Service
Code
Listed
Cash
Negotiated
Rates
Checks
Injections of one side of sacrum for enlargement, 1 or more needles, accessed through the skin
$15,134
$3,784
$3,784
17
clean
Injections of both sides of sacrum for enlargement, 2 or more needles, accessed through the skin
$16,285
$4,071
$4,071
17
clean
HC Fine Needle Aspiration Bx W/US Gdn 1st Lesion
$3,213
$803
$803
17
clean
HC Fine Ndl Aspiration Bx W/US Gdn Ea Addl Lesion
$1,418
$355
$355
17
clean
HC Fine Needle Aspiration Bx W/Fluor Gdn 1st Lesion
$1,642
$411
$673
36
clean
HC Fine Needle Aspiration Bx W/CT Gdn 1st Lesion
$2,881
$720
$720
17
clean
HC Fine Needle Aspiration Bx W/CT Gdn Ea Add
$1,418
$355
$355
17
clean
Simple or single drainage of skin abscess
$488
$122
$122
17
clean
Aspiration of abscess, blood, or cyst
$940
$235
$385
36
clean
Permanent removal fingernail or toenail
$758
$190
$190
17
clean
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less
$487
$122
$122
17
clean
Destruction of skin growth, 15 or more growths
$457
$114
$114
17
clean
Needle biopsy of muscle
$3,791
$948
$948
17
clean
Deep biopsy of bone using needle or trocar
$4,003
$1,001
$1,001
17
clean
Injection of carpal tunnel
$713
$178
$178
17
clean
Injection into tendon or ligament
$725
$181
$297
72
clean
Injection of trigger points, 1-2 muscles
$724
$181
$297
36
clean
Injection of trigger points, 3 or more muscles
$724
$181
$297
36
clean
HC Arthrocentesis Asp/Inj Small Joint W/O US
$1,249
$312
$312
34
clean
HC Bilat Arthrocentesis Asp/Inj Interm Jnt W/O US|BILATERAL PROCEDURE|SEPARATE STRUCTURE
$1,866
$467
$535
144
clean
HC Arthrocentesis Asp/Inj Major Joint W/O US|BILATERAL PROCEDURE|SEPARATE STRUCTURE
$1,087
$272
$435
216
clean
Aspiration and/or injection of fluid large joint using ultrasound guidance
$682
$171
$280
36
clean
Stabilization of upper spine bone
$17,423
$4,356
$4,356
17
clean
Stabilization of lower spine bone
$17,423
$4,356
$4,356
17
clean
Stabilization of spine bone, each additional bone
$9,684
$2,421
$2,421
17
clean
Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance
$17,016
$4,254
$4,254
17
clean
Treatment of broken lower spine bone with placement of stabilizing device
$16,285
$4,071
$6,677
36
clean
Treatment of broken spine bone with stabilizing device, each additional segment
$10,843
$2,711
$2,711
17
clean
HC Spine Unlisted Surgical Procedure
$581
$145
$145
17
clean
HC Inj Arthrogram Shoulder|TECHNICAL COMPONENT|BILATERAL PROCEDURE
$380
$95
$109
72
clean
HC Inj Arthrogram Wrist
$871
$218
$218
22
clean
HC Inj Arthrogram Hip W/O Anes
$1,875
$469
$769
36
clean
Tenex fast pelvis/hip
$15,134
$3,784
$3,784
17
clean
HC Njx Px Cntrst Kne Arthg Cntrst Enhncd CT/MRI Kn
$1,520
$380
$380
17
clean
Tenex fast femur/knee
$588
$147
$147
17
clean
Insertion of tube into abdominal, pelvic, or leg artery, each first order branch
$6,114
$1,529
$1,529
17
clean
Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch
$6,725
$1,681
$2,757
36
clean
Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch
$7,085
$1,771
$1,771
17
clean
Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond
$3,858
$965
$965
17
clean
Insertion of needle into vein for collection of blood sample
$61
$15
$15
12
clean
Transfusion of blood or blood products
$1,153
$288
$473
50
clean
HC Insert Non-Tunnl Cvc => 5 Yrs
$3,014
$754
$754
17
clean
Insertion of tube for infusion (5 years or older)
$3,020
$755
$1,238
36
clean
HC Insj Picc W/Rs&I 5 Yr+
$3,014
$754
$754
17
clean
Artery puncture collection of blood sample
$294
$74
$74
22
clean
Needle biopsy or removal of surface lymph nodes
$3,822
$956
$956
17
clean
Biopsy of esophagus using a flexible endoscope through mouth
$3,034
$759
$759
17
clean
Removal of foreign bodies in esophagus using a flexible endoscope
$4,425
$1,106
$1,106
17
clean
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, 3.0 cm or more
$4,429
$1,107
$1,107
17
clean
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$3,034
$759
$1,244
36
clean
HC Egd Biopsy Single/Multiple
$3,034
$759
$1,244
36
clean
Tying of dilated veins of stomach and/or esophagus using a flexible endoscope
$4,331
$1,083
$1,776
36
clean
Dilation of stomach outlet using a flexible endoscope
$4,414
$1,104
$1,810
36
clean
Insertion of stomach tube using a flexible endoscope
$4,331
$1,083
$1,083
17
clean
Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$3,034
$759
$759
17
clean
Insertion of guide wire with dilation of esophagus using a flexible endoscope
$3,034
$759
$759
17
clean
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm
$4,331
$1,083
$1,776
36
clean
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare
$4,331
$1,083
$1,083
17
clean
Destruction of polyp or growth of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$4,331
$1,083
$1,083
17
clean
Dilation of esophagus
$3,337
$834
$834
17
clean
HC Perq Replacement Gtube Not Req Revj Gstrst Trc
$813
$203
$203
17
clean
HC Perq Replacement Gtube Req Revj Gstrst Trc
$895
$224
$224
17
clean
Diagnostic exam of small bowel (including lower small intestine) using an endoscope
$4,425
$1,106
$1,106
17
clean
Diagnostic exam of small bowel using an endoscope inserted through surgically created opening from small bowel to skin
$3,034
$759
$759
17
clean
Diagnostic exam of surgically created pouch of small bowel using an endoscope
$2,199
$550
$550
17
clean
Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin
$3,213
$803
$803
17
clean
Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created opening into large bowel to skin
$2,817
$704
$704
17
clean
Other procedure on small bowel
$2,199
$550
$550
17
clean
Destruction of growth of rectum
$7,435
$1,859
$1,859
17
clean
Diagnostic exam of lower portion of large bowel using a flexible endoscope
$2,009
$502
$502
17
clean
Biopsy of lower large bowel using a flexible endoscope
$2,009
$502
$824
36
clean
Removal of polyps or growths of lower large bowel using a flexible endoscope with electrical cautery
$2,053
$513
$513
17
clean
Injection beneath lining of lower large bowel using a flexible endoscope
$2,736
$684
$1,122
36
clean
Removal of polyps or growths of lower large bowel using a flexible endoscope with mechanical snare
$2,734
$684
$1,121
40
clean
Balloon dilation of lower large bowel using a flexible endoscope
$2,817
$704
$704
17
clean
Destruction of polyp or growth of lower large bowel using a flexible endoscope
$3,368
$842
$842
17
clean
Diagnostic exam of large bowel using a flexible endoscope
$3,063
$766
$1,256
36
clean
Biopsy of large bowel using a flexible endoscope
$3,063
$766
$1,256
36
clean
Injection beneath lining of large bowel using a flexible endoscope
$3,063
$766
$1,256
36
clean
Control of bleeding of upper large bowel using a flexible endoscope
$3,369
$842
$842
17
clean
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery
$3,063
$766
$766
17
clean
Removal of polyps or growths of large bowel using an endoscope with mechanical snare
$3,063
$766
$1,256
36
clean
Removal of large bowel tissue using a flexible endoscope
$3,063
$766
$766
17
clean
HC Biopsy Liver Needle Perc
$3,341
$835
$835
17
clean
HC Biopsy Abdom/Retroperitonial Mass Perc Ndl
$3,791
$948
$948
17
clean
Needle biopsy of kidney
$3,791
$948
$948
17
clean
Ultrasound measurement of bladder capacity after voiding
$150
$38
$62
50
clean
Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes
$1,267
$317
$317
17
clean
Needle biopsy of thyroid through skin
$1,929
$482
$482
17
clean
Aspiration of cerebrospinal fluid and injection in shunt tubing or reservoir
$2,146
$537
$880
36
clean
Aspiration of spinal disc tissue for diagnostic purposes
$1,597
$399
$399
17
clean
Aspiration of fluid from cyst of spinal cord or fluid-filled cavity
$2,178
$545
$545
17
clean
Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test
$1,347
$337
$337
17
clean
Removal of cerebrospinal fluid with lower back spinal tap
$930
$233
$233
17
clean
Injection of blood or blood clot into spinal canal
$2,072
$518
$850
36
clean
Injection of contrast for imaging of lower spinal canal
$2,053
$513
$513
17
clean
Injection of contrast for imaging of each level of lower spine
$1,525
$381
$625
36
clean
Injection of contrast for imaging of each level of middle or upper spine
$1,525
$381
$625
36
clean
X-ray of upper spinal canal with review by radiologist
$4,116
$1,029
$1,688
50
clean
X-ray of middle spinal canal with review by radiologist
$4,116
$1,029
$1,688
50
clean
X-ray of lower spinal canal with review by radiologist
$4,116
$1,029
$1,688
50
clean
X-ray of multiple regions of spinal canal with review by radiologist
$4,116
$1,029
$1,688
50
clean
Injection of substance into middle or upper spine canal
$1,467
$367
$367
17
clean
Injection of substance into middle or upper spine canal using imaging guidance
$2,539
$635
$1,041
36
clean
Injection of substance into lower spine canal
$1,467
$367
$601
36
clean
HC Inj Epidural Lumb/Caud W/Imaging
$2,539
$635
$1,041
36
clean
Insertion of tube and injection of substance into lower spine canal
$1,814
$454
$454
17
clean
Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance
$1,702
$426
$698
36
clean
Removal of cerebrospinal fluid with lower back spinal tap using imaging guidance
$1,702
$426
$698
36
clean
Insertion, revision, or repositioning of spinal canal tube for medication administration
$13,717
$3,429
$3,429
17
clean
Insertion of programmable spinal canal drug infusion pump
$57,597
$14,399
$14,399
17
clean
Insertion of spinal neurostimulator electrode array through skin
$18,685
$4,671
$7,661
36
clean
Revision of spinal neurostimulator electrode array using fluoroscopic guidance
$28,425
$7,106
$7,106
17
clean
Injection of anesthetic agent and/or steroid into face nerve
$661
$165
$271
36
clean
Injection of anesthetic agent and/or steroid into upper neck and back of head nerve|BILATERAL PROCEDURE|SEPARATE STRUCTURE
$1,622
$405
$649
216
clean
Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)
$1,814
$454
$744
36
clean
Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter
$1,814
$454
$454
17
clean
Injection of anesthetic agent and/or steroid into upper arm and shoulder nerve (axillary nerve)
$1,814
$454
$744
36
clean
Injection of anesthetic agent and/or steroid into suprascapular shoulder nerve
$1,467
$367
$367
17
clean
Injection of anesthetic agent and/or steroid into rib nerve
$1,467
$367
$601
72
clean
HC Bilat Inj Nerve Intercostal Ea Addl Lvl
$2,072
$518
$850
72
clean
Injection of anesthetic agent and/or steroid into lower abdomen and groin nerve
$2,622
$655
$655
17
clean
Injection of anesthetic agent and/or steroid into external genitals and anus nerve
$4,152
$1,038
$1,785
72
clean
Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)
$2,072
$518
$850
72
clean
Continuous infusion of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve) through catheter
$1,814
$454
$454
17
clean
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)
