Service
Code
Listed
Cash
Negotiated
Rates
Checks
RBC Dna Hea 35 Ag 11 Bld Grp
$583
$379
$583
88
clean
Quaking Induced Conversion for Prion Detection
$1,050
$683
$590
44
clean
Biofire Respiratory Virus 12-25 Targets With Covid-19
$1,062
$690
$454
176
clean
WATERJET PROSTATE ABLTJ CMPL
—
—
—
0
clean
INSJ AQUEOUS DRAIN DEV 1ST
—
—
—
0
clean
Insert Gtube Perq W/Magnetic Gastropexy, US Guidance
$7,700
$5,005
$2,325
44
clean
Fine Needle Aspiration Biopsy W/ US Guid, First Lesion
$3,006
$1,954
$858
176
clean
Fine Needle Aspiration Biopsy W/ US Guid, Ea Addl Lesion
$2,050
$1,333
$1,691
16
clean
Fine Needle Aspiration Biopsy W/ CT Guid, First Lesion
$2,992
$1,945
$858
44
clean
HB Fine Needl Asp W/O Guidance
$1,608
$1,045
$493
176
clean
HB Guided Catheter Fluid Drainage, Perc
$2,992
$1,945
$858
44
clean
Place Soft Tissue Loc Device, 1st Lesion, Incl Guidance
$2,992
$1,945
$858
176
clean
Acne Surgery
$248
$161
$225
44
clean
I&D Abs/Cyst Smpl/One
$248
$161
$230
484
clean
I&D Abs/Cyst Cmplx/Mult
$1,608
$1,045
$488
484
clean
ED I&D Pilonidal Cyst Smpl
$3,128
$2,033
$858
88
clean
ED I&D Pilondial Cyst Cmplx
$3,128
$2,033
$858
88
clean
HB I&R FB Subq Simple
$498
$324
$461
264
clean
Incise & Removal, Foreign Body, Subcu, Complicated
$6,166
$4,008
$2,001
88
clean
HB I & D of Hematoma
$2,019
$1,312
$1,891
176
clean
ED Punc Asp Abscess Cyst
$2,062
$1,340
$488
440
clean
ED I&D Postop Wound, Complex
$12,931
$8,405
$3,519
44
clean
Debride Infect Skin to 10%
$2,852
$1,854
$493
44
clean
ED Debride Open Fx/Dislo, Skin/Sq/Muscle/Bone
$12,931
$8,405
$3,519
44
clean
ED Debrid Skin and Subcu Tissue 1st 20sq Cm or Less
$1,969
$1,280
$493
308
clean
Debrid Skin, Sq, Muscle, First 20 Sq Cm or Less
$3,016
$1,960
$895
44
clean
Debride Skin, Sq, Musc, Bone, First 20 Sq Cm or <
$7,504
$4,878
$2,001
88
clean
DBRDMT MUSC&/FSCA EA ADDL
—
—
—
0
clean
Pare/Cut Benigin Lesion Sgl
$770
$501
$241
264
clean
Pare/Cut 2-4 Benign Lesions
$770
$501
$243
132
clean
Biopsy of Skin (Shave), Single Lesion
$248
$161
$248
352
clean
Biopsy of Skin (Shave), Ea Addtl Lesion
$226
$147
$186
40
clean
Punch Biopsy of Skin, Single Lesion
$498
$324
$452
396
clean
Punch Biopsy of Skin, Ea Addtl Lesion
$292
$190
$241
32
clean
Incnl Biopsy Skin Wedge Inc Simple Closure, Single Lesion
$2,427
$1,578
$887
440
clean
Incnl Biopsy Skin Wedge Inc Simple Closur, Ea Addl Lesion
$1,102
$716
$909
16
clean
HB Remove Skin Tags 1-15
$248
$161
$223
308
clean
Remove Skin Tags Ea Add 10
$199
$129
$164
16
clean
HB Shave Lsn Trnk/Ext <0.5cm Sgl
$498
$324
$456
176
clean
HB Shave Lsn Trnk/Ext 0.6-1.0cm
$248
$161
$225
132
clean
HB Ex Bng Lsn Trnk/Ext <0.5cm
$877
$877
$796
176
clean
HB Ex Bng Lsn Tnk/Ext .6-1.0cm
$1,608
$1,608
$493
132
clean
HB Ex Bng Lsn Tnk/Ext 1.1-2.Cm
$2,546
$2,546
$850
176
clean
HB Ex Bng Lsn Tnk/Ext 2.1-3.Cm
$2,546
$2,546
$850
176
clean
HB Ex Bng Lsn Tnk/Ext 3.1-4.Cm
$6,166
$3,140
$2,001
88
clean
EXC TR-EXT B9+MARG >4.0 CM
—
—
—
0
clean
HB Ex Bng Lsn Hd/Hn/Ft <0.5cm
$6,166
$4,008
$2,001
88
clean
HB Ex Bng Lsn Hd/Hn/Ft .6-1.Cm
$2,546
$1,655
$858
176
clean
HB Ex Bn Lsn Hd/Hn/Ft 1.1-2.Cm
$6,166
$4,008
$1,983
132
clean
HB Ex Bn Lsn Hd/Hn/Ft 2.1-3.Cm
$6,166
$4,008
$2,001
88
clean
EXC H-F-NK-SP B9+MARG 3.1-4
—
—
—
0
clean
HB Ex Bng Lsn Hd/Hn/Ft >4.0cm
$10,919
$7,097
$3,519
44
clean
HB Ex Bng Lsn Face <0.5cm
$2,546
$1,655
$858
132
clean
HB Ex Bng Lsn Face 1.1-2.0 Cm
$2,546
$1,655
$858
176
clean
EXC FACE-MM B9+MARG 2.1-3 CM
—
—
—
0
clean
EXC SKN HDRDNT AX SMPL/NTRM
—
—
—
0
clean
EXC SKN HDRDNT ING SMPL/NTRM
—
—
—
0
clean
EXC SKN H/P/P/U SMPL/NTRM
