Service
Code
Listed
Cash
Negotiated
Rates
Checks
0035U 14-3-3 PROTEIN TAU
$3,516
$915
$617
40
clean
CT Cerebral Perfusion Study
$1,993
$518
$1,036
16
clean
Stent Procedures All Inclusive -> Stent ext vert/inthor carotid initial
$21,605
$5,619
$10,872
19
clean
0184T Exc Rect Tumor Transanal
$38,693
$10,064
$7,039
40
clean
CT Sacroplasty Unilateral
$46,434
$12,077
$8,413
160
clean
CT Sacroplasty Bilateral
$46,434
$12,077
$8,413
120
clean
0202T Post vert arthplsty incl flscpy, 1 lvl
$94,657
$24,620
$14,886
40
clean
Respiratory Virus Panel.
$2,709
$705
$475
40
clean
Perfusion Technical Procedure Charges -> Platlete Rich Plasma Service
$300
$78
$424
160
clean
Atherectomy Procedures -> 0237T Athrectomy Brachiocephalic
$73,714
$19,173
$13,385
40
clean
Atherectomy Procedures -> 0238T Athrectomy Iliac
$116,719
$30,359
$21,255
80
clean
0266T ImpRplc BaroActSys Total Sys
$292,503
$76,080
$152,009
16
clean
0268T ImpRplc BaroActSys Gen Only
$198,078
$51,520
$102,938
16
clean
0272T Dev Eval BaroActSys InterpReport
$1,017
$265
$529
16
clean
0273T Dev Eval BaroActSys Programming
$1,017
$265
$529
16
clean
0275T Min Invasive Lumbar Decompr (MILD)
$46,434
$12,077
$24,131
16
clean
0402T Colgn Cross Link Cornea Med Sep
$15,164
$3,944
$2,757
40
clean
PPM Procedure Charges -> 0408T INSJ/RPLC CARDIAC MODULJ SYS
$208,400
$54,205
$36,394
40
clean
0418T Interog Dev Evl Pers Perm Card
$242
$63
$43
40
clean
0421T Transurethral Waterjet Ablation Prost
$60,106
$15,634
$31,236
16
clean
0437T Synth Mesh Implant Abd Wall
$5,510
$1,433
$2,863
16
clean
0441T Cryoblation Lower Extrem Nerves
$12,693
$3,301
$2,264
40
clean
0442T Cryoblation Truncal Nerves
$41,626
$10,827
$9,946
40
clean
0505T Endovenous Fempop Arterial Revsc
$73,714
$19,173
$13,385
40
clean
0523T Coronary FFR
$812
$211
$422
16
clean
0571T Insert Replacemt ICDS SS Electrode
$208,400
$54,205
$36,394
40
clean
0575T Prog Dev Eval ICDS SS Eltrd In Per
$242
$63
$43
40
clean
0576T Inter Dev Eval ICDS SS Eltrd In Per
$242
$63
$43
40
clean
0578T Remote Interrog Dev ICDS By Phys
$242
$63
$43
80
clean
CT Ablation Pulsed Electrical Field
$67,673
$17,602
$12,325
80
clean
0620T Evasc Ven Artlz Tibl/Prnl Vn
$227,503
$59,174
$51,070
40
clean
0650T RmteProgDev Eval SCCcard Rhythm
$242
$63
$43
40
clean
0654T EGD Flex Transnas W Inst Tube/Cath
$24,729
$6,432
$4,470
40
clean
0671T Ins Ant Aqu Drain Dev W/O Ext Res
$33,538
$8,723
$6,170
40
clean
0673T Ablatn B9 Thyroid Nodul Perc Laser
$10,532
$2,739
$1,915
40
clean
US* QUANTITATIVE
$572
$149
$297
16
clean
0780T Fecal Microbiota Rectal Enema
$838
$218
$154
40
clean
0804T Prgrmg evl leadlesss PM 2chmbr IP Aveir
$242
$63
$43
40
clean
0826T Prgrmg Evl Ldls Pm 1 Chmbr Ip
$242
$63
$43
80
clean
10004 Fna Bx W/o Img Gdn Ea Addl
$56
$15
$29
16
clean
IR FNA Thyroid
$4,573
$1,189
$821
240
clean
US FNA BX EACH ADDTL LESION
$47
$12
$24
32
clean
NVI Fine Needle Aspiration
$4,573
$1,189
$821
80
clean
CT Fine Needle Aspiration w/ Guidance
$4,573
$1,189
$821
80
clean
10010 FNA Bx W/Ct Gdn Ea Addl
$929
$242
$483
16
clean
FNA SUPERFICIAL TISSUE
$2,597
$675
$471
80
clean
CT Drain Soft Tissue Fluid w/Cath Perc
$4,573
$1,189
$821
160
clean
NVI Fiducial Marker Placement
$4,573
$1,189
$821
160
clean
PERQ DEV SOFT TISS ADD IM
$2,266
$589
$1,178
16
clean
10040 Acne Surgery
$1,292
$336
$233
40
clean
I&D ABSCESS;SIMPLE/SINGLE
$1,292
$336
$233
200
clean
I&D ABSCESS;COMPLEX/MULTI
$2,597
$675
$471
200
clean
I&D PILONIDAL CYST;SIMPLE
$4,573
$1,189
$821
80
clean
I&D PILONIDAL CYST;COMPLX
$4,573
$1,189
$821
80
clean
REMOVAL FOREIGN BODY;SIMP
$2,597
$675
$471
120
clean
REMOVAL FOREIGN BODY;COMP
$10,532
$2,739
$1,915
120
clean
10140 INCISION & DRAINAGE HEMATOMA SIMPLE
$10,532
$2,739
$1,915
360
clean
PUNCTURE ASPIRATION CYST
$2,597
$675
$471
520
clean
I&D COMPLEX POST-OP WOUND
$18,603
$4,839
$3,368
80
clean
SKIN DEBRIDE TO 10% BODY
$3,979
