Service
Code
Listed
Cash
Negotiated
Rates
Checks
CHG RBC DNA HEA 35 AG 11 BLD GRP WHL BLD CMN ALLEL
$2,880
$2,362
$743
62
clean
PR LIVER DIS 10 ASSAYS SERUM ALGORITHM W/ASH
—
—
$519
62
clean
PR LIVER DIS 10 ASSAYS SERUM ALGORITHM W/NASH
$1,510
$272
$519
123
clean
CHG ONCO PRST8 GENE XPRS PRFL 3 GENE UR ALG RSK SCOR
—
—
$784
62
clean
PR ONC URTHL MRNA 5 GENES UR ALG RISK UROTHELIAL CA
—
—
$784
62
clean
PR ONC URTHL MRNA 5 GENES UR ALG RSK RECR URTHL CA
—
—
$784
62
clean
PR ADRENAL CORTICAL TUM BIOCHEM ASSAY 25 STRD MRK
—
—
$1,346
62
clean
PR ONC BLADDER MRNA MICRORA GEN XPRSN PRFLG 219 ALG
—
—
$3,600
62
clean
CHG ONC THYR 10 MICRORNA SEQ +/- RSLT MOD HI RSK MAL
$9,006
$1,621
$3,097
62
clean
CHG ONC AML DNA GNTYP INT TANDEM DUP DETCJ/NONDETCJ
$746
$134
$256
62
clean
CHG GLYCA NUC MR SPECTROSCOPY QUANTITATIVE
$102
$18
$35
62
clean
CHG ONC THYR DNA&MRNA 112 GENES FNA NDUL ALG ALYS
$10,800
$1,944
$3,713
62
clean
CHG JAK2 GENE ANALYSIS TRGT SEQ ALYS EXONS 12-15
$366
$66
$126
62
clean
CHG RX METAB ADVRS RX RXN & RSPSE TRGT SEQ ALYS
$2,226
$401
$766
62
clean
CHG TPMT NUDT15 GENE ANALYSIS COMMON VARIANTS
$1,398
$252
$481
62
clean
CHG NEURO CSF DETCJ PRION PRTN QUAKG CONF CONV QUAL
$1,622
$292
$557
123
clean
CHG TRGT GEN SEQ ALYS SLD ORGN NEO DNA 324 GENES
$10,500
$1,890
$3,605
145
clean
CHG B BURGDORFERI ANTB 5 PRTN GRP IMMUNOBLOT IGM
$52
$9
$18
62
clean
PR CEREBRAL PERFUSION ANALYS CT W/BLOOD FLOW&VOLUME
$242
$44
$105
13
clean
CHG B BURGDORFERI ANTB 12 PRTN GRP IMMUNOBLOT IGG
$52
$9
$18
62
clean
CHG TBRF B GRP ANTB DETCJ 4 RECOMB PRTN IMUNOBLT IGM
$44
$8
$15
62
clean
CHG TBRF B GRP ANTB DETCJ 4 RECOMB PRTN IMUNOBLT IGG
$44
$8
$15
62
clean
CHG ONC BRST DUX CARC IS MRNA 12 GENES ALG RSK SCOR
$11,620
$2,092
$3,995
62
clean
CHG ONC PRST8 MRNA GEN XPRS PRFL 17 GEN ALG RSK SCOR
$11,620
$2,092
$3,995
62
clean
PR CPTR-ASST MUSCSKEL NAVIGJ ORTHO FLUOR IMAGES
$658
$118
$198
18
clean
PR CPTR-ASST MUSCSKEL NAVIGJ ORTHO CT/MRI
$827
$149
$188
7
clean
CHG ONC MERKEL CELL CARC DETCJ ANTB SERUM QUAN
$968
$174
$333
62
clean
CHG ONC MERKEL CELL CARC DETCJ ANTB SERUM REPRTD +/-
$968
$174
$333
62
clean
CHG TC MEAS 5 BIOMARKERS W/SFDI MULTI-SPECTRAL ALYS
$76
$14
$26
62
clean
CHG ANTIBODY TREPONEMA PALLIDUM TOTAL & RPR IA QUAL
$94
$17
$32
62
clean
CHG SYPHILIS TST NON-TREPONEMAL ANTIBODY IA QUAL RPR
$54
$10
$19
62
clean
CHG CANDIDA SPECIES PANEL AMP PRB TQ W/QUAL REPORT
$428
$77
$147
62
clean
PR TCAT PLMT XTRC VRT CRTD STENT RS&I PRQ 1ST VSL
$2,817
$507
$1,016
71
clean
CHG IG PARAPROTEIN QUAL IMPRCIP&MS BLD/UR W/ISOTYPE
—
—
$45
62
clean
CHG ONC LUNG 5 CLINICAL RISK FACTORS ALG PRBLTY MAL
—
—
$3,631
62
clean
CHG ONC MLNMA GEN XPRS PRFL RTQPCR PRAME & LINC00518
$2,280
$410
$784
62
clean
CHG ONC CUTAN MLNMA MRNA GEN XPRS PRFL 23 GENES ALG
—
—
$1,950
62
clean
PR EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS
—
—
$271
63
clean
CHG HERED COLON CA DO GEN SEQ ALYS PANEL 15 GENES
$5,232
$942
$1,744
62
clean
CHG NEPHROLOGY CKD ECLIA TUMOR NECROSIS ALG RKFD
—
—
$980
62
clean
PR QUANT SENSORY TEST&INTERPJ/XTR W/TOUCH STIMULI
—
—
$45
52
clean
CHG GASTRIC EMPTYING SERIAL COLLJ 7 TIMED BRTH SPEC
—
—
$902
62
clean
PR QUANT SENSORY TEST&INTERPJ/XTR W/VIBRJ STIMULI
—
—
$45
52
clean
PR QUANT SENSORY TEST&INTERPJ/XTR W/COOL STIMULI
—
—
$68
52
clean
CHG GI BARRETTS ESOPH QUAN IMMUNOLABEL 9 PRTN BMRK
—
—
$4,950
62
clean
PR QUANT SENAORY TEST&INTERPJ/XTR W/HT-PN STIMULI
—
—
$45
52
clean
CHG IADI TRGT SEQ ALYS 16S&18S RRNA GENES
—
—
$367
62
clean
CHG TRANSPLANTATION MED QUAN DON-DRV CLL-FR DNA PLSM
—
—
$2,840
62
clean
CHG CARDIOLOGY CERAMIDES LIQ CHROM TANDEM MS PLASMA
—
—
$86
62
clean
CHG HEREDITARY BRST CA RLTD DO GEN SEQ&DEL/DUP PNL
—
—
$1,304
62
clean
CHG NFCT DS MCRB CLL FR DNA UNTRGT NEXT GENRJ SEQ
—
—
$2,193
62
clean
CHG GI IBS IA ANTI-CDTB&ANTI-VINCULIN ANTB PLSM ALG
—
—
$116
62
clean
CHG LIVER DISEASE 10 BIOCHEMICAL ASSAYS SERUM ALG
—
—
$519
62
clean
CHG ONC SLD TUM SOMATIC MUT ALYS BRCA1 BRCA2 ALG
—
—
$3,125
62
clean
PR CAD CHEST RADIOGRAPH CONCURRENT W/INTERPRETATION
—
—
$36
18
clean
CHG ONC SOLID TUM MASS SPECTROMETRIC 30 PROTEIN TRGT
—
—
$1,346
62
clean
PR RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC
$1,660
$299
$6,476
62
