Service
Code
Listed
Cash
Negotiated
Rates
Checks
0202U Respiratory Virus Panel. tech
$2,709
$465
$417
5
clean
10060 I&D Abscess Cyst Simp Single Tech
$1,292
$222
$487
6
clean
11106 INCAL BX SKN SINGLE LES Tech
$3,979
$683
$1,499
6
clean
11107 INCAL BX SKN EA SEP/ADDL Tech
$67
$12
$25
6
clean
11402 EXC TR-EXT B9+MARG 1.1-2 CM Tech
$4,573
$785
$1,723
6
clean
11719 Trimming Of Nail Tech
$386
$66
$145
6
clean
11721 DEBRIDE NAIL 6 OR MORE Tech
$386
$66
$145
6
clean
20610 DRAIN/INJ JOINT/BURSA W/O US Tech
$1,919
$329
$723
6
clean
CHEST TUBE FOR FLUID DRN Tech
$10,097
$1,733
$3,805
6
clean
32552 XR Removal Chest Catheter Tech
$4,019
$690
$1,514
6
clean
32561 LYSE CHEST FIBRIN INIT DAY Tech
$4,019
$690
$1,514
6
clean
36415 .BO Labcorp Tech
$59
$10
$22
18
clean
51701 INSERT BLADDER CATHETER Tech
$838
$144
$316
6
clean
64447 - Inj Femoral Nerve w Imaging Tech
$4,501
$772
$1,696
6
clean
NON PROVIDER 69209 Remove Impacted Ear Wax Uni Tech
$386
$66
$145
6
clean
69210 REMOVE IMPACTED EAR WAX UNI Tech
$386
$66
$145
6
clean
70450 CT HEAD/BRAIN W/O DYE Tech
$532
$91
$200
12
clean
70460 CT HEAD/BRAIN W/DYE Tech
$890
$153
$335
6
clean
70470 CT HEAD/BRAIN W/O & W/DYE Tech
$890
$153
$335
6
clean
70496 CT ANGIOGRAPHY HEAD Tech
$890
$153
$335
6
clean
71045 X-RAY EXAM CHEST 1 VIEW Tech
$440
$76
$166
18
clean
71046 XR Chest 2 Views w/ Fluoroscopy Tech
$440
$76
$166
18
clean
71047 X-RAY EXAM CHEST 3 VIEWS Tech
$440
$76
$166
6
clean
71048 X-RAY EXAM CHEST 4+ VIEWS Tech
$691
$119
$260
6
clean
71101 X-RAY EXAM UNILAT RIBS/CHEST RT Tech
$532
$91
$200
12
clean
71111 X-RAY EXAM RIBS/CHEST4/> VWS Tech
$532
$91
$200
6
clean
74176 CT ABD & PELVIS W/O CONTRAST Tech
$1,209
$207
$456
6
clean
80048 METABOLIC PANEL TOTAL CA Tech
$55
$9
$21
12
clean
80053 COMPREHEN METABOLIC PANEL Tech
$69
$12
$26
6
clean
80061 Lipid Panel. Tech
$87
$15
$33
12
clean
80069 RENAL FUNCTION PANEL Tech
$56
$10
$21
6
clean
80074 Acute Hepatitis Panel. Tech
$310
$53
$117
6
clean
80076 HEPATIC FUNCTION PANEL Tech
$53
$9
$20
12
clean
80143 Acetaminophen Level. Tech
$121
$21
$46
6
clean
80156 Carbamazepine, Total Tech
$95
$16
$36
12
clean
80159 Clozapine -Quest Tech
$131
$22
$49
6
clean
80162 ASSAY OF DIGOXIN TOTAL Tech
$86
$15
$32
6
clean
80164 Valproic Acid, Total + Free -Quest Tech
$88
$15
$33
12
clean
80165 DIPROPYLACETIC ACID FREE Tech
$88
$15
$33
12
clean
80173 Haloperidol -Quest Tech
$103
$18
$39
6
clean
80175 DRUG SCREEN QUAN LAMOTRIGINE Tech
$86
$15
$32
6
clean
80177 Levetiracetam, LC/MS-Quest Tech
$86
$15
$32
18
clean
80178 ASSAY OF LITHIUM Tech
$43
$7