$1,035
$471
80
clean
11001 Skin Debride Ea Add 10%
$280
$73
$146
16
clean
11004 Debrid Of Skin, Sub Tis, Mus & Fas
$8,962
$2,331
$4,510
19
clean
11005 Debrid Of Skin, Sub Tis, Abd Wall
$7,293
$1,897
$3,670
19
clean
11006 Debrid Of Skin, Sub Tis, Ext Genit
$6,605
$1,718
$3,324
19
clean
11008 Rem Pros Material Or Mesh
$9,282
$2,414
$4,671
19
clean
11010 Debride Skin, Fx
$4,573
$1,189
$821
40
clean
11011 Debride Skin,Muscle, Fx
$4,573
$1,189
$821
40
clean
11012 Debride Skin/Musc/Bone,Fx
$18,603
$4,839
$3,368
40
clean
DEBRIDE;SKIN/SUBQ TISSUE
$2,597
$675
$471
200
clean
11043 DEBRIDE SKIN SUBQ MUSC 20CM<
$3,979
$1,035
$857
160
clean
DEBRID;SKIN SUBQ MUS BONE
$10,532
$2,739
$1,915
200
clean
DEBR SKIN SUBC TISS EA AD
$91
$24
$47
64
clean
11046 DEBRID SKIN SUBQ MUSC ADD 20CM
$91
$24
$47
48
clean
11047 DEBRIDEMENT BONE ADD 20 SQCM
$412
$107
$214
48
clean
11055 PARING CUTTING BENIGN LESION 1
$1,292
$336
$233
160
clean
11056 PARING CUTTING BENIGN LESION 2-4
$1,292
$336
$233
160
clean
11057 PARING CUTTING BENIGN LESION >4
$1,292
$336
$233
120
clean
11102 TANGENTIAL BIOSPY OF SKIN 1 LESION
$1,292
$336
$424
240
clean
IR* BX SKIN - TANGENTIAL EA ADD
$97
$25
$50
48
clean
11104 PUNCH BIOPSY OF SKIN SINGLE LESION
$2,597
$675
$471
280
clean
11105 PUNCH BX SKIN EA SEP/ADDL
$61
$16
$32
96
clean
11106 INCISIONAL BIOPSY OF SKIN 1 LESION
$3,979
$1,035
$857
240
clean
IR* BX SKIN - INCISIONAL EA ADD
$67
$17
$35
48
clean
11200 Exc Tags Up To 15
$1,292
$336
$233
40
clean
11201 Exc Tags Ea Add 10
$31
$8
$16
16
clean
11300 Shv Ep/Drm T/A/L 0.5cm Or Less
$2,597
$675
$471
40
clean
11301 Shv Ep/Drm T/A/L 0.6-1.0 cm
$1,292
$336
$233
120
clean
11302 Shv Ep/Drm T/A/L 1.1-2.0cm
$1,292
$336
$233
40
clean
11303 Shv Ep/Drm T/A/L Over 2.0 cm
$2,597
$675
$471
40
clean
11305 Shv Ep/Drm S/N/Hn 0.5cm Or Less
$1,292
$336
$233
40
clean
11306 Shv Ep/Drm S/N/Hn 0.6-1.0cm
$1,292
$336
$233
40
clean
11307 Shv Ep/Drm S/N/Hn 1.1-2.0 cm
$1,292
$336
$233
40
clean
11308 Shv Ep/Drm S/N/Hn > 2.0cm
$2,597
$675
$471
40
clean
11310 Shv Ep/Drm F/E/Lp 0.5cm Or Less
$1,292
$336
$233
40
clean
11311 Shv Ep/Drm F/E/Lp 0.6-1.0 cm
$1,292
$336
$233
80
clean
11312 Shv Ep/Drm F/E/Lp 1.1-2.0 cm
$2,597
$675
$471
40
clean
11313 Shv Ep/Drm F/E/Lp Over 2.0 cm
$2,597
$675
$471
80
clean
11400 Lesion Benign Trunkarm Leg 0.5cm
$4,573
$1,189
$821
40
clean
EXC BEN LES TRK 0.6-1.0
$2,597
$675
$471
80
clean
11402 Lesion Benign Trunk Arm Leg 1.1-2.0cm
$4,573
$1,189
$821
80
clean
11403 Lesion Benign Trunk Arm Leg 2.1-3.0cm
$4,573
$1,189
$821
40
clean
11404 Lesion Benign Trunk Arm Leg 3.1-4.0cm
$10,532
$2,739
$1,915
40
clean
11406 Lesion Benign Trunk Arm Leg 4.0cm Lge
$10,532
$2,739
$1,915
40
clean
11420 Les Ben Scalp Nk Hd Ft Gent 0.5cm
$10,532
$2,739
$1,915
40
clean
11421 Les Ben Scalp Nk Hd Ft Gent 0.6-1.0cm
$4,573
$1,189
$821
40
clean
11422 Les Ben Scalp Nk Hd Ft Gent 1.1-2.0cm
$10,532
$2,739
$1,915
40
clean
11423 Les Ben Scalp Nk Hd Ft Gent 2.1-3.0cm
$10,532
$2,739
$1,915
40
clean
11424 Les Ben Scalp Nk Hd Ft Gent 3.1-4.0cm
$10,532
$2,739
$1,915
40
clean
11426 Les Ben Scalp Nk Hd Ft Gent 4.0cm Lge
$18,603
$4,839
$3,368
80
clean
11440 Les Ben Face Ear Lip Lid Nos 0.5cm
$4,573
$1,189
$821
40
clean
11441 Les Ben Face Ear Lip Lid Nos 0.6-1.0cm
$4,573
$1,189
$821
80
clean
11442 Les Ben Face Ear Lip Lid Nos 1.1-2.0cm
$4,573
$1,189
$821
40
clean
11443 Les Ben Face Ear Lip Lid Nos 2.1-3.0cm
$10,532
$2,739
$1,915
40
clean
11444 Les Ben Face Ear Lip Lid Nos 3.1-4.0cm
$10,532
$2,739
$1,915
40
clean
11446 Les Ben Face Ear Lip Lid Nos 4.0cm Lge
$18,603
$4,839
$3,368
40
clean
11450 Exc Hidradinitis Axillary Prim Sut
$18,603
$4,839
$3,368
40
clean
11451 Exc Hidradentis W/Comp Cl
$18,603
$4,839
$3,368
40
clean
11462 Exc Hidradinitis Inguinal Prim Sut
$18,603
$4,839
$3,368
40
clean
11463 Exc Hidradinitis With Complex Closure
$18,603
$4,839
$3,368
40
clean