clean
PR PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> NDL
$34,290
$28,118
$8,083
52
clean
PR PERQ SAC AGMNTJ BI W/WO BALO/MCHNL DEV 2/> NDLS
—
—
$8,083
52
clean
PR POST VERT ARTHROPLASTY W/WO BONE CEMENT, 1 LUMBAR LEVEL
$2,742
$494
$2,492
18
clean
CHG NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2
$1,250
$225
$417
73
clean
CHG NEUROLOGY ALZHEIMER DISEASE CELL AGGREGATION
—
—
$2,285
62
clean
PR EVAC MEIBOMIAN GLNDS AUTO HT& INTMT PRESS UNI
—
—
$146
52
clean
CHG NEUROLOGY ALZHEIMER DISEASE QUANTITATIVE IMAGING
—
—
$527
62
clean
PR NJX PLTLT PLASMA W/IMG HARVEST/PREPARATION
$557
$100
$434
147
clean
PR TRLUML PERIPH ATHRC W/RS&I BRCHIOCPHL EA VSL
$54,434
$44,636
$12,338
63
clean
PR TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA
$11,180
$2,012
$20,318
103
clean
CHG TRGT GEN SEQ ALYS SLD ORGN NEO CLL-FR DNA 311+
—
—
$3,605
73
clean
CHG NFCT DS RNA 3 TARGETS UPPER RESPIRATORY SPECIMEN
$428
$77
$94
41
clean
CHG NFCT DS RNA 4 TARGETS UPPER RESPIRATORY SPECIMEN
$428
$77
$94
41
clean
CHG TRGT GEN SEQ ALYS PNL SOLID ORGN NEO DNA 55-74
—
—
$5,158
62
clean
CHG ONC THYR MUT ALYS 10 GEN 37 RNA FSN XPRSN 4 MRNA
—
—
$1,306
62
clean
CHG ONC SLD ORG NEO TRGT GEN SEQ DNA ALYS 505 GENES
—
—
$3,012
62
clean
PR IM/REPL CARTD SINUS BAROREFLX ACTIV DEV TOT SYST
$1,440
$259
$48,959
63
clean
PR IM/REPL CARTD SINS BARREFLX ACT DEV PLS GEN ONLY
$1,063
$191
$34,480
52
clean
PR INTRGORTION DEV EVAL CARTD SINS BARREFLX W/I&R
$149
$27
$177
52
clean
PR INTROGATION DEV EVAL CARTD SINS BARREFLX W/PRGRM
$202
$36
$179
52
clean
PR PERC LAMINO-/LAMINECTOMY INDIR IMAG GUIDE LUMBAR
$2,665
$480
$7,971
58
clean
PR TRNSCUT ELECT MODLATION PAIN REPROCES EA TX SESS
—
—
$177
52
clean
CHG ONC LUNG MRNA QUAN PCR ALYS 11 GEN&3 REF GEN ALG
—
—
$3,995
62
clean
CHG ONC BRST DUX CARC PRTN XPRSN PRFL IMHCHEM 7 PRTN
—
—
$5,435
62
clean
CHG CRD CAD ALYS 3 PRTN 3 CLIN PARAM PLSM OBSTR CAD
—
—
$403
62
clean
CHG CRD CV DS ALYS 4 PRTN PLSM ALG RSK MAJ CAR EVENT
—
—
$403
62
clean
CHG NFCT DS BCT QUAN ANTMCRB SC MIC EA ORG ID
—
—
$8
62
clean
CHG AI DS SLE ALYS 8 IGG AUTOANT&2 CLL BOUND PRDCTS
—
—
$867
62
clean
CHG ONC CUTAN SQ CLL CARC MRNA GEN XPRSN PRFL 40 ALG
—
—
$8,810
60
clean
CHG NEPH RNL TRNSPL RNA POSTTRNSPL PERPH BLD ALG
—
—
$2,747
60
clean
CHG TRGT GEN SEQ ALYS SLD ORGN NEO CLL-FR DNA 83+
—
—
$5,183
60
clean
CHG ONC NEOPLASIA XOME&TRNS SEQ ALYS DNA&RNA TUMOR
—
—
$3,563
60
clean
PR TEAR FILM IMAGING UNILATERAL OR BILATERAL W/I&R
—
—
$44
52
clean
CHG ONC SLD ORGN TGSA FFPE TUM TISS DNA 84/+ GEN
—
—
$3,500
62
clean
CHG ONC PLSM CLL DO&MYLOMA CRCG PLSM CLL IMMLG SLCTN
—
—
$2,524
60
clean
CHG ONC SLD TUM CRCG TUMOR CELL SELECTION
—
—
$2,524
60
clean
PR TRANSCATHETER RENAL SYMPATH DENERVATION BILAT
$2,476
$446
$6,203
125
clean
CHG ONC PROSTATE MRNA XPRSN PRFLG HOXC6 &DLX1 RT-PCR
—
—
$784
62
clean
CHG ONC PAN CANCER ANALYSIS MRD FROM PLASMA
—
—
$3,979
62
clean
CHG HEP NAFLD SEMIQ EVAL 28 LIPID MRK SRM NASH/XNASH
—
—
$821
60
clean
CHG PSYC GENOMIC ALYS PANEL VARIANT ALYS 15 GENES
—
—
$1,378
62
clean
CHG RX METAB/PCX DNA 16 GENE VRNT ALYS&REPRTD PHNT
—
—
$1,378
62
clean
CHG RX METAB/PCX DNA 25 GENE VRNT ALYS&REPRTD PHNT
—
—
$766
62
clean
CHG RX METAB/PCX DNA 27 GEN VRNT ALYS&PHNT GEN-RX IA
—
—
$766
62
clean
PR RADIOSTEREOMETRIC ANALYSIS LOWER EXTREMITY EXAM
—
—
$100
52
clean
PR INTRAOP OCT BREAST OR AXILL NODE EACH SPECIMEN
—
—
$197
7
clean
CHG NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM
—
—
$269
62
clean
PR OCT BREAST OR AXILL NODE SPECIMEN I&R
—
—
$120
7
clean
CHG NFCT DS BCT VAGINOSIS&VAGINITIS MULT AMP PROBE
—
—
$139
6
clean
CHG IADNA CHLMYD TRCHMTS&NEISSRA GONORR MULT AMP PRB
—
—
$69
3
clean
CHG APOL1 RISK VARIANTS
—
—
$142
60
clean
CHG ONC OROP/ANAL 17 BMRK DDPCR CELL FREE DNA ALG
—
—
$1,866
60
clean
PR BIA WHOLE BODY COMPOSITION ASSESSMENT W/I&R
$71
$13
$28
52
clean
CHG NEURO MLD COG IMPAIRMNT ALYS B-AMYLOID 1-42&1-40
—
—
$270
60
clean
CHG ONC PRST8 CA ALYS ALL PSA STRUCTURAL ISOFORMS
—
—
$788
60
clean
CHG ONCOLOGY LUNG ELISA 7 AUTOANTIBODIES PLASMA ALG
—
—
$814
60
clean
CHG NEUROFILAMENT LIGHT CHAIN DIGITAL IA PLASMA QUAN
—
—
$120
60
clean
CHG ONC URTHL MRNA GEN XPRSN PRFLG RT QUAN PCR 5 GEN
—
—
$788
60
clean
