Service
Code
Listed
Cash
Negotiated
Rates
Checks
CHG RBC DNA HEA 35 AG 11 BLD GRP WHL BLD CMN ALLEL
$2,592
$2,022
$742
55
clean
PR LIVER DIS 10 ASSAYS SERUM ALGORITHM W/ASH
—
—
$519
55
clean
PR LIVER DIS 10 ASSAYS SERUM ALGORITHM W/NASH
$1,510
$332
$519
109
clean
CHG ONCO PRST8 GENE XPRS PRFL 3 GENE UR ALG RSK SCOR
—
—
$783
55
clean
PR ONC URTHL MRNA 5 GENES UR ALG RISK UROTHELIAL CA
—
—
$783
55
clean
PR ONC URTHL MRNA 5 GENES UR ALG RSK RECR URTHL CA
—
—
$783
55
clean
PR ADRENAL CORTICAL TUM BIOCHEM ASSAY 25 STRD MRK
—
—
$1,345
55
clean
PR ONC BLADDER MRNA MICRORA GEN XPRSN PRFLG 219 ALG
—
—
$3,594
55
clean
CHG ONC THYR 10 MICRORNA SEQ +/- RSLT MOD HI RSK MAL
$9,006
$1,981
$3,092
55
clean
CHG ONC AML DNA GNTYP INT TANDEM DUP DETCJ/NONDETCJ
$746
$164
$256
55
clean
CHG GLYCA NUC MR SPECTROSCOPY QUANTITATIVE
$102
$22
$35
109
clean
CHG ONC THYR DNA&MRNA 112 GENES FNA NDUL ALG ALYS
$10,800
$2,376
$3,708
55
clean
CHG JAK2 GENE ANALYSIS TRGT SEQ ALYS EXONS 12-15
$366
$81
$126
55
clean
CHG RX METAB ADVRS RX RXN & RSPSE TRGT SEQ ALYS
$2,226
$490
$765
55
clean
CHG TPMT NUDT15 GENE ANALYSIS COMMON VARIANTS
$1,398
$308
$480
55
clean
CHG NEURO CSF DETCJ PRION PRTN QUAKG CONF CONV QUAL
$1,622
$357
$557
55
clean
CHG TRGT GEN SEQ ALYS SLD ORGN NEO DNA 324 GENES
$10,500
$2,310
$3,628
66
clean
CHG B BURGDORFERI ANTB 5 PRTN GRP IMMUNOBLOT IGM
$52
$11
$18
55
clean
PR CEREBRAL PERFUSION ANALYS CT W/BLOOD FLOW&VOLUME
$242
$53
$105
13
clean
CHG B BURGDORFERI ANTB 12 PRTN GRP IMMUNOBLOT IGG
$52
$11
$18
55
clean
CHG TBRF B GRP ANTB DETCJ 4 RECOMB PRTN IMUNOBLT IGM
$44
$10
$15
55
clean
CHG TBRF B GRP ANTB DETCJ 4 RECOMB PRTN IMUNOBLT IGG
$44
$10
$15
55
clean
CHG ONC BRST DUX CARC IS MRNA 12 GENES ALG RSK SCOR
$11,620
$2,556
$3,989
55
clean
CHG ONC PRST8 MRNA GEN XPRS PRFL 17 GEN ALG RSK SCOR
$11,620
$2,556
$3,989
55
clean
PR CPTR-ASST MUSCSKEL NAVIGJ ORTHO FLUOR IMAGES
$658
$145
$198
18
clean
PR CPTR-ASST MUSCSKEL NAVIGJ ORTHO CT/MRI
$827
$182
$188
7
clean
CHG ONC MERKEL CELL CARC DETCJ ANTB SERUM QUAN
$968
$213
$333
55
clean
CHG ONC MERKEL CELL CARC DETCJ ANTB SERUM REPRTD +/-
$968
$213
$333
55
clean
CHG TC MEAS 5 BIOMARKERS W/SFDI MULTI-SPECTRAL ALYS
$76
$17
$26
55
clean
CHG ANTIBODY TREPONEMA PALLIDUM TOTAL & RPR IA QUAL
$94
$21
$32
55
clean
CHG SYPHILIS TST NON-TREPONEMAL ANTIBODY IA QUAL RPR
$54
$12
$19
55
clean
CHG CANDIDA SPECIES PANEL AMP PRB TQ W/QUAL REPORT
$428
$94
$147
55
clean
PR TCAT PLMT XTRC VRT CRTD STENT RS&I PRQ 1ST VSL
$2,817
$620
$1,016
54
clean
CHG IG PARAPROTEIN QUAL IMPRCIP&MS BLD/UR W/ISOTYPE
—
—
$45
55
clean
CHG ONC LUNG 5 CLINICAL RISK FACTORS ALG PRBLTY MAL
—
—
$3,626
55
clean
CHG ONC MLNMA GEN XPRS PRFL RTQPCR PRAME & LINC00518
$2,280
$502
$783
55
clean
CHG ONC CUTAN MLNMA MRNA GEN XPRS PRFL 23 GENES ALG
—
—
$1,950
55
clean
PR EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS
—
—
$245
56
clean
CHG HERED COLON CA DO GEN SEQ ALYS PANEL 15 GENES
$5,232
$1,151
$1,744
55
clean
CHG NEPHROLOGY CKD ECLIA TUMOR NECROSIS ALG RKFD
—
—
$979
55
clean
PR QUANT SENSORY TEST&INTERPJ/XTR W/TOUCH STIMULI
—
—
$40
45
clean
CHG GASTRIC EMPTYING SERIAL COLLJ 7 TIMED BRTH SPEC
—
—
$901
55
clean
PR QUANT SENSORY TEST&INTERPJ/XTR W/VIBRJ STIMULI
—
—
$40
45
clean
PR QUANT SENSORY TEST&INTERPJ/XTR W/COOL STIMULI
—
—
$61
45
clean
CHG GI BARRETTS ESOPH QUAN IMMUNOLABEL 9 PRTN BMRK
—
—
$4,950
55
clean
PR QUANT SENAORY TEST&INTERPJ/XTR W/HT-PN STIMULI
—
—
$40
45
clean
CHG IADI TRGT SEQ ALYS 16S&18S RRNA GENES
—
—
$367
55
clean
CHG TRANSPLANTATION MED QUAN DON-DRV CLL-FR DNA PLSM
—
—
$2,836
55
clean
CHG CARDIOLOGY CERAMIDES LIQ CHROM TANDEM MS PLASMA
—
—
$86
55
clean
CHG HEREDITARY BRST CA RLTD DO GEN SEQ&DEL/DUP PNL
—
—
$1,304
55
clean
CHG NFCT DS MCRB CLL FR DNA UNTRGT NEXT GENRJ SEQ
—
—
$2,190
55
clean
CHG GI IBS IA ANTI-CDTB&ANTI-VINCULIN ANTB PLSM ALG
—
—
$115
55
clean
CHG LIVER DISEASE 10 BIOCHEMICAL ASSAYS SERUM ALG
—
—
$519
55
clean
CHG ONC SLD TUM SOMATIC MUT ALYS BRCA1 BRCA2 ALG
—
—
$3,121
55
clean
PR CAD CHEST RADIOGRAPH CONCURRENT W/INTERPRETATION
—
—
$36
18
clean
CHG ONC SOLID TUM MASS SPECTROMETRIC 30 PROTEIN TRGT
—
—
$1,345
55
clean
PR RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC
$1,660
$365
$5,899
55
clean
PR PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> NDL