11470 Exc Hidradinitis Perianal Pri Clos
$18,603
$4,839
$3,368
40
clean
11471 Exc Hidradinitis Perianal Oth Clos
$18,603
$4,839
$3,368
40
clean
11600 Lesion Malign Trunk Arm Leg 0.5cm
$4,573
$1,189
$821
40
clean
11601 Lesion Malign Trunk Arm Leg 0.6-1.0cm
$4,573
$1,189
$821
40
clean
11602 Lesion Malign Trunk Arm Leg 1.1-2.0cm
$2,597
$675
$471
80
clean
11603 Lesion Malign Trunk Arm Leg 2.1-3.0cm
$4,573
$1,189
$821
80
clean
11604 Lesion Malign Trunk Arm Leg 3.1-4.0cm
$4,573
$1,189
$821
80
clean
11606 Lesion Malign Trunk Arm Leg 4.0cm Lge
$10,532
$2,739
$1,915
40
clean
11620 Les Mal Scalp Nk Hd Ft Gent 0.5cm
$10,532
$2,739
$1,915
40
clean
11621 Les Mal Scalp Nk Hd Ft Gent 0.6-1.0cm
$4,573
$1,189
$821
40
clean
11622 Les Mal Scalp Nk Hd Ft Gent 1.1-2.0cm
$4,573
$1,189
$821
80
clean
11623 Les Mal Scalp Nk Hd Ft Gent 2.1-3.0cm
$10,532
$2,739
$1,915
40
clean
11624 Les Mal Scalp Nk Hd Ft Gent 3.1-4.0cm
$10,532
$2,739
$1,915
40
clean
11626 Les Mal Scalp Nk Hd Ft Gent 4.0cm Lge
$18,603
$4,839
$3,368
40
clean
11640 Les Mal Face Ear Lip Lid Nos 0.5cm
$4,573
$1,189
$821
40
clean
11641 Les Mal Face Ear Lip Lid Nos 0.6-1.0cm
$4,573
$1,189
$821
40
clean
11642 Les Mal Face Ear Lip Lid Nos 1.1-2.0cm
$4,573
$1,189
$821
80
clean
11643 Les Mal Face Ear Lip Lid Nos 2.1-3.0cm
$10,532
$2,739
$1,915
40
clean
11644 Les Mal Face Ear Lip Lid Nos 3.1-4.0cm
$10,532
$2,739
$1,915
40
clean
11646 Les Mal Face Ear Lip Lid Nos 4.0cm Lge
$18,603
$4,839
$3,368
40
clean
TRIM NONDYSTROPHIC NAILS
$386
$100
$68
200
clean
DEBR NAIL ANY METHOD 1-5
$386
$100
$68
200
clean
11721 DEBR4IDE NAILS 6 OR MORE
$386
$100
$68
160
clean
NAIL AVULSION SIMPLE;SING
$1,292
$336
$233
200
clean
11732 AVUL EA ADDITIONAL NAIL PLATE
$49
$13
$25
48
clean
EVAC SUBUNGUAL HEMATOMA
$838
$218
$154
120
clean
NAIL EXCISION
$2,597
$675
$471
160
clean
11755 Biopsy Of Nail Unit
$4,573
$1,189
$821
40
clean
REPAIR NAIL BED
$3,979
$1,035
$857
80
clean
11762 Recons Of Nail Bed W Graft
$11,890
$3,093
$2,392
40
clean
WEDGE EXCISION SKIN NAIL
$2,597
$675
$471
80
clean
11770 Excision Pilonidal Cyst Sinus Simple
$18,603
$4,839
$3,368
40
clean
11771 Excision Pilonidal Cyst Sinus Exten
$18,603
$4,839
$3,368
40
clean
11772 Excision Pilonidal Cyst Sinus Compl
$18,603
$4,839
$3,368
40
clean
11900 Inj Intralesional Up To 7
$1,292
$336
$233
40
clean
11901 Inj Intralesional More Than 7
$1,292
$336
$233
40
clean
11920 Tattoo Cor Col Def 6.0sq cm Or Less
$3,979
$1,035
$857
40
clean
11921 Tattooing Color Def6.1-20 Provider
$3,979
$1,035
$857
40
clean
11951 Subcut Inj Filling Material 1.1-5Cc
$3,979
$1,035
$857
40
clean
11960 Ins Tissue Expand Subsq Expan
$23,796
$6,189
$4,109
40
clean
11970 Rep Tissue Expander W Perm Prosthesis
$46,434
$12,077
$8,413
40
clean
11971 Rem Tissue Expander W/O Insert Prosthesis
$18,603
$4,839
$3,368
40
clean
11981 Insertion, Drug-Delivery Implant
$838
$218
$154
40
clean
11982 REM NON BIO DRUG DELIVER IMPL
$2,594
$675
$518
80
clean
11983 Remval W/Insertion Beads
$2,594
$675
$518
40
clean
SIM RPR TRK UP TO 2.5 CM
$1,292
$336
$233
200
clean
SIM REP TRK/LMB 2.6-7.5
$1,292
$336
$233
160
clean
SIM REP TRK/LMB 7.6-12.5
$1,292
$336
$233
80
clean
SIM REP TRK/LMB 12.6-20.0
$2,597
$675
$471
80
clean
RPR TRK LM NK SC 20.1-30C
$2,597
$675
$471
80
clean
SIM REP TR LM >30.0
$1,292
$336
$233
80
clean
SIM REP FACE EAR EYE 2.5
$1,292
$336
$233
160
clean
SIM REP FACE EAR EYE 2.6-
$1,292
$336
$233
160
clean
SIM REP FACE EAR EYE 5.1-
$1,292
$336
$233
80
clean
SIM REP FACE EAR EYE 7.6-
$1,292
$336
$233
80
clean
SIM REP FACE EAR EYE 12.6
$2,597
$675
$471
80
clean
SIM REP FACE EAR EYE 20.1
$2,597
$675
$471
80
clean
12018 Sim Rep Face Ear Lip Lid Nose >30.0cm
$1,292
$336
$233
40
clean
TX WOUND DEHISCENCE; SIMP
$3,979
$1,035
$857
120
clean
TX WOUND DEHIS; W/PACKING
$2,597
$675
$471
80
clean
INT RPR SCL TRK HD FT 2.5
$2,597
$675
$471
160
clean
INT REP SCL TK HD FT 2.6-