CHG ONC BLDR ALYS 10 PRTN BMRK ALG PRB BLDR CA
—
—
$930
60
clean
CHG ONC BLDR ALYS 10 PRTN BMRK ALG PRB RECR BLDR CA
—
—
$930
60
clean
CHG ONC OVARIAN BIOCHEM ASSAY 7 PRTNS ALG RSK SCOR
—
—
$930
60
clean
CHG ONC PRST8 CA IMG ALYS 128 HLOG FEAT&CLIN FCTR
—
—
$732
60
clean
PR VISUAL FIELD ASSESSMENT TECH SUPPORT W/INSTRUCT
—
—
$53
63
clean
CHG TGSAP SLD ORG NEO DNA 523&RNA 55 NEXT GNRJ SEQ
—
—
$3,409
60
clean
CHG ONC NONSM CLL LNG CA NXT GNRJ SEQ 37 CA RLTD GEN
—
—
$3,628
60
clean
CHG NEURO PRKNSN CSF DETCJ MSFLD A-SYNCLN PRTN QUAL
—
—
$561
60
clean
PR HDR ELECTRONIC BRACHYTHERAPY SKIN SURFACE
—
—
$292
63
clean
CHG PFAS 16 PFAS COMPND LC MS/MS PLSM/SRM QUAN
—
—
$206
60
clean
PR HDR ELECTRONIC BRACHYTHERAPY NTRSTL/INTRCAV
—
—
$802
63
clean
PR MRGFUS STEREOTACTIC ABLATION LESION INTRACRANIAL
—
—
$11,666
2
clean
CHG GI BARRETT ESOPH DNA MTHYLTN ALYS ALG DYSP/CA
—
—
$1,819
60
clean
PR COLLAGEN CROSS-LINKING CORNEA&PACHYMETRY
—
—
$2,565
60
clean
CHG ONC PRST8 MRNA GEN XPRSN PRFLG 18GENS 1-CATCH UR
—
—
$788
60
clean
CHG ONC BRST CA SEMIQ MEAS THYMIDINE KINASE ACTV IA
—
—
$335
60
clean
CHG ONC LUNG FLOW CYTOMETRY SPUTUM 5 MARKERS ALG
—
—
$788
60
clean
CHG NEPHROLOGY DIABETIC CKD MULT ECLIA PLASMA ALG
—
—
$950
60
clean
PR INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD
$2,839
$511
$36,277
52
clean
CHG ONC SLD TUM DNA 80&RNA 36 GEN NEXT GNRJ SEQ PLSM
—
—
$3,026
60
clean
CHG PSYC GENOMIC ALYS PANEL VARIANT ALYS 15 GENES
—
—
$1,385
60
clean
CHG CV DS ACS IA ALG BLOOD 5 YEAR DEL RISK SCORE ACS
—
—
$405
60
clean
PR PRGRMG DEVICE EVALUATION CARDIAC MODULJ SYSTEM
—
—
$43
52
clean
PR INTERRO DEVICE EVALUATION CARDIAC MODULJ SYSTEM
—
—
$43
52
clean
PR TRANSURETHRAL WATERJET ABLATION PROSTATE COMPL
$1,962
$353
$10,061
63
clean
CHG GI MALABS EVAL AAT CALPROTECTIN PNCRTC ELASTASE
—
—
$64
60
clean
CHG GLYCINE RECEPTOR ALPHA1 IGG SERUM/CSF LCBA QUAL
—
—
$38
60
clean
CHG KLHL11 ANTB SERUM/CSF CELL BINDING ASSAY QUAL
—
—
$38
60
clean
CHG ONC PROSTATE 5 DNA REG MRK QUAN PCR WHL BLD ALG
—
—
$788
60
clean
CHG RX METAB ADVRS RX RXN&RSPSE VARIANT ALYS 25 GEN
—
—
$432
60
clean
PR IMPLTJ NONBIOL/SYNTH IMPLT FASC RNFCMT ABDL WALL
$858
$154
$275
7
clean
PR MYOCARDIAL PERFUSION ECHO ISCHM/VIABILITY ASSMT
—
—
$117
18
clean
PR ABLTJ PERC CRYOABLTJ IMG GDN LXTR/PERPH NERVE
—
—
$2,210
52
clean
PR ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV
—
—
$7,246
52
clean
PR CRTJ SUBQ INSJ IMPLTBL GLUCOSE SENSOR SYS TRAIN
$159
$29
$3,536
69
clean
PR RMVL IMPLTBL GLUCOSE SENSOR SUBQ POCKET VIA INC
$184
$33
$216
69
clean
PR RMVL INSJ IMPLTBL GLUC SENSOR DIF ANATOMIC SITE
$264
$48
$3,536
69
clean
PR INSJ AQUEOUS DRAIN DEV W/O EO RSVR INITIAL DEV
—
—
$5,614
62
clean
PR VISUAL EP TESTING FOR GLAUCOMA W/INTERPJ & REPRT
—
—
$170
63
clean
CHG ONC SOLID TUMOR NGS DNA FFPE TISS BLD/SLV 648GEN
—
—
$4,680
60
clean
CHG HERED PRST8 CA-RLTD DO GSAP NGS CGH EVAL 23 GENE
—
—
$1,352
60
clean
PR FRACTIONAL ABL LSR FENESTRATION FIRST 100 SQCM
$705
$127
$666
63
clean
PR FRACTIONAL ABL LSR FENESTRATION EA ADDL 100 SQCM
$155
$28
$99
18
clean
PR TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH
$2,879
$518
$1,683
18
clean
PR TMVI W/PROSTHETIC VALVE TRANSTHORACIC EXPOSURE
$4,554
$820
$2,243
18
clean
PR OCT MIDDLE EAR WITH I&R UNILATERAL
—
—
$49
143
clean
PR OCT MIDDLE EAR WITH I&R BILATERAL
—
—
$91
143
clean
PR PREP & CANNULJ CDVR DON LNG ORGN PRFUJ SYS
—
—
$747
18
clean
PR INIT & MNTR CDVR DON LNG ORGN PRFUJ SYS 1ST 2 HR
—
—
$220
18
clean
PR EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR
$1,658
$298
$12,893
52
clean
PR NEAR INFRARED DUAL IMG MEIBOMIAN GLND UNI/BI I&R
$172
$31
$65
66
clean
PR PATTERN ELECTRORETINOGRAPHY W/I&R
$58
$10
$87
171
clean
PR ESW INTEGUMENTARY WOUND HEALING INITIAL WOUND
—
—
$230
52
clean
PR ESW INTEGUMENTARY WOUND HEALING EA ADDL WOUND
—
—
$45
7
clean
PR INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING
—
—
$34
7
clean
PR INSERTION/REPLACEMENT COMPLETE IIMS
—
—
$21,579
52
clean
PR PRGRMG DEVICE EVAL IIMS IN PERSON
—
—
$43
66
clean
PR INTERROGATION DEVICE EVAL IIMS IN PERSON
—
—
$42
66
clean
PR CAR-T THERAPY AUTOLOGOUS CELL ADMINISTRATION
—
—
$325
2
clean
PR RF SPECTRSC R-T INTRAOP MRGN ASSMT AT PRTL MAST
—
—
$60
7
