 2.6 - 5.0 Cm
$298
$194
$224
200
clean
HC Closure Secondary Surgical Wound/Dehiscence Extensive/Complicated
—
$19,741
$7,421
102
clean
HC Transfer/Rearrangement Adjacent Tissue Defect Frhd/Cheeks/Chin/Mth/Neck/Ax/Genit/Hnd/Ft <= 10sqcm
—
$22,838
$5,784
102
clean
HC Transfer/Rearrangement Adjacent Tissue Defect Any Area 30.1 - 60 Sq Cm
—
$43,714
$23,883
102
clean
PR Adj Tiss Xfer or Rearng Any Area Each Addl 30.0 Sq Cm or Part Thereof
—
$43,714
$23,883
102
clean
HC Preparation/Creation Surgical Recipient Site Open Wound Trunk/Arms/Legs <=100 Sqcm
$2,068
$1,344
$1,551
207
clean
HC Preparation/Creation Surg Recipient Site Open Wnd Face/Scalp/Mth/Neck/Ears/Genit/Hnd/Ft<=100sqcm
$783
$509
$626
207
clean
PR Split-Thickness Autograft Trunk/Arm/Leg 1st 100 Sq Cm/<Tbsa Infant/Child
—
$28,087
$7,421
102
clean
HC Application Skin Substitute Graft Face/Scalp/Neck/Genit/Hnd/Ft <100 Sq Cm 1st 25 Sq Cm
—
$51,300
$5,662
101
clean
PR Muscle Myocutaneous or Fasciocutaneous Flap Trunk
—
$73,226
$49,567
101
clean
PR Muscle Myocutaneous or Fasciocutaneous Flap Lower Extremity
—
$26,193
$26,099
102
clean
PR Grafting of Autologous Fat by Lipo 50 Cc or Less
—
$55,028
$29,398
101
clean
PR Grafting of Autologous Fat by Lipo Ea Addl 50 Cc
—
$55,028
$29,398
101
clean
PR Implantation of Biologic Implant for Soft Tissue Reinforcement
—
$84,520
$49,567
101
clean
PR Excision Excessive Skin Subq Tissue Abd Infraumbilical Panniculectomy
—
$57,853
$23,883
102
clean
PR Excision Excessive Skin & Subcutaneous Tissue Thigh|BILATERAL PROCEDURE
—
$62,794
$23,883
204
clean
PR Excision Excessive Skin and Subcutaneous Tissue Leg
—
$54,905
$14,083
102
clean
PR Excision Excessive Skin and Subcutaneous Tissue Arm
—
$70,549
$10,448
204
clean
PR Excision Excessive Skin/Subcutaneous Tissue Other Area
—
$82,987
$23,883
102
clean
PR Excision Excessive Skin and Subcutaneous Tissue Abdomen
—
$59,853
$29,398
102
clean
PR Intravenous Injection of Agent to Test Vascular Flow Flap or Graft
—
$73,718
$29,398
202
clean
PR Suction Assisted Lipectomy Trunk
—
$65,897
$23,883
204
clean
PR Suction Assisted Lipectomy Lower Extremity
—
$77,708
$23,883
204
clean
HC Puncture Aspiration Cyst Breast
$1,072
$697
$804
207
clean
HC Puncture Aspiration Cyst Breast Each Additional
$444
$289
$207
114
clean
HC Injection Only Mammary Ductogram/Galactogram Rt
$448
$291
$302
336
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Rt
$5,986
$3,891
$3,668
621
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guide Ea Addl Lesion Rt
$4,556
$2,961
$2,128
228
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Rt
$4,013
$2,608
$3,074
621
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guide Ea Addl Lesion Lt
$3,045
$1,979
$1,422
228
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous MRI Guidance 1st Lesion Rt
$3,741
$2,432
$2,989
621
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous MRI Guide Ea Addl Lesion Lt
$3,541
$2,302
$1,654
228
clean
HC Biopsy Breast Percutaneous Needle Core Not Using Imaging Guidance Lt
$2,228
$1,448
$1,780
621
clean
HC Excision Cyst/Fibroadenoma/Other Benign/Malignant Tumor Open Male/Female >= 1 Lesion Lt
—
$13,817
$14,083
204
clean
HC Excision Lesion Breast Identified by Preop Placement Radiological Marker Open Single Lesion Lt
—
$13,590
$14,083
102
clean
HC Placement Localization Device(S) Breast Percutaneous Mammographic Guidance 1st Lesion Rt
$2,078
$1,351
$1,662
621
clean
HC Placement Localization Device(S) Breast Percutaneous Mammographic Guide Ea Addl Lesion Lt
$1,445
$939
$675
228
clean
HC Placement Localization Device(S) Breast Percutaneous Stereotactic Guidance 1st Lesion Bl
$3,059
$1,988
$1,529
621
clean
HC Placement Localization Device(S) Breast Percutaneous Stereotactic Guide Ea Addl Lesion Lt
$972
$632
$454
228
clean
HC Placement Localization Device(S) Breast Percutaneous Ultrasound Guidance 1st Lesion Bl
$4,670
$3,036
$2,335
621
clean
HC Placement Localization Device(S) Breast Percutaneous Ultrasound Guide Ea Addl Lesion Lt
$1,208
$785
$564
228
clean
HC Placement Breast Localization Device(S) Percutaneous First Lesion Including Magnetic Resonance Guidance Bl
$1,880
$1,222
$1,001
621
clean
PR Mastectomy Partial
—
$17,910
$14,083
102
clean
PR Mastectomy Simple Complete|BILATERAL PROCEDURE
—
$85,011
$49,567
202
clean
PR Modified Rm Incl Axillary Lns W/WO Pectoralis Minor Muscles Only
—
$73,226
$49,567
101
clean
PR Mastopexy
—
$82,879
$23,883
203
clean
PR Breast Reduction
—
$52,096
$23,883
204
clean
Breast Augmentation With Implant|BILATERAL PROCEDURE
—
$68,194
$29,398
102
clean
PR Removal Intact Breast Implant
—
$51,118
$29,398
102
clean
PR Insertion/Replacement Breast Implant Separate Day From Mastectomy|BILATERAL PROCEDURE
—
$55,028
$29,398
203
clean
PR Tissue Expander Placement Breast Reconstruction|BILATERAL PROCEDURE
—
$84,520
$49,567
101
clean
PR Breast Reconstruction With Latissimus Dorsi Flap WO Prosthetic Implant|BILATERAL PROCEDURE
—
$87,550
$23,883
98
clean
PR Peri-Implant Capsulectomy Breast Complete|BILATERAL PROCEDURE
—
$51,926
$29,398
203
clean
PR Revision of Reconstructed Breast|BILATERAL PROCEDURE
—
$55,944
$23,883
203
clean