—
—
—
0
clean
HB Ex Mlg Lsn Tnk/Ext .6-1.0cm
$877
$570
$788
132
clean
HB Ex Mlg Lsn Tnk/Ext 1.1-2.Cm
$498
$324
$456
132
clean
HB Ex Mlg Lsn Tnk/Ext 2.1-3.Cm
$877
$570
$796
132
clean
HB Ex Mlg Lsn Hd/Hn/Ft <0.5cm
$6,166
$4,008
$2,001
44
clean
HB Ex Ml Lsn Hd/Hn/Ft 1.1-2.Cm
$877
$570
$796
132
clean
EXC S/N/H/F/G MAL+MRG 2.1-3
—
—
—
0
clean
EXC S/N/H/F/G MAL+MRG 3.1-4
—
—
—
0
clean
EXC S/N/H/F/G MAL+MRG >4 CM
—
—
—
0
clean
HB Ex Mlg Lsn Face 1.1-2.0cm
$2,546
$1,655
$858
88
clean
Nail Trim, Non-Dystrophic
$74
$48
$67
176
clean
Nail Debridement 1-5
$236
$153
$71
132
clean
Nail Debridement 6 or More
$74
$48
$67
220
clean
ED Avulsion of Nail Plate
$923
$600
$230
572
clean
Avulsion Nail, Partial/Complete Each Addtl Nail
$178
$116
$156
24
clean
ED Evac Subungual Hematoma
$549
$357
$161
132
clean
ED Excise Nail & Nail Matix
$1,969
$1,280
$493
484
clean
HB Biopsy of Nail Unit
$877
$570
$807
44
clean
ED Repair of Nail Bed
$3,016
$1,960
$895
132
clean
ED Wedge Excision Nail Fold
$1,969
$1,280
$493
132
clean
EXC PILONIDAL CYST SIMPLE
—
—
—
0
clean
EXC PILONIDAL CYST XTNSV
—
—
—
0
clean
EXC PILONIDAL CYST COMP
—
—
—
0
clean
Inj Intralesional, 0-7
$248
$161
$225
220
clean
HB Inj Intralesional >7 Lesions
$248
$161
$225
176
clean
RPLCMT TISS XPNDR PERM IMPLT
—
—
—
0
clean
HB Subq Hormone Pellet Impl
$498
$324
$497
88
clean
Insert Non Biodegradable Drug Implant
$161
$105
$152
220
clean
Remove Drug Implant
$498
$324
$498
308
clean
Removal W/Reinsertion Drug Implant
$498
$324
$497
88
clean
HB Sclp/Trnk Smpl-2.5cm
$770
$501
$241
704
clean
ED Scp/Trnk Smpl 2.6-7.5cm
$923
$600
$243
220
clean
ED Scp/Trnk Smpl 7.6-12.5cm
$1,008
$655
$243
132
clean
ED Scp/Trnk Smpl 12.6-20cm
$1,969
$1,280
$493
88
clean
ED Scp/Trnk Smpl 20.1-30cm
$1,969
$1,280
$493
44
clean
Smpl Wnd Rpr Sclp/Nk/Ax/Gen/Trnk/Ext >30.0 Cm
$923
$600
$243
44
clean
ED Face/Ear/Eye Smpl - 2.5cm
$923
$600
$243
220
clean
ED Face/Ear/Eye Smpl 2.6-5.0cm
$981
$638
$243
176
clean
ED Face/Ear/Eye Smpl 5.1-7.5cm
$1,012
$658
$243
44
clean
ED Fce/Ear/Eye Smpl 7.6-12.5cm
$1,090
$709
$243
44
clean
ED Face/Ear/Eye Smpl 12.6-20cm
$1,969
$1,280
$493
44
clean
HB Tx Superficial Wnd Dehis Sm
$2,427
$1,578
$895
132
clean
HB Scp/Trnk Inter to 2.5cm
$1,608
$1,045
$493
176
clean
HB Scp/Trnk Inter 2.6-7.5cm
$498
$324
$465
220
clean
ED Scp/Trnk Inter 7.6-12.5cm
$1,969
$1,280
$493
88
clean
Wound Repair Scp/Trnk/Ext/Ax Inter 12.6-20cm
$1,890
$1,229
$493
88
clean
ED Scp/Trnk Inter 20.1-30cm
$3,016
$1,960
$895
44
clean
INTMD RPR S/TR/EXT >30.0 CM
—
—
—
0
clean
ED Nck/Hnd/Ft Inter to 2.5cm
$1,969
$1,280
$493
132
clean
ED Nck/Hnd/Ft Inter 2.6-7.5cm
$1,969
$1,280
$493
88
clean
INTMD RPR N-HF/GENIT7.6-12.5
—
—
—
0
clean
Repair Wound, Intermediate,Nedck/Hand/Foot/G
$3,016
$1,960
$895
44
clean
ED Face/Ear/Eye Inter to 2.5cm
$1,969
$1,280
$493
132
clean
ED Face/Ear/Eye Intr 2.6-5.0cm
$1,969
$1,280
$493
88
clean
ED Face/Ear/Eye Intr 5.1-7.5cm
$1,969
$1,280
$493
88
clean
ED Fce/Ear/Eye Intr 7.6-12.5cm
$1,969
$1,280
$493
88
clean
ED Face/Ear/Eye Intr 12.6-20cm
$2,053
$1,334
$493
88
clean
CMPLX RPR TRUNK 2.6-7.5 CM
—
—
—
0
clean
CMPLX RPR TRUNK ADDL 5CM/<
—
—
—
0
clean
ED Scp/Lmb Cmplx 2.6-7.5cm
$3,016
$2,510
$493
88
clean
ED Scp/Lmb Cmplx Ea Add 5cm
$897
$897
$785
8
clean
ED Face/Hnd/Ft Cmplx 1.1-2.5cm
$1,969
$1,969
$493
44
clean
ED Face/Hnd/Ft Cmplx 2.6-7.5cm
$3,016
$2,510
$493
44
clean
ED Fce/Hnd/Ft Cmplx Ea Add 5cm
$1,186
$1,186
$1,038
8
clean
ED Eye/Ear/Nose Cplx 1.1-2.5cm
$3,016
$2,510
$895
44
clean
ED Eye/Ear/Nose Cplx 2.6-7.5cm
$3,016
$2,510