$2,597
$675
$471
120
clean
INT REP SCL TK HD FT 7.6-
$2,597
$675
$471
80
clean
INT REP SC TK HD FT 12.6-
$2,597
$675
$471
80
clean
INT REP SC TK HD FT 20.1-
$3,979
$1,035
$857
80
clean
INT REP SC TK HD FT>30.0
$11,890
$3,093
$2,392
80
clean
INT REP NK HN FT GEN 2.5
$2,597
$675
$471
80
clean
INT REP NK HN FT GEN 2.6-
$2,597
$675
$471
80
clean
INT REP NK HN FT GEN 7.6-
$3,979
$1,035
$857
80
clean
12045 Int Rep Neck Hand Ft Gen 12.6-20cm
$3,979
$1,035
$857
80
clean
12046 Int Rep Neck Hands Ft Gent 20.1-30cm
$3,979
$1,035
$857
40
clean
12047 Int Rep Neck Hands Feet Genit >30cm
$11,890
$3,093
$2,392
40
clean
INT REP FACE EAR EYE 2.5
$2,597
$675
$471
120
clean
INT REP FACE EAR EYE 2.6-
$2,597
$675
$471
80
clean
INT REP FACE EAR EYE 5.1-
$2,597
$675
$471
80
clean
INT RPR FACE EAR EYE 7.6-
$2,597
$675
$471
80
clean
INT RPR FACE EAR 12.6-20C
$2,597
$675
$471
80
clean
12056 INT REP FACE EAR LIP LID 20.1-30CM
$2,597
$675
$471
80
clean
12057 Int Rep Fc Er Ld Lp >30.0cm
$2,597
$675
$471
40
clean
COMPLEX REPAIR TRUNK 1.1-2.5CM
$3,979
$1,035
$857
80
clean
COMPLEX REPAIR TRNK 2.6-7.5CM
$3,979
$1,035
$857
80
clean
Showing the first 200 of 8,842 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT J7500/b
error
mrf_negotiated_above_max
a negotiated rate of $3 is above the file's own maximum $0
CPT J7504/b
error
mrf_negotiated_above_max
a negotiated rate of $14,225 is above the file's own maximum $0
CPT J0285/b
error
mrf_negotiated_above_max
a negotiated rate of $182 is above the file's own maximum $8
CPT J0287/b
error
mrf_negotiated_above_max
a negotiated rate of $43 is above the file's own maximum $1
CPT J7608/b
error
mrf_negotiated_above_max
a negotiated rate of $37 is above the file's own maximum $0
CPT J0391/b
error
mrf_negotiated_above_max
a negotiated rate of $218 is above the file's own maximum $3
CPT J0475/b
error
mrf_negotiated_above_max
a negotiated rate of $761 is above the file's own maximum $1
CPT J9011/b
error
mrf_negotiated_above_max
a negotiated rate of $217 is above the file's own maximum $88
CPT J9038/b
error
mrf_negotiated_above_max
a negotiated rate of $234 is above the file's own maximum $214
CPT J0600/b
error
mrf_negotiated_above_max
a negotiated rate of $26,915 is above the file's own maximum $0
CPT J9042/b
error
mrf_negotiated_above_max
a negotiated rate of $1,086 is above the file's own maximum $596
CPT J9043/b
error
mrf_negotiated_above_max
a negotiated rate of $955 is above the file's own maximum $114
CPT 90380/b
error
mrf_negotiated_above_max
a negotiated rate of $667 is above the file's own maximum $0
CPT 90620/b
error
mrf_negotiated_above_max
a negotiated rate of $284 is above the file's own maximum $0
CPT J9048/b
error
mrf_negotiated_above_max
a negotiated rate of $69 is above the file's own maximum $7
CPT 90633/b
error
mrf_negotiated_above_max
a negotiated rate of $46 is above the file's own maximum $0
CPT J0666/b
error
mrf_negotiated_above_max
a negotiated rate of $6 is above the file's own maximum $1
CPT 90647/b
error
mrf_negotiated_above_max
a negotiated rate of $36 is above the file's own maximum $0
CPT 90648/b
error
mrf_negotiated_above_max
a negotiated rate of $15 is above the file's own maximum $0
CPT 90651/b
error
mrf_negotiated_above_max
a negotiated rate of $368 is above the file's own maximum $0
CPT 90656/b
error
mrf_negotiated_above_max
a negotiated rate of $80 is above the file's own maximum $0
CPT 90662/b
error
mrf_negotiated_above_max
a negotiated rate of $305 is above the file's own maximum $0
MS-DRG 795/i
error
mrf_negotiated_above_max
a negotiated rate of $6,099 is above the file's own maximum $4,185
CPT 90677/b
error
mrf_negotiated_above_max
a negotiated rate of $1,186 is above the file's own maximum $0
CPT 90700/b
error
mrf_negotiated_above_max
a negotiated rate of $33 is above the file's own maximum $0
CPT J9150/b