clean
PR LOW-LVL LASER THER DYN PHOTONIC & THERMOKIN NRG
—
—
$6
7
clean
PR ANATOMIC GUIDE 3D PRINTED 1ST ANATOMIC GUIDE
$64
$12
$68
52
clean
PR ANATOMIC GUIDE 3D PRINTED EA ADDL ANATOMIC GUIDE
—
—
$19
7
clean
PR EVACUATION MEIBOMIAN GLANDS USING HEAT BILATERAL
—
—
$67
52
clean
PR TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS
$5,601
$1,008
$1,246
13
clean
PR TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS
$1,325
$239
$435
13
clean
PR INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE
$1,593
$287
$36,277
103
clean
PR PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON
$184
$33
$43
52
clean
PR INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON
$149
$27
$43
52
clean
PR REM INTERROG DEV EVAL SS LD ICDS <90D PHY/QHP
$84
$15
$40
7
clean
PR REM INTERROG DEV EVAL SS LD ICDS < 90D TECH
$58
$10
$42
52
clean
PR ABLATION MAL BRST TUMOR PERQ CRTX UNILATERAL
—
—
$4,354
52
clean
PR ELEC ALYS CPLX PRGRMG IINS BLDR DYSF PTN 4+
—
—
$104
52
clean
PR HEALTH & WELL-BEING COACHING F2F INDIV 1ST ASSMT
—
—
$83
7
clean
PR HEALTH & WELL-BEING COACHING F2F INDIV F-UP SESS
—
—
$83
7
clean
PR NONCONTACT R-T FLUOR WND IMG 1ST ANATOMIC SITE
—
—
$352
52
clean
PR NONCONTACT R-T FLUOR WND IMG EA ADDL ANTMC SITE
—
—
$14
7
clean
PR IRE ABLATION 1+TUMORS PER ORGAN W/IMG GDN PERQ
—
—
$11,780
52
clean
PR IRE ABLATION 1+TUMORS W/FLUOR&US GDN OPEN
—
—
$11,780
52
clean
PR REM OCT RETINA TECHL SUPRT MIN 8 DLY REC EA 30D
—
—
$70
9
clean
PR REM MNTR XTRNL CONT PULM FLU MNTR SYS SETUP
—
—
$21
7
clean
PR REM MNTR XTRNL CONT PULM FLU MNTR SYS ALYS DATA
—
—
$401
7
clean
PR INSJ IRIS PROSTH W/SUTURE FIXATION&RPR/RMVL IRIS
—
—
$17,656
2
clean
PR INSJ IRIS PROSTH RMVL CRYSTLN LENS &INSJ IO LENS
—
—
$17,656
2
clean
PR INSJ IRIS PROSTH SECONDARY IO LENS PLMT/EXCHANGE
—
—
$17,656
2
clean
Showing the first 200 of 17,641 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
4,334 of 6,903 comparable items (63%) 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 $174,933 exceeds the gross charge $1,660
warn
mrf_rate_without_estimate
4,869 of 4,869 percentage/algorithm rates across 829 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 10160/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 differ, so no cross-line comparison was made for this item
CPT 37244/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 differ, so no cross-line comparison was made for this item
CPT 52275/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 differ, so no cross-line comparison was made for this item
CPT 62281/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 differ, so no cross-line comparison was made for this item
CPT 73206/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 differ, so no cross-line comparison was made for this item
CPT 77001/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 differ, so no cross-line comparison was made for this item
CPT 80169/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 differ, so no cross-line comparison was made for this item
CPT 82374/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 86652/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 93588/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 C1730/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 37246/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 differ, so no cross-line comparison was made for this item
CPT 62282/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 differ, so no cross-line comparison was made for this item
CPT 65205/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 differ, so no cross-line comparison was made for this item
CPT 73218/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 differ, so no cross-line comparison was made for this item
CPT 77002/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 differ, so no cross-line comparison was made for this item
CPT 80170/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 82375/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 differ, so no cross-line comparison was made for this item