$895
88
clean
ED Eye/Ear/Nose Cplx Ea Ad 5cm
$1,562
$1,562
$1,367
8
clean
SEC CLSR SURG WND/DEHSN XTN
—
—
—
0
clean
TIS TRNFR S/A/L 10 SQ CM/<
—
—
—
0
clean
TIS TRNFR S/A/L 10.1-30 SQCM
—
—
—
0
clean
Tiss Tsfr Hed,Cks,Chn,Mth,Nk,Genit,Hnd,Ft Up to 10 Sq Cm
$4,256
$2,930
$2,500
44
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
—
—
—
0
clean
TIS TRNFR E/N/E/L 10 SQ CM/<
—
—
—
0
clean
TIS TRNFR E/N/E/L10.1-30SQCM
—
—
—
0
clean
TIS TRNFR ANY 30.1-60 SQ CM
—
—
—
0
clean
TIS TRNFR ADDL 30 SQ CM
—
—
—
0
clean
WOUND PREP TRK/ARM/LEG
—
—
—
0
clean
WOUND PREP ADDL 100 CM
—
—
—
0
clean
WOUND PREP F/N/HF/G
—
—
—
0
clean
WND PREP F/N/HF/G ADDL CM
—
—
—
0
clean
SPLT AGRFT T/A/L 1ST 100SQCM
—
—
—
0
clean
SPLT AGRFT T/A/L EA ADDL 100
—
—
—
0
clean
SPLT AGRFT F/S/N/H/F/G/M 1ST
—
—
—
0
clean
FTH/GFT FR S/A/L 20 SQ CM/<
—
—
—
0
clean
FTH/GFT FR N/E/E/L 20 SQCM/<
—
—
—
0
clean
PEDICLE E/N/E/L/NTRORAL
—
—
—
0
clean
DELAY FLAP F/C/C/N/AX/G/H/F
—
—
—
0
clean
DELAY FLAP EYE/NOS/EAR/LIP
—
—
—
0
clean
TRANSFER SKIN PEDICLE FLAP
—
—
—
0
clean
MDFC FLAP W/PRSRV VASC PEDCL
—
—
—
0
clean
FOREHEAD FLAP W/VASC PEDICLE
—
—
—
0
clean
MUSC MYOQ/FSCQ FLP H&N PEDCL
—
—
—
0
clean
MUSCLE-SKIN GRAFT TRUNK
—
—
—
0
clean
ISLAND PEDICLE FLAP GRAFT
—
—
—
0
clean
COMPOSITE SKIN GRAFT
—
—
—
0
clean
GRFG AUTOL SOFT TISS DIR EXC
—
—
—
0
clean
GRFG AUTOL FAT LIPO 50 CC/<
—
—
—
0
clean
GRFG AUTOL FAT LIPO EA ADDL
—
—
—
0
clean
GRFG AUTOL FAT LIPO 25 CC/<
—
—
—
0
clean
ACELLULAR DERM MATRIX IMPLT
—
—
—
0
clean
BLEPHAROPLASTY UPPER EYELID
—
—
—
0
clean
BLEPHARP UPR EYELID XCSV SKN
—
—
—
0
clean
EXC EXCESSIVE SKIN ABDOMEN
—
—
—
0
clean
EXC EXCESSIVE SKIN ARM
—
—
—
0
clean
EXC SKIN ABD ADD-ON
—
—
—
0
clean
REMOVAL SUTR/STAPLE REQ ANES
—
—
—
0
clean
Removal Sutures/Staples, Not Req Anesthesia
$615
$400
$538
8
clean
SUCTION LIPECTOMY TRUNK
—
—
—
0
clean
ED Local Init Tx 1 Deg Burn
$923
$600
$243
44
clean
ED Burn Small 1-2 Degree
$924
$601
$243
132
clean
Burn Medium 1-2 Degree
$905
$588
$243
44
clean
Burn Large 1-2 Degree
$1,120
$728
$493
44
clean
Destruction Premalignant Lesion, First
$248
$161
$223
308
clean
Destruction, Premalignant, 2-14 Lesions
$68
$44
$56
40
clean
Destruction Benign Lesions 1-14
$248
$161
$223
352
clean
Destruction Benign Lesions 15+
$248
$161
$225
88
clean
Chemical Cauterization Granulation Tissue
$248
$161
$223
220
clean
UNLISTD PX SKN MUC MEMB SUBQ
—
—
—
0
clean
ED Puncture Aspiration Breast Cyst
$3,713
$2,413
$858
132
clean
MA Ductogram Injection
$1,826
$1,187
$1,506
8
clean
HB Bx Breast W/Dev Plcmnt 1st Lesion,Stereotactic Guidance
$7,246
$4,710
$2,001
88
clean
HB Bx Breast W/Dev Plcmnt Addl Lesion,Stereotactic Guidance
$3,841
$2,497
$3,169
8
clean
HB Bx Breast W/Device Plcmnt 1st Lesion, US Guidance
$7,246
$4,710
$2,001
176
clean
HB Bx Breast W/Device Plcmnt Addl Lesion, US Guidance
$3,659
$2,378
$3,019
24
clean
HB Exc Cyst/Fibroadenoma/Other Ben/Mal Tumor Breast
$14,388
$9,352
$4,700
132
clean
HB Perq Device Plcmnt 1st Lesion, Mammographic Guidance
$7,246
$4,710
$2,001
220
clean
HB Perq Device Plcmnt Addl Lesion, Mammographic Guidance
$2,076
$1,349
$1,713
24
clean
HB Perq Device Plcmnt 1st Lesion, US Guidance
$2,992
$1,945
$858
264
clean
HB Perq Device Plcmnt Addl Lesion, US Guidance
$1,273
$827
$1,050
24
clean
MASTECTOMY FOR GYNECOMASTIA
—
—
—
0
clean
MAST SIMPLE COMPLETE
—
—
—
0
clean
BREAST REDUCTION
—
—
—
0
clean
BREAST AUGMENTATION W/IMPLT
—
—
—
0
clean
RMVL INTACT BREAST IMPLANT
—
—
—
0
clean
RMVL RUPTURED BREAST IMPLANT
—
—
—
0
clean
INSJ/RPLCMT BRST IMPLT SEP D
—
—
—
0