$1,467
$367
$601
72
clean
Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter
$1,814
$454
$454
17
clean
HC Bilat Inj Nerve Other Peripheral
$1,760
$440
$1,082
288
clean
Injection of anesthetic agent and/or steroid into spine and pelvis nerve using imaging guidance
$1,702
$426
$426
17
clean
Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance
$1,724
$431
$741
144
clean
HC Bilat Inj Anes/Steroid Trnsf C/T Sngl
$2,485
$621
$1,069
144
clean
Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, each additional level
$2,005
$501
$822
36
clean
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level|BILATERAL PROCEDURE|SEPARATE STRUCTURE
$4,288
$1,072
$1,715
216
clean
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level|BILATERAL PROCEDURE
$1,622
$405
$465
144
clean
Injection of local anesthetic for abdominal wall pain control on side using imaging guidance
$2,859
$715
$715
17
clean
Continuous infusion of local anesthetic for abdominal wall pain control on side using imaging guidance
$3,145
$786
$786
17
clean
Injection of local anesthetic for abdominal wall pain control on both sides using imaging guidance
$4,288
$1,072
$1,758
36
clean
Continuous infusion of local anesthetic for abdominal wall pain control on both sides using imaging guidance
$4,718
$1,179
$1,179
17
clean
HC Inj Paravert Cerv/Thorac Sngl Lvl|BILATERAL PROCEDURE
$3,109
$777
$891
144
clean
Injection of upper or middle spine facet joint using imaging guidance, second level
$725
$181
$312
144
clean
Injection of upper or middle spine facet joint using imaging guidance, third and any additional level
$870
$218
$357
72
clean
Injection of lower or sacral spine facet joint using imaging guidance, single level|BILATERAL PROCEDURE
$3,645
$911
$1,045
144
clean
Injection of lower or sacral spine facet joint using imaging guidance, second level|BILATERAL PROCEDURE
$1,086
$272
$312
144
clean
Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level|BILATERAL PROCEDURE
$1,087
$272
$312
144
clean
Injection of anesthetic agent, trigeminal nerve bundle
$710
$178
$291
36
clean
Injection of anesthetic agent into sympathetic nerve bundle
$2,072
$518
$850
72
clean
Injection of anesthetic agent into sacral nerve bundle
$6,022
$1,505
$2,469
36
clean
Injection of anesthetic agent into middle or lower spine sympathetic nerve
$2,072
$518
$850
72
clean
HC Inj Anesthetic Agent Celiac Plex
$2,072
$518
$850
36
clean
Insertion of peripheral nerve neurostimulator electrode through skin
$17,076
$4,269
$6,404
34
clean
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face
$727
$182
$182
17
clean
Injection of agent to destroy rib nerve
$2,108
$527
$864
36
clean
Destruction of nerve branches of knee using imaging guidance
$4,681
$1,170
$1,919
36
clean
Destruction of nerves supplying joint between spine and pelvis using imaging guidance|BILATERAL PROCEDURE
$7,022
$1,755
$2,013
144
clean
Destruction of external genital nerve
$2,606
$652
$1,121
72
clean
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint|BILATERAL PROCEDURE
$7,298
$1,824
$2,092
144
clean
Bilateral destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint
$2,814
$704
$1,210
144
clean
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint|BILATERAL PROCEDURE
$6,442
$1,611
$1,847
144
clean
Bilateral destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
$2,489
$622
$1,070
144
clean
Destruction of peripheral nerve or branch|BILATERAL PROCEDURE
$3,109
$777
$891
144
clean
Injection of agent to destroy abdominal nerve bundle
$1,815
$454
$454
17
clean
Other procedure on nervous system
$2,686
$672
$1,101
36
clean
Removal of foreign body from external eye (conjunctiva)
$387
$97
$97
17
clean
Incision of eardrum with placement of eardrum tube under general anesthesia|BILATERAL PROCEDURE
$14,250
$3,563
$4,085
144
clean
Review by radiologist of brain and spinal cord image
$1,907
$477
$477
22
clean
X-ray of eye for detection of foreign body
$172
$43
$43
22
clean
X-ray of nose bones, minimum of 3 views
$172
$43
$43
22
clean
X-ray of paranasal sinus, 1-2 views
$278
$69
$114
50
clean
X-ray of paranasal sinus, minimum of 3 views
$260
$65
$107
50
clean
X-ray of skull, 1-3 views
$278
$69
$114
50
clean
X-ray of skull, minimum of 4 views
$296
$74
$74
22
clean
X-ray of jaw joints on both sides of mouth
$220
$55
$55
22
clean
MRI scan of jaw joint
$636
$159
$261
35
clean
X-ray of soft tissue of neck
$232
$58
$95
50
clean
CT scan head or brain without contrast
$2,098
$524
$860
35
clean
CT scan head or brain with contrast
$1,861
$465
$763
35
clean
CT scan of head or brain before and after contrast
$2,797
$699
$1,147
35
clean
CT scan of cranial cavity without contrast
$2,447
$612
$1,003
35
clean
CT scan of cranial cavity with contrast
$2,244
$561
$561
12
clean
CT scan of cranial cavity before and after contrast
$2,070
$517
$849
35
clean
CT scan of face without contrast
$2,447
$612
$1,003
35
clean
CT scan of face with contrast
$1,861
$465
$763
35
clean
CT scan of face before and after contrast
$2,070
$517
$517
12
clean
CT scan of soft tissue of neck without contrast
$1,189
$297
$487
35
clean
CT scan of soft tissue of neck with contrast
$1,861
$465
$763
35
clean
CT scan of soft tissue of neck before and after contrast
$2,070
$517
$849
35
clean
CT scan of blood vessels of head with contrast
$2,097
$524
$860
35
clean
CT scan of blood vessels of neck with contrast
$2,097
$524
$860