CPT 86653/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 87535/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 C1732/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 J1300/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 J9245/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 11000/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 differ, so no cross-line comparison was made for this item
CPT 37247/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 differ, so no cross-line comparison was made for this item
CPT 62284/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 65210/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 differ, so no cross-line comparison was made for this item
CPT 73219/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 differ, so no cross-line comparison was made for this item
CPT 77003/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 differ, so no cross-line comparison was made for this item
CPT 80171/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 differ, so no cross-line comparison was made for this item
CPT 82378/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 84402/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 86654/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 87536/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 93591/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 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 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1303/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 J9260/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 37248/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 differ, so no cross-line comparison was made for this item
CPT 52281/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 differ, so no cross-line comparison was made for this item
CPT 62287/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 differ, so no cross-line comparison was made for this item
CPT 65220/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 differ, so no cross-line comparison was made for this item
CPT 73220/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 differ, so no cross-line comparison was made for this item
CPT 80173/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 differ, so no cross-line comparison was made for this item
CPT 82379/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 84403/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 86658/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 93593/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 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 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1325/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 J9263/o
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 21315/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 differ, so no cross-line comparison was made for this item
CPT 34701/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 differ, so no cross-line comparison was made for this item
CPT 37249/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 differ, so no cross-line comparison was made for this item
CPT 52282/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 differ, so no cross-line comparison was made for this item
CPT 62290/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 65222/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 differ, so no cross-line comparison was made for this item
CPT 73221/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 differ, so no cross-line comparison was made for this item
CPT 77012/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 differ, so no cross-line comparison was made for this item
CPT 80175/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 differ, so no cross-line comparison was made for this item
CPT 82380/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 84425/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 86663/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 93594/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 differ, so no cross-line comparison was made for this item