$16
6
clean
80183 Oxcarbazepine Metabolite -Quest Tech
$86
$15
$32
6
clean
80184 Phenobarbital Tech
$99
$17
$37
6
clean
80185 ASSAY OF PHENYTOIN TOTAL Tech
$86
$15
$32
6
clean
80188 Primidone -Quest Tech
$108
$19
$41
6
clean
80201 ASSAY OF TOPIRAMATE Tech
$77
$13
$29
6
clean
80203 DRUG SCREEN QUANT ZONISAMIDE Tech
$86
$15
$32
6
clean
80235 Lacosamide, LC/MS/MS -Quest Tech
$176
$30
$66
6
clean
80299 Quetiapine, Serum/Plasma -Quest Tech
$121
$21
$46
30
clean
80305 Presumptive Drug Test Tech
$82
$14
$31
12
clean
80307 .BO DUID/DRE Proof POSITIVE Blood. Tech
$404
$69
$152
312
clean
81001 URINALYSIS AUTO W/SCOPE Tech
$21
$4
$8
6
clean
81003 URINALYSIS AUTO W/O SCOPE Tech
$15
$3
$6
24
clean
81015 MICROSCOPIC EXAM OF URINE Tech
$20
$3
$8
6
clean
81025 URINE PREGNANCY TEST Tech
$56
$10
$21
12
clean
81291 MTHFR DNA -Quest Tech
$425
$73
$160
6
clean
82010 Betahydroxybutyrate. Tech
$53
$9
$20
18
clean
82024 ASSAY OF ACTH Tech
$251
$43
$95
6
clean
82040 Albumin Level. Tech
$32
$5
$12
12
clean
82043 Albumin Level 24 Hour Urine. Tech
$38
$7
$14
12
clean
82077 Alcohol Level. Tech
$112
$19
$42
6
clean
82088 ASSAY OF ALDOSTERONE Tech
$265
$45
$100
18
clean
82140 Stonerisk(R) Diagnostic Profile -Quest Tech
$95
$16
$36
12
clean
82150 ASSAY OF AMYLASE Tech
$42
$7
$16
24
clean
82157 Androstenedione, LC/MS/MS -Quest Tech
$190
$33
$72
6
clean
82247 Bilirubin Total. Tech
$33
$6
$12
6
clean
82248 BILIRUBIN DIRECT Tech
$33
$6
$12
6
clean
82306 Vitamin D 25 Hydroxy Level. Tech
$192
$33
$72
24
clean
82310 ASSAY OF CALCIUM Tech
$34
$6
$13
12
clean
82330 Calcium Level Ionized. Tech
$89
$15
$34
6
clean
82378 CARCINOEMBRYONIC ANTIGEN Tech
$123
$21
$46
6
clean
82390 ASSAY OF CERULOPLASMIN Tech
$70
$12
$26
6
clean
82465 Cholesterol Total. Tech
$28
$5
$11
6
clean
82525 Copper -Quest Tech
$81
$14
$31
12
clean
Cortisol, Free 24 Hour Urine -Quest Tech
$109
$19
$41
6
clean
82533 Cortisol 30 Minutes Post ACTH. Tech
$106
$18
$40
24
clean
82550 ASSAY OF CK (CPK) Tech
$42
$7
$16
12
clean
82552 CK-MM (QST) Tech
$87
$15
$33
6
clean
82553 CREATINE MB FRACTION Tech
$75
$13
$28
6
clean
82565 ASSAY OF CREATININE Tech
$33
$6
$12
6
clean
82570 Assay of urine creatinine Tech
$34
$6
$13
54
clean
82607 VITAMIN B-12 Tech
$98
$17
$37
6
clean
82626 DHEA, LC/MS/MS -Quest Tech
$164
$28
$62
6
clean
82627 DHEA Sulfate -Quest Tech
$144
$25
$54
6
clean
82634 11-Deoxycortisol,LC/MS/MS -Quest Tech
$190
$33
$72
6
clean
Vitamin D, 1,25 (OH)2, Total (QST) Tech
$250
$43
$94
12
clean
82670 Estradiol, Ultrasensitive LC/MS/MS -Quest Tech
$182
$31
$69
30
clean