clean
NIPPLE/AREOLA RECONSTRUCTION
—
—
—
0
clean
TISS XPNDR PLMT BRST RCNSTJ
—
—
—
0
clean
REVJ PERI-IMPLT CAPSULE BRST
—
—
—
0
clean
PERI-IMPLT CAPSLC BRST COMPL
—
—
—
0
clean
REVJ RECONSTRUCTED BREAST
—
—
—
0
clean
UNLISTED PROCEDURE BREAST
—
—
—
0
clean
Showing the first 200 of 3,721 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 51736/o
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $161
CPT 86141/o
warn
mrf_negotiated_above_gross
highest negotiated rate $125 exceeds the gross charge $106
CPT 53600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $328 exceeds the gross charge $303
CPT 53620/o
warn
mrf_negotiated_above_gross
highest negotiated rate $915 exceeds the gross charge $838
CPT 54150/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,742 exceeds the gross charge $750
CPT 54200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $328 exceeds the gross charge $303
CPT 54235/o
warn
mrf_negotiated_above_gross
highest negotiated rate $328 exceeds the gross charge $303
CPT 55000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $929 exceeds the gross charge $877
CPT J7500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $20 exceeds the gross charge $18
CPT 55250/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,742 exceeds the gross charge $2,552
CPT 55876/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,815 exceeds the gross charge $1,705
CPT E0189/o
warn
mrf_negotiated_above_gross
highest negotiated rate $45 exceeds the gross charge $38
CPT G0008/o
warn
mrf_negotiated_above_gross
highest negotiated rate $61 exceeds the gross charge $58
CPT 56501/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,706 exceeds the gross charge $2,279
CPT G0009/o
warn
mrf_negotiated_above_gross
highest negotiated rate $61 exceeds the gross charge $58
CPT 56605/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,208 exceeds the gross charge $1,085
CPT 86704/o
warn
mrf_negotiated_above_gross
highest negotiated rate $137 exceeds the gross charge $116
CPT 57160/o
warn
mrf_negotiated_above_gross
highest negotiated rate $265 exceeds the gross charge $251
CPT G0010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $61 exceeds the gross charge $58
CPT 86706/o
warn
mrf_negotiated_above_gross
highest negotiated rate $138 exceeds the gross charge $117
CPT G0101/o
warn
mrf_negotiated_above_gross
highest negotiated rate $133 exceeds the gross charge $116
CPT 57452/o
warn
mrf_negotiated_above_gross
highest negotiated rate $265 exceeds the gross charge $251
CPT G0402/o
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $161
CPT 57454/o
warn
mrf_negotiated_above_gross
highest negotiated rate $400 exceeds the gross charge $379
CPT 57456/o
warn
mrf_negotiated_above_gross
highest negotiated rate $400 exceeds the gross charge $379
CPT J7611/o
warn
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $19
CPT 57500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,208 exceeds the gross charge $1,085
CPT J7613/o
warn
mrf_negotiated_above_gross
highest negotiated rate $20 exceeds the gross charge $18
CPT 57505/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,208 exceeds the gross charge $1,085
CPT J7620/o
warn
mrf_negotiated_above_gross
highest negotiated rate $22 exceeds the gross charge $20
CPT 59200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $400 exceeds the gross charge $379
CPT J8515/o
warn
mrf_negotiated_above_gross
highest negotiated rate $33 exceeds the gross charge $30
CPT J8610/o
warn
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $19