CPT C1752/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 J1327/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 J9264/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 21320/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 differ, so no cross-line comparison was made for this item
CPT 34702/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 differ, so no cross-line comparison was made for this item
CPT 37252/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 differ, so no cross-line comparison was made for this item
CPT 62291/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 69000/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 differ, so no cross-line comparison was made for this item
CPT 73222/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 differ, so no cross-line comparison was made for this item
CPT 77013/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 differ, so no cross-line comparison was made for this item
CPT 80176/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 82382/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 84432/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 86664/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 90870/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 differ, so no cross-line comparison was made for this item
CPT 96105/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 C1757/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 J1335/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 J9267/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 34703/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 differ, so no cross-line comparison was made for this item
CPT 37253/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 differ, so no cross-line comparison was made for this item
CPT 73223/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 differ, so no cross-line comparison was made for this item
CPT 77014/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 differ, so no cross-line comparison was made for this item
CPT 80177/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 differ, so no cross-line comparison was made for this item
CPT 84433/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 differ, so no cross-line comparison was made for this item
CPT 86665/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 C1758/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 differ, so no cross-line comparison was made for this item
CPT J1364/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 J9271/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 28400/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 differ, so no cross-line comparison was made for this item
CPT 34704/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 differ, so no cross-line comparison was made for this item
CPT 52284/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 69020/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 differ, so no cross-line comparison was made for this item
CPT 73225/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 77021/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 differ, so no cross-line comparison was made for this item
CPT 80178/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 differ, so no cross-line comparison was made for this item
CPT 82384/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 84436/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 differ, so no cross-line comparison was made for this item
CPT 86666/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 differ, so no cross-line comparison was made for this item
CPT 87541/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 C1759/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 J9280/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 11042/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 differ, so no cross-line comparison was made for this item
CPT 34705/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 differ, so no cross-line comparison was made for this item
CPT 62302/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 differ, so no cross-line comparison was made for this item
CPT 73501/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 differ, so no cross-line comparison was made for this item