82681 Estradiol Tech
$182
$31
$69
6
clean
82728 ASSAY OF FERRITIN Tech
$89
$15
$34
12
clean
82746 ASSAY OF FOLIC ACID SERUM Tech
$96
$16
$36
6
clean
82784 Immunoglobulin A. Tech
$60
$10
$23
60
clean
82803 Blood Gas Panel Tech
$169
$29
$64
6
clean
82947 Glucose Screen. Tech
$26
$4
$10
30
clean
82951 Glucose, Fasting. Tech
$84
$14
$32
6
clean
82977 ASSAY OF GGT Tech
$47
$8
$18
6
clean
83001 FSH Pediatric -Quest Tech
$121
$21
$46
12
clean
83002 ASSAY OF GONADOTROPIN (LH) Tech
$120
$21
$45
12
clean
83003 ASSAY GROWTH HORMONE (HGH) Tech
$108
$19
$41
6
clean
83010 ASSAY OF HAPTOGLOBIN QUANT Tech
$82
$14
$31
6
clean
83013 H Pylori, Urea Breath Test -Quest Tech
$438
$75
$165
6
clean
83020 Hgb Fractionation Tech
$84
$14
$32
12
clean
83036 Hemoglobin A1c-SJR w/eAG. Tech
$63
$11
$24
12
clean
Homocysteine-QST Tech
$116
$20
$44
6
clean
83498 17 Hydroxyprogesterone, LC/MS/MS -Quest Tech
$177
$30
$67
6
clean
Myositis/JO1, Immunoassay Tech
$75
$13
$28
138
clean
83520 Rheumatoid Factor (IgM) -Quest Tech
$112
$19
$42
18
clean
83525 Insulin Level Total. Tech
$74
$13
$28
48
clean
83540 ASSAY OF IRON Tech
$42
$7
$16
6
clean
83605 ASSAY OF LACTIC ACID Tech
$75
$13
$28
24
clean
83615 Lactate Dehydrogenase Body Fluid.(HSM) Tech
$39
$7
$15
30
clean
83655 Lead Level. Tech
$79
$14
$30
6
clean
83690 ASSAY OF LIPASE Tech
$45
$8
$17
12
clean
83735 Magnesium Level 24 Hour Urine. Tech
$44
$8
$17
48
clean
83835 Metanephrines, Fract, Free, Plasma -Quest Tech
$110
$19
$41
18
clean
83874 ASSAY OF MYOGLOBIN Tech
$84
$14
$32
6
clean
83880 NT-Pro BNP. Tech
$255
$44
$96
12
clean
83883 Kappa/Lambda LC Free w/ Ratio Serum-Qst Tech
$88
$15
$33
12
clean
83921 ORGANIC ACID SINGLE QUANT Tech
$138
$24
$52
6
clean
83930 ASSAY OF BLOOD OSMOLALITY Tech
$43
$7
$16
6
clean
83935 ASSAY OF URINE OSMOLALITY Tech
$44
$8
$17
6
clean
83970 ASSAY OF PARATHORMONE Tech
$268
$46
$101
6
clean
83993 ASSAY FOR CALPROTECTIN FECAL Tech
$128
$22
$48
6
clean
84075 Alkaline Phosphatase. Tech
$34
$6
$13
6
clean
84100 ASSAY OF PHOSPHORUS Tech
$31
$5
$12
6
clean
84132 ASSAY OF SERUM POTASSIUM Tech
$31
$5
$12
12
clean
84133 Potassium Level Urine. Tech
$31
$5
$12
6
clean
84134 ASSAY OF PREALBUMIN Tech
$95
$16
$36
6
clean
84140 Pregnenolone, LC/MS/MS -Quest Tech
$134
$23
$50
6
clean
84143 17 Hydroxypregnenolone, LC/MS/MS -Quest Tech
$148
$25
$56
6
clean
Progesterone -Quest Tech
$136
$23
$51
18
clean
84145 PROCALCITONIN (PCT) Tech
$177
$30
$67
6
clean
84146 Macroprolactin Tech
$126
$22
$47
36
clean
PSA, Total (QST) Tech
$120
$21
$45
12
clean
84154 ASSAY OF PSA FREE Tech
$120
$21