HC Biopsy Muscle Percutaneous Needle
$2,081
$1,353
$1,651
207
clean
HC Biopsy Bone Trocar/Needle Superficial
$2,078
$1,351
$1,648
207
clean
HC Biopsy Bone Trocar/Needle Deep
$2,767
$1,799
$2,075
207
clean
HC Biopsy Bone Open Superficial
—
$46,931
$11,769
102
clean
HC Injection(S) Tendon Sheath/Ligament Aponeurosis Single Lt
$410
$267
$376
621
clean
HC Injection(S) Trigger Point(S) Single/Multiple 1 or 2 Muscle(S)
$1,266
$823
$950
207
clean
HC Injection(S) Trigger Point(S) Single/Multiple >= 3 Muscle(S)
$1,328
$863
$996
207
clean
HC Needle Insertion W/O Injection 1 or 2 Muscles
$50
$33
$37
200
clean
HC Needle Insertion W/O Injection 3 or More Muscles
$58
$38
$43
200
clean
HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/O Ultrasound Guidance Lt|BILATERAL PROCEDURE
$453
$294
$1,053
879
clean
HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/Ultrasound Guidance Bl
$1,097
$713
$584
600
clean
HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Rt
—
$597
$1,104
204
clean
HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Lt
$462
$300
$1,104
1,137
clean
HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/Ultrasound Guidance Bl
$1,178
$766
$687
600
clean
HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Bl
$1,227
$798
$1,104
879
clean
HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Rt|BILATERAL PROCEDURE
—
$5,217
$1,104
204
clean
HC Arthrocentesis/Aspiration/Injection Major Joint/Bursa W/Ultrasound Guidance Lt
$877
$570
$658
600
clean
HC Aspiration &/or Injection Ganglion Cyst(S) Any Location
$434
$282
$347
207
clean
HC Removal of Implant Deep
—
$34,470
$10,448
204
clean
PR Bone Graft Any Donor Area Minor/Small
—
$43,439
$46,178
101
clean
PR Bone Graft Any Donor Area Major/Large
—
$74,152
$46,178
101
clean
PR Allograft Structural Spine Surgery Only
—
$59,393
$46,178
94
clean
HC Ablation Bone Tumor Radiofrequency Lt
$10,312
$6,703
$8,673
621
clean
HC Ablation Ther Redn/Eradication <= 1 Bone Tumors Incl Adj Soft Tiss When Involved by Tumor Extn Perc Incl Img Guid When Performed Cryoablation Lt
$11,085
$7,205
$8,314
558
clean
PR Unlisted Procedure Musculoskeletal System General
—
$13,471
$11,769
102
clean
HC Biopsy Soft Tissue Neck/Thorax
$3,445
$2,239
$2,571
207
clean
HC Vertebroplasty Percutaneous 1 Vertebral Body Cervicothoracic
$6,391
$4,154
$5,106
207
clean
HC Vertebroplasty Percutaneous 1 Vertebral Body Lumbosacral
$6,022
$3,914
$4,812
207
clean
HC Vertebroplasty Percutaneous 1 Vertebral Body Ea Addl Cervicothoracic or Lumbosacral Vertebral
$3,761
$2,445
$1,756
121
clean
HC Augumentation Percutaneous Vertebral Including Cavity Creation 1 Vertebral Body Thoracic
$10,168
$6,609
$7,423
207
clean
HC Augumentation Percutaneous Vertebral Including Cavity Creation 1 Vertebral Body Lumbar
$10,415
$6,770
$7,603
207
clean
HC Augumentation Percutaneous Vertebral Inc Cavity Creation Ea Addl Thoracic/Lumbar Vertebral Body
$7,663
$4,981
$3,579
121
clean
PR Arthrds Ant I-B Discectomy Decmpr Spinal Cord/Nerve Roots Cerv Below C2
—
$57,912
$46,178
94
clean
PR Arthrds Anterior I-B Cervical Below C2 Each Additional Interspace
—
$64,675
$46,178
94
clean
PR Arthrodesis Post/Posterolateral Tech Sgl Interspace Lumbar
—
$56,009
$63,065
94
clean
PR Arthrodesis Post/Posterolateral Tech Sgl Interspace Each Addl Interspace
—
$64,310
$63,065
94
clean
PR Arthrodesis Post Incl Laminectomy &/or Discectomy Sgl Interspace Lumbar
—
$82,108
$63,065
94
clean
PR Arthrds Post Intrbdy Tech Incl Lam &/Disctmy Prep Sgl/Ea Addl Interspace
—
$82,108
$63,065
94
clean
PR Arthrds W Post I-B Tech Incl Lam/Discectomy Prep Interspace Single Lumb
—
$81,272
$63,065
94
clean
PR Arthrds Post Intrbdy Tech Incl Lam and/or Discetomy Sgl Intrspc Ea Add
—
$82,388
$63,065
94
clean
PR Instrumentation Posterior Non-Segmental
—
$60,176
$63,065
91
clean
PR Instrumentation Posterior Segmental 3 to 6 Vertebral Segments
—
$85,225
$63,065
94
clean
PR Instrumentation Anterior 2-3 Vertebral Segments
—
$59,393
$46,178
94
clean
PR Instrumentation Anterior 4-7 Vertebral Segments
—
$65,531
$46,178
91
clean
PR Ins I-B Biomech Dev to IV Disc Space Conj W/I-B Arthrds Ea Interspace
—
$65,531
$46,178
91
clean
PR Capsular Contracture Release
—
$67,763
$63,065
101
clean
PR Incision and Drainage Shoulder Area Deep Abscess or Hematoma
—
$21,749
$10,448
102
clean
HC Injection for Shoulder Arthrogram or Enhanced CT/MRI Shoulder Arthography Rt
$397
$258
$278
342
clean
PR Tenodesis Long Tendon of Biceps
—
$62,844
$63,065
101
clean
PR Arthroplasty Glenohumeral Joint Hemiarthroplasty
—
$47,901
$46,178
94
clean
PR Arthroplasty Glenohumeral Joint Total Shoulder
—
$62,718
$63,065
195
clean
PR Revision Tot Shoulder Arthroplasty Incl Allograft Humeral & Glenoid Comp
—
$68,584
$1,965
91
clean
PR Open Treatment Clavicular Fracture Incl Internal Fixation When Performed
—
$45,405
$26,099
101
clean
PR Tx Fracture Proximal Humeral Open Incl Int Fixn Incl Repr Tuberosity
—
$61,864
$46,178
101
clean
HC Injection for Arthrogram Elbow Rt
$717
$466
$502
342
clean
PR Reinsertion of Ruptured Biceps/Triceps Tendon Distal W/WO Tendon Graft
—
$34,758
$26,099
101
clean