error
mrf_negotiated_above_max
a negotiated rate of $91 is above the file's own maximum $12
CPT 90713/b
error
mrf_negotiated_above_max
a negotiated rate of $53 is above the file's own maximum $0
CPT J9153/b
error
mrf_negotiated_above_max
a negotiated rate of $1,076 is above the file's own maximum $492
CPT 90732/b
error
mrf_negotiated_above_max
a negotiated rate of $492 is above the file's own maximum $0
CPT 90734/b
error
mrf_negotiated_above_max
a negotiated rate of $199 is above the file's own maximum $0
CPT 90744/b
error
mrf_negotiated_above_max
a negotiated rate of $120 is above the file's own maximum $0
CPT J9200/b
error
mrf_negotiated_above_max
a negotiated rate of $17,338 is above the file's own maximum $0
CPT J9202/b
error
mrf_negotiated_above_max
a negotiated rate of $3,081 is above the file's own maximum $0
CPT 91322/b
error
mrf_negotiated_above_max
a negotiated rate of $596 is above the file's own maximum $0
CPT J0840/b
error
mrf_negotiated_above_max
a negotiated rate of $7,681 is above the file's own maximum $0
CPT J9203/b
error
mrf_negotiated_above_max
a negotiated rate of $994 is above the file's own maximum $300
CPT J9204/b
error
mrf_negotiated_above_max
a negotiated rate of $1,044 is above the file's own maximum $263
CPT J0870/b
error
mrf_negotiated_above_max
a negotiated rate of $240 is above the file's own maximum $214
CPT J9214/b
error
mrf_negotiated_above_max
a negotiated rate of $34 is above the file's own maximum $1
CPT J9217/b
error
mrf_negotiated_above_max
a negotiated rate of $741 is above the file's own maximum $1
CPT J9223/b
error
mrf_negotiated_above_max
a negotiated rate of $870 is above the file's own maximum $6
CPT J9228/b
error
mrf_negotiated_above_max
a negotiated rate of $771 is above the file's own maximum $1
CPT J9260/b
error
mrf_negotiated_above_max
a negotiated rate of $12 is above the file's own maximum $10
CPT J1162/b
error
mrf_negotiated_above_max
a negotiated rate of $21,707 is above the file's own maximum $0
CPT J9266/b
error
mrf_negotiated_above_max
a negotiated rate of $119,381 is above the file's own maximum $0
CPT J9268/b
error
mrf_negotiated_above_max
a negotiated rate of $10,954 is above the file's own maximum $0
CPT J9272/b
error
mrf_negotiated_above_max
a negotiated rate of $1,024 is above the file's own maximum $305
CPT J9273/b
error
mrf_negotiated_above_max
a negotiated rate of $793 is above the file's own maximum $1
CPT J9298/b
error
mrf_negotiated_above_max
a negotiated rate of $831 is above the file's own maximum $6
CPT J1290/b
error
mrf_negotiated_above_max
a negotiated rate of $1,554 is above the file's own maximum $0
MS-DRG 217/i
error
mrf_negotiated_above_max
a negotiated rate of $156,584 is above the file's own maximum $154,966
MS-DRG 218/i
error
mrf_negotiated_above_max
a negotiated rate of $156,584 is above the file's own maximum $140,741
CPT J1326/b
error
mrf_negotiated_above_max
a negotiated rate of $142 is above the file's own maximum $88
MS-DRG 221/i
error
mrf_negotiated_above_max
a negotiated rate of $114,395 is above the file's own maximum $105,562
MS-DRG 229/i
error
mrf_negotiated_above_max
a negotiated rate of $108,687 is above the file's own maximum $94,206
CPT J1410/b
error
mrf_negotiated_above_max
a negotiated rate of $1,647 is above the file's own maximum $37
CPT J9351/b
error
mrf_negotiated_above_max
a negotiated rate of $11 is above the file's own maximum $6
CPT J9352/b
error
mrf_negotiated_above_max
a negotiated rate of $1,642 is above the file's own maximum $37
CPT J1670/b
error
mrf_negotiated_above_max
a negotiated rate of $2,491 is above the file's own maximum $0
CPT J1742/b
error
mrf_negotiated_above_max
a negotiated rate of $724 is above the file's own maximum $3
CPT J1950/b
error
mrf_negotiated_above_max
a negotiated rate of $7,267 is above the file's own maximum $0
CPT J2265/b