$45
6
clean
84155 ASSAY OF PROTEIN SERUM Tech
$24
$4
$9
6
clean
84165 PROTEIN E-PHORESIS SERUM Tech
$70
$12
$26
6
clean
84182 MI-2 Alpha Ab-QST Tech
$190
$33
$72
42
clean
84207 ASSAY OF VITAMIN B-6 Tech
$183
$31
$69
6
clean
84244 ASSAY OF RENIN Tech
$143
$25
$54
6
clean
84252 Vitamin B2 (Riboflavin), Plasma -Quest Tech
$132
$23
$50
6
clean
84270 Testosterone, Free,Bio And Total -Quest Tech
$141
$24
$53
18
clean
84295 Sodium Level. Tech
$31
$5
$12
6
clean
84300 Sodium Level Urine. Tech
$33
$6
$12
6
clean
84402 Free Testosterone (QST) Tech
$166
$28
$63
6
clean
84403 Testosterone, Total, LC/MS/MS (QST) Tech
$168
$29
$63
30
clean
84425 Vit B1 (Thiamine), Serum/Plasma, LC/MS/MS -Quest Tech
$138
$24
$52
12
clean
84436 ASSAY OF TOTAL THYROXINE Tech
$45
$8
$17
6
clean
84439 Free T4 Level. Tech
$59
$10
$22
12
clean
84443 TSH without HAMA Tech
$109
$19
$41
30
clean
84445 TSI (Thyroid Stimulating Immunoglobulin) -Quest Tech
$331
$57
$125
6
clean
84450 TRANSFERASE (AST) (SGOT) Tech
$34
$6
$13
6
clean
84460 ALANINE AMINO (ALT) (SGPT) Tech
$34
$6
$13
6
clean
84466 ASSAY OF TRANSFERRIN Tech
$83
$14
$31
6
clean
84480 T3 Total. Tech
$92
$16
$35
6
clean
84481 FREE ASSAY (FT-3) Tech
$110
$19
$41
18
clean
84484 Troponin-I. Tech
$81
$14
$31
18
clean
84520 Blood Urea Nitrogen. Tech
$26
$4
$10
6
clean
84550 ASSAY OF BLOOD/URIC ACID Tech
$29
$5
$11
6
clean
84591 Vitamin B3 -Quest Tech
$111
$19
$42
6
clean
84681 ASSAY OF C-PEPTIDE Tech
$135
$23
$51
6
clean
84702 Beta hCG Quantitative. Tech
$98
$17
$37
12
clean
Pregnancy Screen. Tech
$49
$8
$18
6
clean
85007 Manual Differential No Charge Tech
$25
$4
$9
12
clean
85014 HEMATOCRIT Tech
$15
$3
$6
12
clean
85018 Hemoglobinopathy HGB Tech
$15
$3
$6
12
clean
85025 COMPLETE CBC W/AUTO DIFF WBC Tech
$51
$9
$19
12
clean
85027 CBC w/ Manual Differential. Tech
$42
$7
$16
12
clean
85041 RBC Count (QST) Tech
$20
$3
$8
6
clean
85130 Heparin Anti-Xa Low Molecular Weight. Tech
$77
$13
$29
6
clean
85240 Von Willebrands Panel.. Tech
$116
$20
$44
18
clean
Ristocetin Cofactor Activity (QST) Tech
$149
$26
$56
18
clean
85246 CLOT FACTOR VIII VW ANTIGEN Tech
$149
$26
$56
12
clean
85247 CLOT FACTOR VIII MULTIMETRIC Tech
$149
$26
$56
12
clean
85379 D-Dimer. Tech
$66
$11
$25
6
clean
POC Prothrombin Time/INR by Istat Tech
$28
$5
$11
18
clean
85652 RBC SED RATE AUTOMATED Tech
$18
$3
$7
6
clean
85730 Partial Thromboplastin Time. Tech
$39
$7
$15
18
clean
86015 Smooth Muscle Ab w/Refl Titer -Quest Tech
$78
$13
$29
6
clean
86021 ANCA Scrn w/ MPO,PR3-Quest Tech
$98
$17
$37
12
clean
86036 WBC ANTIBODY IDENTIFICATION Tech