PR Open Treatment of Humeral Shaft Fracture W Plate/Screws W/WO Cerclage
—
$36,473
$46,178
102
clean
HC Incision Extensor Sheath Wrist Rt
—
$9,113
$5,784
102
clean
PR Radical Exc Bursa Synovia Wrist/Fa Tendon Sheaths Flexors
—
$15,632
$7,024
102
clean
PR Radical Exc Bursa Synovia Wr/Fa Tendon Sheaths Ext Dorsal Retinaculum
—
$13,867
$11,769
102
clean
PR Partial Excision of Bone Ulna
—
$28,838
$11,769
102
clean
PR Carpectomy 1 Bone
—
$31,055
$11,769
102
clean
PR Carpectomy All Bones Proximal Row
—
$50,985
$11,769
101
clean
HC Injection for Arthrography Wrist Lt
$776
$504
$544
342
clean
PR Tenolysis Flexor/Extensor Tendon Forearm and/or Wrist Sgl Ea Tendon
—
$28,838
$11,769
102
clean
PR Arthroplasty Wrist W/WO Interposition or External/Internal Fixation
—
$53,246
$11,769
101
clean
PR Arthroplasty With Prosthetic Replacement Lunate
—
$46,925
$46,178
101
clean
HC Arthroplasty Intercarpal/Carpometacarpal Joints Interposition Rt (Restricted Method II CAH)
—
$72,723
$11,769
101
clean
HC Treatment Fracture Radial Distal Closed W/Manipulation Rt
$1,822
$1,184
$1,458
558
clean
HC Treatment Fx Radial Distal Open W/Internal Fixation Lt (Restricted Method II CAH)
—
$35,271
$26,099
102
clean
HC Treatment Fx Radial Distal Open W/Internal Fixation 2 Frag Lt (Restricted Method II CAH)
—
$35,714
$26,099
102
clean
HC Treatment Fx Radial Distal Open W/Internal Fixation 3+ Frag Lt (Restricted Method II CAH)
—
$38,598
$26,099
101
clean
PR Open Treatment of Ulnar Styloid Fracture
—
$45,361
$26,099
101
clean
HC Drainage Abscess Finger Simple
$367
$239
$275
200
clean
HC Incision Tendon Sheath
—
$11,809
$5,784
102
clean
PR Fasciectomy Partial Palmar W/Release Single Digit Incl Proximal Ipj
—
$14,811
$11,769
102
clean
PR Synovectomy Mcpj Incl Intrinsic Release & Extensor Hood Recon Each Digit
—
$19,923
$11,769
102
clean
HC Excision Lesion Tendon Sheath/Joint Capsule Hand/Finger
—
$14,183
$5,784
102
clean
PR Repair Extensor Tendon Hand Primary/Secondary WO Free Graft Ea Tendon
—
$22,838
$5,784
102
clean
PR Repair Extensor Tendon Finger Prim/Secondary WO Free Graft Each Tendon
—
$19,758
$5,784
102
clean
PR Tenolysis Flexor Tendon Palm or Finger Each Tendon
—
$10,297
$5,784
102
clean
PR Arthroplasty Metacarpophalangeal Joint Each Joint
—
$38,139
$26,099
102
clean
Showing the first 200 of 2,790 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,582 of 1,875 comparable items (84%) 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 $1,327 exceeds the gross charge $669
CPT 73702/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 C2616/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 L0648/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 37262/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 73706/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 C2617/b
info
mrf_item_fields_vary
this code and setting cover at least 171 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 37279/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 73718/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 C2618/b
info
mrf_item_fields_vary
this code and setting cover at least 19 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 L0999/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 differ, so no cross-line comparison was made for this item
CPT 37296/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 73720/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 C2621/b
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L1810/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 differ, so no cross-line comparison was made for this item
CPT 37297/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 73721/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 C2622/b
info
mrf_item_fields_vary
this code and setting cover at least 8 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 37298/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 73722/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 C2623/b
info
mrf_item_fields_vary
this code and setting cover at least 40 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 L1830/b
info
mrf_item_fields_vary
this code and setting cover at least 30 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 37299/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 73723/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 C2624/b
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 L1832/b
info
mrf_item_fields_vary
this code and setting cover at least 8 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 38222/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 C2625/b
info
mrf_item_fields_vary
this code and setting cover at least 72 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 L1833/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 38505/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 C2627/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 38790/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 differ, so no cross-line comparison was made for this item
CPT C2628/b
info
mrf_item_fields_vary
this code and setting cover at least 50 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 C2629/b