—
—
$7,147
45
clean
PR PERQ SAC AGMNTJ BI W/WO BALO/MCHNL DEV 2/> NDLS
—
—
$7,147
45
clean
PR POST VERT ARTHROPLASTY W/WO BONE CEMENT, 1 LUMBAR LEVEL
$2,742
$603
$2,492
18
clean
CHG NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2
$1,250
$275
$417
120
clean
CHG NEUROLOGY ALZHEIMER DISEASE CELL AGGREGATION
—
—
$2,282
55
clean
PR EVAC MEIBOMIAN GLNDS AUTO HT& INTMT PRESS UNI
—
—
$129
45
clean
CHG NEUROLOGY ALZHEIMER DISEASE QUANTITATIVE IMAGING
—
—
$527
55
clean
PR NJX PLTLT PLASMA W/IMG HARVEST/PREPARATION
$557
$123
$369
133
clean
PR TRLUML PERIPH ATHRC W/RS&I BRCHIOCPHL EA VSL
$40,826
$31,844
$11,074
56
clean
PR TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA
$11,180
$2,460
$17,966
89
clean
CHG TRGT GEN SEQ ALYS SLD ORGN NEO CLL-FR DNA 311+
—
—
$3,628
66
clean
CHG NFCT DS RNA 3 TARGETS UPPER RESPIRATORY SPECIMEN
$428
$94
$94
41
clean
CHG NFCT DS RNA 4 TARGETS UPPER RESPIRATORY SPECIMEN
$428
$94
$94
41
clean
CHG TRGT GEN SEQ ALYS PNL SOLID ORGN NEO DNA 55-74
—
—
$5,150
55
clean
CHG ONC THYR MUT ALYS 10 GEN 37 RNA FSN XPRSN 4 MRNA
—
—
$1,304
55
clean
CHG ONC SLD ORG NEO TRGT GEN SEQ DNA ALYS 505 GENES
—
—
$3,007
55
clean
PR IM/REPL CARTD SINUS BAROREFLX ACTIV DEV TOT SYST
$1,440
$317
$43,941
56
clean
PR IM/REPL CARTD SINS BARREFLX ACT DEV PLS GEN ONLY
$1,063
$234
$30,489
45
clean
PR INTRGORTION DEV EVAL CARTD SINS BARREFLX W/I&R
$149
$33
$157
45
clean
PR INTROGATION DEV EVAL CARTD SINS BARREFLX W/PRGRM
$202
$44
$161
45
clean
PR PERC LAMINO-/LAMINECTOMY INDIR IMAG GUIDE LUMBAR
$2,665
$586
$7,147
51
clean
PR TRNSCUT ELECT MODLATION PAIN REPROCES EA TX SESS
—
—
$157
45
clean
CHG ONC LUNG MRNA QUAN PCR ALYS 11 GEN&3 REF GEN ALG
—
—
$3,989
55
clean
CHG ONC BRST DUX CARC PRTN XPRSN PRFL IMHCHEM 7 PRTN
—
—
$5,435
55
clean
CHG CRD CAD ALYS 3 PRTN 3 CLIN PARAM PLSM OBSTR CAD
—
—
$402
55
clean
CHG CRD CV DS ALYS 4 PRTN PLSM ALG RSK MAJ CAR EVENT
—
—
$402
55
clean
CHG NFCT DS BCT QUAN ANTMCRB SC MIC EA ORG ID
—
—
$8
55
clean
CHG AI DS SLE ALYS 8 IGG AUTOANT&2 CLL BOUND PRDCTS
—
—
$866
55
clean
CHG ONC CUTAN SQ CLL CARC MRNA GEN XPRSN PRFL 40 ALG
—
—
$8,781
53
clean
CHG NEPH RNL TRNSPL RNA POSTTRNSPL PERPH BLD ALG
—
—
$2,737
53
clean
CHG TRGT GEN SEQ ALYS SLD ORGN NEO CLL-FR DNA 83+
—
—
$5,165
53
clean
CHG ONC NEOPLASIA XOME&TRNS SEQ ALYS DNA&RNA TUMOR
—
—
$3,551
53
clean
PR TEAR FILM IMAGING UNILATERAL OR BILATERAL W/I&R
—
—
$40
45
clean
CHG ONC SLD ORGN TGSA FFPE TUM TISS DNA 84/+ GEN
—
—
$3,500
55
clean
CHG ONC PLSM CLL DO&MYLOMA CRCG PLSM CLL IMMLG SLCTN
—
—
$2,515
53
clean
CHG ONC SLD TUM CRCG TUMOR CELL SELECTION
—
—
$2,515
53
clean
PR TRANSCATHETER RENAL SYMPATH DENERVATION BILAT
$2,476
$545
$5,567
56
clean
CHG ONC PROSTATE MRNA XPRSN PRFLG HOXC6 &DLX1 RT-PCR
—
—
$783
55
clean
CHG ONC PAN CANCER ANALYSIS MRD FROM PLASMA
—
—
$3,920
55
clean
CHG HEP NAFLD SEMIQ EVAL 28 LIPID MRK SRM NASH/XNASH
—
—
$818
53
clean
CHG PSYC GENOMIC ALYS PANEL VARIANT ALYS 15 GENES
—
—
$1,376
55
clean
CHG RX METAB/PCX DNA 16 GENE VRNT ALYS&REPRTD PHNT
—
—
$1,376
55
clean
CHG RX METAB/PCX DNA 25 GENE VRNT ALYS&REPRTD PHNT
—
—
$765
55
clean
CHG RX METAB/PCX DNA 27 GEN VRNT ALYS&PHNT GEN-RX IA
—
—
$765
55
clean
PR RADIOSTEREOMETRIC ANALYSIS LOWER EXTREMITY EXAM
—
—
$90
45
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
—
—
$268
55
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
53
clean
CHG ONC OROP/ANAL 17 BMRK DDPCR CELL FREE DNA ALG
—
—
$1,859
53
clean
PR BIA WHOLE BODY COMPOSITION ASSESSMENT W/I&R
$71
$16
$26
45
clean
CHG NEURO MLD COG IMPAIRMNT ALYS B-AMYLOID 1-42&1-40
—
—
$269
53
clean
CHG ONC PRST8 CA ALYS ALL PSA STRUCTURAL ISOFORMS
—
—
$785
53
clean
CHG ONCOLOGY LUNG ELISA 7 AUTOANTIBODIES PLASMA ALG
—
—
$814
53
clean
CHG NEUROFILAMENT LIGHT CHAIN DIGITAL IA PLASMA QUAN
—
—
$120
53
clean
CHG ONC URTHL MRNA GEN XPRSN PRFLG RT QUAN PCR 5 GEN
—
—
$785
53
clean
CHG ONC BLDR ALYS 10 PRTN BMRK ALG PRB BLDR CA
—
—
$927
53
clean
CHG ONC BLDR ALYS 10 PRTN BMRK ALG PRB RECR BLDR CA
—
—
$927
53
clean
CHG ONC OVARIAN BIOCHEM ASSAY 7 PRTNS ALG RSK SCOR
—
—
$927
53
clean
CHG ONC PRST8 CA IMG ALYS 128 HLOG FEAT&CLIN FCTR
—
—
$730
53
clean
PR VISUAL FIELD ASSESSMENT TECH SUPPORT W/INSTRUCT
—
—
$62
56
clean
CHG TGSAP SLD ORG NEO DNA 523&RNA 55 NEXT GNRJ SEQ
—
—
$3,397
53
clean