$78
$13
$29
6
clean
86038 ANTINUCLEAR ANTIBODIES Tech
$79
$14
$30
6
clean
86039 ANTINUCLEAR ANTIBODIES (ANA) Tech
$73
$13
$28
6
clean
86051 AQP4 (NMO- IgG) Autoantibody Test -Quest Tech
$75
$13
$28
6
clean
86052 Aquaporin 4 Ab (IgG), CBA -Quest Tech
$78
$13
$29
12
clean
Anti-Streptolysin O Ab-Quest. Tech
$47
$8
$18
6
clean
86140 CRP Tech
$34
$6
$13
12
clean
86141 C-Reactive Protein High Sensitivity. Tech
$84
$14
$32
6
clean
86200 CCP Antibody. Tech
$84
$14
$32
6
clean
86231 Endomysial IgA Scr-QST Tech
$79
$14
$30
6
clean
86235 Jo-1 Antibody Myositis Spec 11 Abs Pnl-Quest (QST) Tech
$117
$20
$44
36
clean
86255 Glial Fibrillary ProteinAb,CBA,CSF Tech
$78
$13
$29
510
clean
86258 Gliadin(Deamidat) Ab (IgG, IgA) -Quest Tech
$78
$13
$29
42
clean
86301 IMMUNOASSAY TUMOR CA 19-9 Tech
$135
$23
$51
6
clean
86304 Cancer Antigen 125. Tech
$135
$23
$51
6
clean
86308 HETEROPHILE ANTIBODY SCREEN Tech
$34
$6
$13
6
clean
86316 Neuron Specific Enolase (NSE) -Quest Tech
$135
$23
$51
18
clean
Pneumococcal Abs, IgG 23 Tech
$97
$17
$37
30
clean
86334 Immunofixation Electrophoresis. Tech
$145
$25
$55
6
clean
Showing the first 200 of 351 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 90840/b
warn
mrf_negotiated_above_gross
highest negotiated rate $225 exceeds the gross charge $165
CPT G2211/b
warn
mrf_negotiated_above_gross
highest negotiated rate $126 exceeds the gross charge $47
CPT 90785/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, min, max differ, so no cross-line comparison was made for this item
CPT 90791/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90792/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, min, max differ, so no cross-line comparison was made for this item
CPT 90832/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90834/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90837/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90839/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90840/b
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 90846/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, min, max differ, so no cross-line comparison was made for this item
CPT 90847/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, min, max differ, so no cross-line comparison was made for this item
CPT 90853/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99211/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT G2211/b
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 H0035/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item