info
mrf_item_fields_vary
this code and setting cover at least 15 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 C2630/b
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L1906/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 differ, so no cross-line comparison was made for this item
CPT C2631/b
info
mrf_item_fields_vary
this code and setting cover at least 5 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 L1930/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 differ, so no cross-line comparison was made for this item
CPT C2639/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 differ, so no cross-line comparison was made for this item
CPT C2640/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 84600/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 C2641/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 differ, so no cross-line comparison was made for this item
CPT L2999/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 C8913/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 C8914/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 L3260/b
info
mrf_item_fields_vary
this code and setting cover at least 23 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C9352/b
info
mrf_item_fields_vary
this code and setting cover at least 8 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 C9353/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 L3650/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C9354/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 C9356/b
info
mrf_item_fields_vary
this code and setting cover at least 8 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 L3670/b
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT L3762/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 differ, so no cross-line comparison was made for this item
CPT L3807/b
info
mrf_item_fields_vary
this code and setting cover at least 16 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 C9361/b
info
mrf_item_fields_vary
this code and setting cover at least 19 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 L3809/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 differ, so no cross-line comparison was made for this item
CPT C9362/b
info
mrf_item_fields_vary
this code and setting cover at least 13 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 L3906/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 differ, so no cross-line comparison was made for this item
CPT C9610/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 L3908/b
info
mrf_item_fields_vary
this code and setting cover at least 33 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C9804/b
info
mrf_item_fields_vary
this code and setting cover at least 8 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 L3912/b
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 differ, so no cross-line comparison was made for this item
CPT E0114/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 differ, so no cross-line comparison was made for this item
CPT L3923/b
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 differ, so no cross-line comparison was made for this item
CPT E0191/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT L3925/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT G0008/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 differ, so no cross-line comparison was made for this item
CPT L3927/b
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 differ, so no cross-line comparison was made for this item
CPT G0009/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 differ, so no cross-line comparison was made for this item
CPT G0010/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 differ, so no cross-line comparison was made for this item
CPT L3960/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 L3980/b
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 G0260/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 G0279/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 82274/b
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 L4350/b
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 differ, so no cross-line comparison was made for this item
CPT 50200/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 G0378/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 differ, so no cross-line comparison was made for this item
CPT L4360/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 50390/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 76641/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 differ, so no cross-line comparison was made for this item
CPT 50430/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 76642/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 L4386/b
info
mrf_item_fields_vary
this code and setting cover at least 8 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 0620T/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 50431/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 G0463/b
info
mrf_item_fields_vary
this code and setting cover at least 10 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 L4387/b