CHG ONC NONSM CLL LNG CA NXT GNRJ SEQ 37 CA RLTD GEN
—
—
$3,616
53
clean
CHG NEURO PRKNSN CSF DETCJ MSFLD A-SYNCLN PRTN QUAL
—
—
$559
53
clean
PR HDR ELECTRONIC BRACHYTHERAPY SKIN SURFACE
—
—
$263
56
clean
CHG PFAS 16 PFAS COMPND LC MS/MS PLSM/SRM QUAN
—
—
$205
53
clean
PR HDR ELECTRONIC BRACHYTHERAPY NTRSTL/INTRCAV
—
—
$750
56
clean
PR MRGFUS STEREOTACTIC ABLATION LESION INTRACRANIAL
—
—
$11,666
2
clean
CHG GI BARRETT ESOPH DNA MTHYLTN ALYS ALG DYSP/CA
—
—
$1,813
53
clean
PR COLLAGEN CROSS-LINKING CORNEA&PACHYMETRY
—
—
$2,334
53
clean
CHG ONC PRST8 MRNA GEN XPRSN PRFLG 18GENS 1-CATCH UR
—
—
$785
53
clean
CHG ONC BRST CA SEMIQ MEAS THYMIDINE KINASE ACTV IA
—
—
$334
53
clean
CHG ONC LUNG FLOW CYTOMETRY SPUTUM 5 MARKERS ALG
—
—
$785
53
clean
CHG NEPHROLOGY DIABETIC CKD MULT ECLIA PLASMA ALG
—
—
$950
53
clean
PR INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD
$2,839
$625
$32,078
89
clean
CHG ONC SLD TUM DNA 80&RNA 36 GEN NEXT GNRJ SEQ PLSM
—
—
$3,016
53
clean
CHG PSYC GENOMIC ALYS PANEL VARIANT ALYS 15 GENES
—
—
$1,380
53
clean
CHG CV DS ACS IA ALG BLOOD 5 YEAR DEL RISK SCORE ACS
—
—
$404
53
clean
PR PRGRMG DEVICE EVALUATION CARDIAC MODULJ SYSTEM
—
—
$39
45
clean
PR INTERRO DEVICE EVALUATION CARDIAC MODULJ SYSTEM
—
—
$39
45
clean
PR TRANSURETHRAL WATERJET ABLATION PROSTATE COMPL
$1,962
$432
$9,029
56
clean
CHG GI MALABS EVAL AAT CALPROTECTIN PNCRTC ELASTASE
—
—
$64
53
clean
CHG GLYCINE RECEPTOR ALPHA1 IGG SERUM/CSF LCBA QUAL
—
—
$38
53
clean
CHG KLHL11 ANTB SERUM/CSF CELL BINDING ASSAY QUAL
$296
$231
$38
53
clean
CHG ONC PROSTATE 5 DNA REG MRK QUAN PCR WHL BLD ALG
—
—
$785
53
clean
CHG RX METAB ADVRS RX RXN&RSPSE VARIANT ALYS 25 GEN
—
—
$431
53
clean
PR IMPLTJ NONBIOL/SYNTH IMPLT FASC RNFCMT ABDL WALL
$858
$189
$275
7
clean
PR MYOCARDIAL PERFUSION ECHO ISCHM/VIABILITY ASSMT
—
—
$117
18
clean
PR ABLTJ PERC CRYOABLTJ IMG GDN LXTR/PERPH NERVE
—
—
$1,954
45
clean
PR ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV
—
—
$6,407
45
clean
PR CRTJ SUBQ INSJ IMPLTBL GLUCOSE SENSOR SYS TRAIN
$159
$35
$3,092
62
clean
PR RMVL IMPLTBL GLUCOSE SENSOR SUBQ POCKET VIA INC
$184
$40
$189
62
clean
PR RMVL INSJ IMPLTBL GLUC SENSOR DIF ANATOMIC SITE
$264
$58
$3,092
62
clean
PR INSJ AQUEOUS DRAIN DEV W/O EO RSVR INITIAL DEV
—
—
$5,113
55
clean
PR VISUAL EP TESTING FOR GLAUCOMA W/INTERPJ & REPRT
—
—
$153
56
clean
CHG ONC SOLID TUMOR NGS DNA FFPE TISS BLD/SLV 648GEN
—
—
$4,680
53
clean
CHG HERED PRST8 CA-RLTD DO GSAP NGS CGH EVAL 23 GENE
—
—
$1,347
53
clean
PR FRACTIONAL ABL LSR FENESTRATION FIRST 100 SQCM
$705
$155
$612
56
clean
PR FRACTIONAL ABL LSR FENESTRATION EA ADDL 100 SQCM
$155
$34
$99
18
clean
PR TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH
$2,879
$633
$1,683
18
clean
PR TMVI W/PROSTHETIC VALVE TRANSTHORACIC EXPOSURE
$4,554
$1,002
$2,243
18
clean
PR OCT MIDDLE EAR WITH I&R UNILATERAL
—
—
$49
136
clean
PR OCT MIDDLE EAR WITH I&R BILATERAL
—
—
$102
136
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
$365
$11,564
45
clean
PR NEAR INFRARED DUAL IMG MEIBOMIAN GLND UNI/BI I&R
$172
$38
$57
59
clean
PR PATTERN ELECTRORETINOGRAPHY W/I&R
$58
$13
$87
164
clean
PR ESW INTEGUMENTARY WOUND HEALING INITIAL WOUND
—
—
$208
45
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
—
—
$19,081
45
clean
PR PRGRMG DEVICE EVAL IIMS IN PERSON
—
—
$43
59
clean
PR INTERROGATION DEVICE EVAL IIMS IN PERSON
—
—
$38
59
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
$14
$61
45
clean
PR ANATOMIC GUIDE 3D PRINTED EA ADDL ANATOMIC GUIDE
—
—
$19
7
clean
PR EVACUATION MEIBOMIAN GLANDS USING HEAT BILATERAL
—
—
$61
45
clean
PR TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS
$5,601
$1,232
$1,246
7
clean
PR TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS
$1,325
$292
$435
7
clean
PR INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE
$1,593
$350
$32,078
89
clean
PR PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON
$184
$40
$39
45
clean
PR INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON
$149
$33
$39
45
clean
PR REM INTERROG DEV EVAL SS LD ICDS <90D PHY/QHP
$84
$18
$40
7
clean
PR REM INTERROG DEV EVAL SS LD ICDS < 90D TECH
$58
$13
$38
89
clean
PR ABLATION MAL BRST TUMOR PERQ CRTX UNILATERAL
—
—
$3,905
45
clean
PR ELEC ALYS CPLX PRGRMG IINS BLDR DYSF PTN 4+
—
—