35
clean
MRI scan of bone of eye socket, face, and/or neck without contrast
$1,995
$499
$818
35
clean
MRI scan of bone of eye socket, face, and/or neck with contrast
$2,569
$642
$1,053
35
clean
MRI scan of bone of eye socket, face, and/or neck before and after contrast
$3,148
$787
$1,291
35
clean
MRI scan of blood vessels of head without contrast
$1,995
$499
$818
35
clean
MRI scan of blood vessels of head with contrast
$2,569
$642
$1,053
35
clean
MRI scan of blood vessels of head before and after contrast
$2,194
$549
$900
35
clean
MRI scan of blood vessels of neck without contrast
$1,995
$499
$499
12
clean
MRI scan of blood vessels of neck with contrast
$2,194
$549
$900
35
clean
MRI scan of blood vessels of neck before and after contrast
$2,413
$603
$989
35
clean
MRI scan of brain without contrast
$3,327
$832
$1,364
35
clean
MRI scan of brain with contrast
$3,660
$915
$1,500
35
clean
MRI scan of brain before and after contrast
$3,148
$787
$1,291
35
clean
Showing the first 200 of 900 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 20605/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 20610/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 23350/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 64405/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 64430/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 64445/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 64450/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 64454/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 64479/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 64483/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 differ, so no cross-line comparison was made for this item
CPT 64484/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 64490/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 64491/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 64493/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 64494/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 differ, so no cross-line comparison was made for this item
CPT 64495/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 64520/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 64555/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 64625/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 64630/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 64633/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 64634/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 64635/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 64636/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 64640/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 69436/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 73030/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 73564/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 77002/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 A4615/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT A6206/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 A9575/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1713/b
info
mrf_item_fields_vary
this code and setting cover at least 962 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1725/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 C1726/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 differ, so no cross-line comparison was made for this item
CPT C1729/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 differ, so no cross-line comparison was made for this item
CPT C1750/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1751/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 differ, so no cross-line comparison was made for this item
CPT C1755/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 differ, so no cross-line comparison was made for this item
CPT C1758/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 C1762/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 differ, so no cross-line comparison was made for this item
CPT C1763/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 differ, so no cross-line comparison was made for this item
CPT C1765/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 C1767/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 differ, so no cross-line comparison was made for this item
CPT C1768/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 differ, so no cross-line comparison was made for this item
CPT C1769/b
info
mrf_item_fields_vary
this code and setting cover at least 49 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1771/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 differ, so no cross-line comparison was made for this item
CPT C1772/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 C1776/b
info
mrf_item_fields_vary
this code and setting cover at least 204 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1778/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 differ, so no cross-line comparison was made for this item
CPT C1781/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 differ, so no cross-line comparison was made for this item
CPT C1783/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1784/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 differ, so no cross-line comparison was made for this item
CPT C1787/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 differ, so no cross-line comparison was made for this item