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 differ, so no cross-line comparison was made for this item
CPT 50432/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 L4396/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 50433/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 L4398/b
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 50434/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 L8000/b
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 differ, so no cross-line comparison was made for this item
CPT 50435/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 J0133/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 differ, so no cross-line comparison was made for this item
CPT L8015/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 differ, so no cross-line comparison was made for this item
CPT 50436/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 J0153/b
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 differ, so no cross-line comparison was made for this item
CPT L8042/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 50437/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 50693/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 J0165/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 differ, so no cross-line comparison was made for this item
CPT 50694/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 97597/b
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 50695/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 J0169/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 differ, so no cross-line comparison was made for this item
CPT L8499/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 differ, so no cross-line comparison was made for this item
CPT 50706/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 97598/b
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 L8501/b
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 differ, so no cross-line comparison was made for this item
CPT L8507/b
info
mrf_item_fields_vary
this code and setting cover at least 9 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 L8509/b
info
mrf_item_fields_vary
this code and setting cover at least 45 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 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 J0285/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 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 J0289/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 L8600/b
info
mrf_item_fields_vary
this code and setting cover at least 165 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 J0290/b
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 differ, so no cross-line comparison was made for this item
CPT L8606/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 10035/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 J0295/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 differ, so no cross-line comparison was made for this item
CPT L8610/b
info
mrf_item_fields_vary
this code and setting cover at least 7 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 L8612/b
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 J0401/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 L8613/b
info
mrf_item_fields_vary
this code and setting cover at least 73 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 77063/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 J0456/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 differ, so no cross-line comparison was made for this item
CPT L8614/b
info
mrf_item_fields_vary
this code and setting cover at least 11 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 J0457/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 differ, so no cross-line comparison was made for this item
CPT L8630/b
info
mrf_item_fields_vary
this code and setting cover at least 9 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 J0462/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 differ, so no cross-line comparison was made for this item
CPT L8670/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 L8690/b
info
mrf_item_fields_vary
this code and setting cover at least 9 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 59025/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 J0561/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 L8691/b
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 L8693/b
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 J0572/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 L8699/b
info
mrf_item_fields_vary
this code and setting cover at least 9 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 99285/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 J0574/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 J0595/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 differ, so no cross-line comparison was made for this item
CPT J0601/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 J0604/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 J0612/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 differ, so no cross-line comparison was made for this item