CPT 87086/o
warn
mrf_negotiated_above_gross
highest negotiated rate $107 exceeds the gross charge $91
CPT 64425/o
warn
mrf_negotiated_above_gross
highest negotiated rate $926 exceeds the gross charge $863
CPT 64435/o
warn
mrf_negotiated_above_gross
highest negotiated rate $926 exceeds the gross charge $863
CPT 87340/o
warn
mrf_negotiated_above_gross
highest negotiated rate $124 exceeds the gross charge $105
CPT 0001U/o
warn
mrf_negotiated_above_gross
highest negotiated rate $688 exceeds the gross charge $583
CPT 10040/o
warn
mrf_negotiated_above_gross
highest negotiated rate $263 exceeds the gross charge $248
CPT 64566/o
warn
mrf_negotiated_above_gross
highest negotiated rate $403 exceeds the gross charge $368
CPT 64644/o
warn
mrf_negotiated_above_gross
highest negotiated rate $926 exceeds the gross charge $863
CPT 11102/o
warn
mrf_negotiated_above_gross
highest negotiated rate $533 exceeds the gross charge $248
CPT 64646/o
warn
mrf_negotiated_above_gross
highest negotiated rate $926 exceeds the gross charge $863
CPT J0571/o
warn
mrf_negotiated_above_gross
highest negotiated rate $54 exceeds the gross charge $49
CPT 11104/o
warn
mrf_negotiated_above_gross
highest negotiated rate $533 exceeds the gross charge $498
CPT J0573/o
warn
mrf_negotiated_above_gross
highest negotiated rate $86 exceeds the gross charge $78
CPT 11200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $263 exceeds the gross charge $248
CPT J0604/o
warn
mrf_negotiated_above_gross
highest negotiated rate $144 exceeds the gross charge $131
CPT 11300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $533 exceeds the gross charge $498
CPT 11301/o
warn
mrf_negotiated_above_gross
highest negotiated rate $263 exceeds the gross charge $248
CPT 11400/o
warn
mrf_negotiated_above_gross
highest negotiated rate $929 exceeds the gross charge $877
CPT 11601/o
warn
mrf_negotiated_above_gross
highest negotiated rate $929 exceeds the gross charge $877
CPT 11602/o
warn
mrf_negotiated_above_gross
highest negotiated rate $533 exceeds the gross charge $498
CPT 11603/o
warn
mrf_negotiated_above_gross
highest negotiated rate $929 exceeds the gross charge $877
CPT 11622/o
warn
mrf_negotiated_above_gross
highest negotiated rate $929 exceeds the gross charge $877
CPT 11719/o
warn
mrf_negotiated_above_gross
highest negotiated rate $77 exceeds the gross charge $74
CPT 11721/o
warn
mrf_negotiated_above_gross
highest negotiated rate $77 exceeds the gross charge $74
CPT 11755/o
warn
mrf_negotiated_above_gross
highest negotiated rate $929 exceeds the gross charge $877
CPT 11900/o
warn
mrf_negotiated_above_gross
highest negotiated rate $263 exceeds the gross charge $248
CPT 90473/o
warn
mrf_negotiated_above_gross
highest negotiated rate $94 exceeds the gross charge $89
CPT 11901/o
warn
mrf_negotiated_above_gross
highest negotiated rate $263 exceeds the gross charge $248
CPT 11980/o
warn
mrf_negotiated_above_gross
highest negotiated rate $586 exceeds the gross charge $498
CPT 11981/o
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $161
CPT 11983/o
warn
mrf_negotiated_above_gross
highest negotiated rate $586 exceeds the gross charge $498
CPT J0750/o
warn
mrf_negotiated_above_gross
highest negotiated rate $306 exceeds the gross charge $278
CPT 17000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $263 exceeds the gross charge $248
CPT 74420/o
warn
mrf_negotiated_above_gross
highest negotiated rate $458 exceeds the gross charge $445
CPT 17110/o
warn
mrf_negotiated_above_gross