CPT C1788/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 differ, so no cross-line comparison was made for this item
CPT C1789/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 differ, so no cross-line comparison was made for this item
CPT C1816/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 C1820/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 differ, so no cross-line comparison was made for this item
CPT C1822/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 differ, so no cross-line comparison was made for this item
CPT C1883/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 differ, so no cross-line comparison was made for this item
CPT C1886/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 C1887/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 differ, so no cross-line comparison was made for this item
CPT C1889/b
info
mrf_item_fields_vary
this code and setting cover at least 82 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1894/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 differ, so no cross-line comparison was made for this item
CPT C1897/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 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 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 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C9364/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 C9804/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 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 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 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 differ, so no cross-line comparison was made for this item
CPT J0282/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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0475/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 J0618/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 J0665/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0692/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 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 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 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1165/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 J1171/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 J1596/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 J1644/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 J1650/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 J1885/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1920/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 J2003/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 J2004/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 J2185/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 J2250/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 J2270/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 J2274/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2305/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 J2543/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 J2598/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 J2704/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2919/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 J3260/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 J3373/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 J3410/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 J3475/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 J3480/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 differ, so no cross-line comparison was made for this item
CPT J7030/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 J7050/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 J7120/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 J7507/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 J8540/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 L8613/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 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 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 34 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4116/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 differ, so no cross-line comparison was made for this item
CPT Q4118/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4122/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 Q4125/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 differ, so no cross-line comparison was made for this item
CPT Q4126/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 Q4133/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 differ, so no cross-line comparison was made for this item
CPT Q4150/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4171/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 Q4193/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 Q9966/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q9967/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 differ, so no cross-line comparison was made for this item
CPT V2632/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 differ, so no cross-line comparison was made for this item
CPT V2787/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 differ, so no cross-line comparison was made for this item
CPT V2788/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item