CPT 61645/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 A2007/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 differ, so no cross-line comparison was made for this item
CPT J0615/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 A2008/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 differ, so no cross-line comparison was made for this item
CPT A2012/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 differ, so no cross-line comparison was made for this item
CPT J0640/b
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 differ, so no cross-line comparison was made for this item
CPT 15832/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT A4306/b
info
mrf_item_fields_vary
this code and setting cover at least 8 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 J0665/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 15836/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 87899/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 J0670/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 differ, so no cross-line comparison was made for this item
CPT 15860/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 15877/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J0690/b
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 15878/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT A4344/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 differ, so no cross-line comparison was made for this item
CPT J0692/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 differ, so no cross-line comparison was made for this item
CPT Q0162/b
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 15879/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT A4349/b
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 differ, so no cross-line comparison was made for this item
CPT J0694/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 differ, so no cross-line comparison was made for this item
CPT A4351/b
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 J0696/b
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 differ, so no cross-line comparison was made for this item
CPT A4352/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 differ, so no cross-line comparison was made for this item
CPT Q0481/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, max differ, so no cross-line comparison was made for this item
CPT 19030/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 differ, so no cross-line comparison was made for this item
CPT A4353/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 differ, so no cross-line comparison was made for this item
CPT Q0508/b
info
mrf_item_fields_vary
this code and setting cover at least 55 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 A4358/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 differ, so no cross-line comparison was made for this item
CPT J0713/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 differ, so no cross-line comparison was made for this item
CPT 19083/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 A4367/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 differ, so no cross-line comparison was made for this item
CPT Q4038/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J0736/b
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 differ, so no cross-line comparison was made for this item
CPT 19085/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 19100/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 J0750/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 Q4100/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 19120/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 19281/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 J0878/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 differ, so no cross-line comparison was made for this item
CPT Q4102/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 differ, so no cross-line comparison was made for this item
CPT J0885/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, max differ, so no cross-line comparison was made for this item
CPT 19283/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 J1010/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 differ, so no cross-line comparison was made for this item
CPT Q4104/b
info
mrf_item_fields_vary
this code and setting cover at least 10 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 J1100/b
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 differ, so no cross-line comparison was made for this item
CPT Q4105/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 differ, so no cross-line comparison was made for this item
CPT 19285/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 A4407/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 differ, so no cross-line comparison was made for this item
CPT Q4107/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 63047/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT Q4108/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