highest negotiated rate $263 exceeds the gross charge $248
CPT 17111/o
warn
mrf_negotiated_above_gross
highest negotiated rate $263 exceeds the gross charge $248
CPT 74430/o
warn
mrf_negotiated_above_gross
highest negotiated rate $458 exceeds the gross charge $445
CPT 90791/o
warn
mrf_negotiated_above_gross
highest negotiated rate $233 exceeds the gross charge $201
CPT 17250/o
warn
mrf_negotiated_above_gross
highest negotiated rate $263 exceeds the gross charge $248
CPT 74450/o
warn
mrf_negotiated_above_gross
highest negotiated rate $313 exceeds the gross charge $302
CPT 90792/o
warn
mrf_negotiated_above_gross
highest negotiated rate $233 exceeds the gross charge $201
CPT Q0091/o
warn
mrf_negotiated_above_gross
highest negotiated rate $38 exceeds the gross charge $31
CPT 20551/o
warn
mrf_negotiated_above_gross
highest negotiated rate $403 exceeds the gross charge $368
CPT Q0144/o
warn
mrf_negotiated_above_gross
highest negotiated rate $26 exceeds the gross charge $23
CPT Q0169/o
warn
mrf_negotiated_above_gross
highest negotiated rate $19 exceeds the gross charge $17
CPT Q0170/o
warn
mrf_negotiated_above_gross
highest negotiated rate $19 exceeds the gross charge $17
CPT 93279/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $47
CPT Q3014/o
warn
mrf_negotiated_above_gross
highest negotiated rate $38 exceeds the gross charge $31
CPT 76872/o
warn
mrf_negotiated_above_gross
highest negotiated rate $137 exceeds the gross charge $133
CPT 93280/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $47
CPT 93281/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $47
CPT 76881/o
warn
mrf_negotiated_above_gross
highest negotiated rate $137 exceeds the gross charge $133
CPT 93282/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $47
CPT 93283/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $47
CPT 23500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 93284/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $47
CPT 23570/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 93285/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $47
CPT 23600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 23620/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 93289/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $47
CPT 93298/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $47
CPT 23930/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,810 exceeds the gross charge $3,566
CPT J1595/o
warn
mrf_negotiated_above_gross
highest negotiated rate $603 exceeds the gross charge $548
CPT 24500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 24530/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 24650/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 24670/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 25560/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 93980/o
warn
mrf_negotiated_above_gross
highest negotiated rate $137 exceeds the gross charge $133
CPT J1628/o
warn
mrf_negotiated_above_gross
highest negotiated rate $68,117 exceeds the gross charge $61,924
CPT 26600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 95860/o
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $161
CPT S0108/o
warn
mrf_negotiated_above_gross
highest negotiated rate $34 exceeds the gross charge $30
CPT 95870/o
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $161
CPT S0170/o
warn
mrf_negotiated_above_gross
highest negotiated rate $20 exceeds the gross charge $18
CPT 26720/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT S0187/o
warn
mrf_negotiated_above_gross
highest negotiated rate $20 exceeds the gross charge $19
CPT 26750/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 95907/o
warn
mrf_negotiated_above_gross
highest negotiated rate $283 exceeds the gross charge $195
CPT 95910/o
warn
mrf_negotiated_above_gross
highest negotiated rate $489 exceeds the gross charge $388
CPT 27508/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 95970/o
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $161
CPT 27520/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 81306/o
warn
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $292
CPT 81401/o
warn
mrf_negotiated_above_gross
highest negotiated rate $271 exceeds the gross charge $230
CPT 96156/o
warn
mrf_negotiated_above_gross
highest negotiated rate $133 exceeds the gross charge $116
CPT 27750/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 96167/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $38
CPT 27780/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 27786/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 81408/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,360 exceeds the gross charge $2,333
CPT 28470/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 81456/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,445 exceeds the gross charge $3,406
CPT 28490/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 28510/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 81513/o
warn
mrf_negotiated_above_gross
highest negotiated rate $168 exceeds the gross charge $143
CPT 29065/o
warn
mrf_negotiated_above_gross
highest negotiated rate $367 exceeds the gross charge $331
CPT 29075/o
warn
mrf_negotiated_above_gross
highest negotiated rate $367 exceeds the gross charge $331
CPT 29085/o
warn
mrf_negotiated_above_gross
highest negotiated rate $213 exceeds the gross charge $197
CPT 82172/o
warn
mrf_negotiated_above_gross
highest negotiated rate $105 exceeds the gross charge $89
CPT 96405/o
warn
mrf_negotiated_above_gross
highest negotiated rate $94 exceeds the gross charge $89
CPT 96406/o
warn
mrf_negotiated_above_gross
highest negotiated rate $279 exceeds the gross charge $263
CPT 29405/o
warn
mrf_negotiated_above_gross
highest negotiated rate $367 exceeds the gross charge $331
CPT 82306/o
warn
mrf_negotiated_above_gross
highest negotiated rate $254 exceeds the gross charge $215
CPT 97607/o
warn
mrf_negotiated_above_gross
highest negotiated rate $533 exceeds the gross charge $498
CPT 29425/o
warn
mrf_negotiated_above_gross
highest negotiated rate $367 exceeds the gross charge $331
CPT 82728/o
warn
mrf_negotiated_above_gross
highest negotiated rate $152 exceeds the gross charge $129
CPT 36598/o
warn
mrf_negotiated_above_gross
highest negotiated rate $279 exceeds the gross charge $114
CPT 99495/o
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $161
CPT 99496/o
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $161
CPT 37182/o
warn
mrf_negotiated_above_gross
highest negotiated rate $24,044 exceeds the gross charge $13,180
CPT 99497/o
warn
mrf_negotiated_above_gross
highest negotiated rate $133 exceeds the gross charge $116
CPT 83090/o
warn
mrf_negotiated_above_gross
highest negotiated rate $131 exceeds the gross charge $111
CPT 43763/o
warn
mrf_negotiated_above_gross
highest negotiated rate $328 exceeds the gross charge $303
CPT 83540/o
warn
mrf_negotiated_above_gross
highest negotiated rate $76 exceeds the gross charge $64
CPT 46221/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,220 exceeds the gross charge $1,136