CPT 80179/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 differ, so no cross-line comparison was made for this item
CPT 84439/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 86668/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 90935/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 differ, so no cross-line comparison was made for this item
CPT 93600/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 differ, so no cross-line comparison was made for this item
CPT C1759/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 differ, so no cross-line comparison was made for this item
CPT J1410/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 J9281/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 34706/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 differ, so no cross-line comparison was made for this item
CPT 52287/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 differ, so no cross-line comparison was made for this item
CPT 62303/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 differ, so no cross-line comparison was made for this item
CPT 73502/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 differ, so no cross-line comparison was made for this item
CPT 77046/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 differ, so no cross-line comparison was made for this item
CPT 80181/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 differ, so no cross-line comparison was made for this item
CPT 82390/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 84442/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 86671/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 90937/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 93602/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 differ, so no cross-line comparison was made for this item
CPT 96125/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 C1762/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 J9299/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 11044/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 differ, so no cross-line comparison was made for this item
CPT 34707/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 differ, so no cross-line comparison was made for this item
CPT 52290/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 differ, so no cross-line comparison was made for this item
CPT 62304/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 differ, so no cross-line comparison was made for this item
CPT 73503/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 differ, so no cross-line comparison was made for this item
CPT 77047/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 differ, so no cross-line comparison was made for this item
CPT 80183/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 differ, so no cross-line comparison was made for this item
CPT 82397/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 84443/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 87551/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 90945/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 differ, so no cross-line comparison was made for this item
CPT 93603/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 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 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1430/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 J9301/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 11045/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 differ, so no cross-line comparison was made for this item
CPT 31231/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 differ, so no cross-line comparison was made for this item
CPT 34708/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 differ, so no cross-line comparison was made for this item
CPT 57100/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 differ, so no cross-line comparison was made for this item
CPT 62305/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 differ, so no cross-line comparison was made for this item
CPT 73521/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 differ, so no cross-line comparison was made for this item