error
mrf_negotiated_above_max
a negotiated rate of $11 is above the file's own maximum $2
CPT J2353/b
error
mrf_negotiated_above_max
a negotiated rate of $855 is above the file's own maximum $1
CPT Q5129/b
error
mrf_negotiated_above_max
a negotiated rate of $168 is above the file's own maximum $88
CPT Q5130/b
error
mrf_negotiated_above_max
a negotiated rate of $579 is above the file's own maximum $2
CPT J2561/b
error
mrf_negotiated_above_max
a negotiated rate of $5 is above the file's own maximum $1
CPT Q9968/b
error
mrf_negotiated_above_max
a negotiated rate of $37 is above the file's own maximum $3
CPT J2760/b
error
mrf_negotiated_above_max
a negotiated rate of $1,814 is above the file's own maximum $0
CPT J3101/b
error
mrf_negotiated_above_max
a negotiated rate of $723 is above the file's own maximum $1
CPT J3105/b
error
mrf_negotiated_above_max
a negotiated rate of $31 is above the file's own maximum $13
CPT J3260/b
error
mrf_negotiated_above_max
a negotiated rate of $10 is above the file's own maximum $8
CPT C9293/b
error
mrf_negotiated_above_max
a negotiated rate of $480 is above the file's own maximum $1
CPT J3424/b
error
mrf_negotiated_above_max
a negotiated rate of $22 is above the file's own maximum $2
CPT C9460/b
error
mrf_negotiated_above_max
a negotiated rate of $84 is above the file's own maximum $3
CPT C9482/b
error
mrf_negotiated_above_max
a negotiated rate of $105 is above the file's own maximum $3
CPT J0209/b
error
mrf_negotiated_above_max
a negotiated rate of $115 is above the file's own maximum $5
error
mrf_negotiated_below_min_systematic
851 of 8,481 comparable items (10%) 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. a negotiated rate of $0 is below the file's own minimum $38
CPT 44345/b
warn
mrf_negotiated_above_gross
highest negotiated rate $19,589 exceeds the gross charge $9,321
CPT 76827/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 44346/b
warn
mrf_negotiated_above_gross
highest negotiated rate $19,589 exceeds the gross charge $9,321
CPT 76830/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT J0270/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1 exceeds the gross charge $0
CPT 44602/b
warn
mrf_negotiated_above_gross
highest negotiated rate $21,312 exceeds the gross charge $9,022
CPT 76831/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,319 exceeds the gross charge $1,209
CPT J7500/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3 exceeds the gross charge $0
CPT 47555/b
warn
mrf_negotiated_above_gross
highest negotiated rate $35,786 exceeds the gross charge $22,939
CPT 76856/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 49010/b
warn
mrf_negotiated_above_gross
highest negotiated rate $35,786 exceeds the gross charge $9,321
CPT 76857/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 49255/b
warn
mrf_negotiated_above_gross
highest negotiated rate $35,786 exceeds the gross charge $24,468
CPT 76870/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT J7504/b
warn
mrf_negotiated_above_gross
highest negotiated rate $14,225 exceeds the gross charge $0
CPT 76872/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 51840/b
warn
mrf_negotiated_above_gross
highest negotiated rate $27,653 exceeds the gross charge $12,912
CPT 76881/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 56630/b
warn
mrf_negotiated_above_gross
highest negotiated rate $27,653 exceeds the gross charge $12,912
CPT 76882/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT J7510/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2 exceeds the gross charge $1
CPT 61215/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 76885/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 61624/b
warn
mrf_negotiated_above_gross
highest negotiated rate $101,334 exceeds the gross charge $47,039