$94
45
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
—
—
$312
45
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
—
—
$10,416
45
clean
PR IRE ABLATION 1+TUMORS W/FLUOR&US GDN OPEN
—
—
$10,416
45
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 17,585 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
4,235 of 6,817 comparable items (62%) 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 $30,800 exceeds the gross charge $10,500
warn
mrf_rate_without_estimate
9,744 of 9,744 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 71555/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 differ, so no cross-line comparison was made for this item
CPT 76390/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 78610/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 81288/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 82960/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 85260/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 88182/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 97167/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 J7168/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 12044/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 20552/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 27818/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 59409/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 72020/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 78630/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 81290/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 82962/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 85270/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 86806/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 88184/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 94640/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 J7187/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 12045/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 20553/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 72040/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 81291/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 85280/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 86807/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 97168/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 J7189/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 12046/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 20555/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 59412/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 72050/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 76498/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 78645/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 81292/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 85290/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 88185/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 94642/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 97530/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 J7195/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 12047/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 27824/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 36569/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 59414/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 72052/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 76499/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 78650/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 81294/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 82977/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 86812/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 88187/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 97535/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 J7197/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 12051/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 27825/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 72070/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 76506/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 81295/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 82978/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 85292/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 86813/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 88188/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 94644/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 97537/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 J7198/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 12052/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 20600/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 36571/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 54450/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 72072/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 81297/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 85293/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 88189/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 94645/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 97542/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 12053/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 20604/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 32110/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 72074/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 81298/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 82985/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 85300/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 86817/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 88230/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 94660/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 97550/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 J7297/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 12054/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 20605/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 32160/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 36573/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 72080/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 76512/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 78701/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 81300/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 83001/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 85301/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 88233/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 97551/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 J0131/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 J7298/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 12055/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 20606/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 27040/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 32400/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 36575/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 50593/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 72081/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 78707/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 83002/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 85302/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 86825/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 88235/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 97552/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 J0132/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 differ, so no cross-line comparison was made for this item
CPT 12056/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 20610/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 27041/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 32408/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 36576/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 41899/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 59612/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 72082/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 78708/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 81301/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 83003/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 85303/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 86826/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 88237/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 92597/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 94664/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 97597/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 J0133/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 differ, so no cross-line comparison was made for this item
CPT J7300/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 12057/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 20611/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 32550/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 41899/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 differ, so no cross-line comparison was made for this item
CPT 50684/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 59620/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 72083/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 78709/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 81305/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 83006/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 85305/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 86828/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 88239/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 97598/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 J0153/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 13100/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 20612/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 32551/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 36580/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 42000/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 59812/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 72084/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 81306/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 85306/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 86830/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 88240/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 94667/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 97602/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 J0166/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 differ, so no cross-line comparison was made for this item
CPT J7307/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 13101/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 27840/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 36581/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 50688/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 59820/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 72100/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 76529/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 81307/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 83010/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 85307/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 86831/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 88241/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 97605/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 J0169/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 J7315/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 13102/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 36582/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 50690/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 72110/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 76536/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 78740/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 85335/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 86832/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 94668/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 97606/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 J0171/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7504/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 13120/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 23330/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 32554/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 50693/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 72114/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