CPT 77048/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 differ, so no cross-line comparison was made for this item
CPT 80184/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 differ, so no cross-line comparison was made for this item
CPT 84445/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 86677/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 93609/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 C1768/b
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1439/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 J9303/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 11055/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 differ, so no cross-line comparison was made for this item
CPT 28430/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 differ, so no cross-line comparison was made for this item
CPT 34709/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 differ, so no cross-line comparison was made for this item
CPT 62320/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 differ, so no cross-line comparison was made for this item
CPT 73522/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 differ, so no cross-line comparison was made for this item
CPT 77049/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 differ, so no cross-line comparison was made for this item
CPT 80185/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 differ, so no cross-line comparison was made for this item
CPT 82435/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 differ, so no cross-line comparison was made for this item
CPT 84446/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 86682/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 87555/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 91010/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 differ, so no cross-line comparison was made for this item
CPT 93610/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 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 41 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1442/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 J9305/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 28435/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 differ, so no cross-line comparison was made for this item
CPT 34710/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 differ, so no cross-line comparison was made for this item
CPT 73523/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 differ, so no cross-line comparison was made for this item
CPT 77053/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 differ, so no cross-line comparison was made for this item
CPT 80186/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 82436/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 84449/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 86684/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 87556/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 93612/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 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1447/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9306/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 34711/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 differ, so no cross-line comparison was made for this item
CPT 52310/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 differ, so no cross-line comparison was made for this item
CPT 62322/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 differ, so no cross-line comparison was made for this item
CPT 73525/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 differ, so no cross-line comparison was made for this item
CPT 77054/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 differ, so no cross-line comparison was made for this item
CPT 80187/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 differ, so no cross-line comparison was made for this item
CPT 82438/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 84450/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 differ, so no cross-line comparison was made for this item