CPT 76999/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 61885/b
warn
mrf_negotiated_above_gross
highest negotiated rate $170,576 exceeds the gross charge $139,389
CPT 77047/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,319 exceeds the gross charge $1,209
CPT 61891/b
warn
mrf_negotiated_above_gross
highest negotiated rate $170,576 exceeds the gross charge $139,389
CPT 77072/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 62230/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 77073/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 62350/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 77075/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 63741/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 77076/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 64568/b
warn
mrf_negotiated_above_gross
highest negotiated rate $243,482 exceeds the gross charge $198,078
CPT 77080/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 64840/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 77081/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 64856/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 77407/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,132 exceeds the gross charge $1,709
CPT 64864/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 77412/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,054 exceeds the gross charge $1,709
CPT 64885/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 77600/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,132 exceeds the gross charge $1,709
CPT 64886/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 77750/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,132 exceeds the gross charge $1,709
CPT 64890/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 78459/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,157 exceeds the gross charge $6,527
CPT 64891/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 78580/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,210 exceeds the gross charge $2,009
CPT 64892/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 78582/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,001 exceeds the gross charge $2,691
CPT 64895/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 78597/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,210 exceeds the gross charge $2,009
CPT 64896/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 78608/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,905 exceeds the gross charge $7,293
CPT 64897/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 78740/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,210 exceeds the gross charge $2,009
CPT 64898/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 78815/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,905 exceeds the gross charge $7,293
CPT 64905/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 78816/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,905 exceeds the gross charge $7,293
CPT 64907/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 64910/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 64911/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 64912/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 86581/b
warn
mrf_negotiated_above_gross
highest negotiated rate $348 exceeds the gross charge $94
CPT 70030/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 70110/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 70150/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 70160/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 70220/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 70250/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 70330/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 70336/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,319 exceeds the gross charge $1,209