CPT 46500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,220 exceeds the gross charge $1,136
CPT 83937/o
warn
mrf_negotiated_above_gross
highest negotiated rate $35 exceeds the gross charge $30
CPT 84443/o
warn
mrf_negotiated_above_gross
highest negotiated rate $157 exceeds the gross charge $133
CPT 51700/o
warn
mrf_negotiated_above_gross
highest negotiated rate $328 exceeds the gross charge $303
CPT 84466/o
warn
mrf_negotiated_above_gross
highest negotiated rate $114 exceeds the gross charge $97
CPT 51720/o
warn
mrf_negotiated_above_gross
highest negotiated rate $915 exceeds the gross charge $832
CPT 85014/o
warn
mrf_negotiated_above_gross
highest negotiated rate $45 exceeds the gross charge $38
CPT 51725/o
warn
mrf_negotiated_above_gross
highest negotiated rate $328 exceeds the gross charge $303
CPT 51726/o
warn
mrf_negotiated_above_gross
highest negotiated rate $328 exceeds the gross charge $303
CPT 51728/o
warn
mrf_negotiated_above_gross
highest negotiated rate $915 exceeds the gross charge $832
CPT 51729/o
warn
mrf_negotiated_above_gross
highest negotiated rate $915 exceeds the gross charge $832
warn
mrf_rate_without_estimate
65,853 of 65,853 percentage/algorithm rates across 953 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 85397/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1729/o
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 J3360/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 51736/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 85610/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1750/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3373/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 51741/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 85660/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1751/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3380/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 51784/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 85730/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1753/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3410/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 51798/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86003/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1757/o
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 J3420/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 52000/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86022/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1760/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3430/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 52001/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 86039/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1761/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3465/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 52005/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86140/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1764/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3470/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 52204/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT C1769/o
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 J3473/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 52214/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 86141/o
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 C1777/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3475/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item