CPT 70360/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 70390/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,319 exceeds the gross charge $1,209
CPT 70450/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 70460/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $890
CPT 70470/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $890
CPT 70480/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 70481/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $890
CPT 70482/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $890
CPT 70486/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 70487/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $890
CPT 70490/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 70491/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $890
CPT 70492/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $890
CPT 70496/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $890
CPT 70498/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $890
CPT 70540/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,319 exceeds the gross charge $1,209
CPT 70542/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,929 exceeds the gross charge $1,786
CPT 70543/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,929 exceeds the gross charge $1,786
CPT 70544/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,319 exceeds the gross charge $1,209
CPT 70545/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,929 exceeds the gross charge $1,786
CPT 70546/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,929 exceeds the gross charge $1,786
CPT 90870/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,747 exceeds the gross charge $3,449
CPT 70547/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,319 exceeds the gross charge $1,209
CPT 90899/b
warn
mrf_negotiated_above_gross
highest negotiated rate $207 exceeds the gross charge $194
CPT 70548/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,929 exceeds the gross charge $1,786
CPT 91035/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,747 exceeds the gross charge $3,449
CPT 70549/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,929 exceeds the gross charge $1,786
CPT 91065/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,194 exceeds the gross charge $1,017
CPT 70551/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,319 exceeds the gross charge $1,209
CPT 91112/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,014 exceeds the gross charge $2,100
CPT 70552/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,929 exceeds the gross charge $1,786
CPT 70553/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,929 exceeds the gross charge $1,786
CPT 71045/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 92538/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,194 exceeds the gross charge $1,017
CPT 71046/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 92540/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,194 exceeds the gross charge $1,017
CPT 71047/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 92550/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,194 exceeds the gross charge $1,017
CPT 71100/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 92579/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,194 exceeds the gross charge $1,017
CPT 71101/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 92588/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,063 exceeds the gross charge $2,024
CPT 71111/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 71120/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 71130/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 71250/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 71260/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $890