Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC RBC ANT TYP DNA 35 ANTIGENS 11 BL GRPS WH BLD CMN ALLELES
$870
$870
—
0
clean
HC VENOUS BLOOD BY VENIPUNCTURE
$13
$13
—
0
clean
HC THERAPEUTIC APHERESIS WBC
$4,368
$4,368
—
0
clean
HC THERAPEUTIC APHERESIS RBC
$4,368
$4,368
—
0
clean
HC THERAPEUTIC APHERESIS FOR PLTS
$3,494
$3,494
—
0
clean
HC THERAPEUTIC APHERESIS PLASMA
$4,368
$4,368
—
0
clean
HC LDL LIPID PANEL SO
$109
$109
—
0
clean
HC ACUTE HEPATITIS PANEL
$358
$358
—
0
clean
HC DRUG ASSAY ADALIMUMAB
$172
$172
—
0
clean
HC AMIKACIN
$120
$120
—
0
clean
HC LAB TEST AMIODARONE SEND OUT
$132
$132
—
0
clean
HC CARBAMAZEPINE/TEGRETOL
$116
$116
—
0
clean
HC FREE TEGRETOL
$106
$106
—
0
clean
HC CYCLOSPORINE
$144
$144
—
0
clean
HC CLOZAPINE
$148
$148
—
0
clean
HC DIGOXIN
$106
$106
—
0
clean
HC VALPROIC ACID TOTAL
$109
$109
—
0
clean
HC VALPROIC ACID FREE
$89
$89
—
0
clean
HC ETHOSUXIMIDE
$131
$131
—
0
clean
HC DRUG ASSAY EVEROLIMUS
$77
$77
—
0
clean
HC GENTAMICIN
$131
$131
—
0
clean
HC GABAPENTIN
$106
$106
—
0
clean
HC HALDOL LEVEL
$116
$116
—
0
clean
HC LAMOTRIGINE
$106
$106
—
0
clean
HC LIDOCAINE
$117
$117
—
0
clean
HC KEPPRA
$106
$106
—
0
clean
HC LITHIUM
$62
$62
—
0
clean
HC MYCOPHENOLIC ACID
$144
$144
—
0
clean
HC DRUG ASSAY FLECAINIDE SEND OUT
$103
$103
—
0
clean
HC OXCARBAZEPINE LEVEL
$106
$106
—
0
clean
HC FREE PHENOBARBITAL
$91
$91
—
0
clean
HC PHENYTOIN/DILANTIN
$106
$106
—
0
clean
HC PHENYTOIN/DILANTIN FREE
$110
$110
—
0
clean
HC LAB TEST PRIMIDONE SEND OUT
$132
$132
—
0
clean
HC PROCAINAMIDE WITH NAPA
$134
$134
—
0
clean
HC QUINIDINE SO
$116
$116
—
0
clean
HC SIROLIMUS (IMX)
$79
$79
—
0
clean
HC TACROLIMUS FK506
$79
$79
—
0
clean
HC THEOPHYLLINE
$113
$113
—
0
clean
HC TOPIRAMATE
$95
$95
—
0
clean
HC VANCOMYCIN
$117
$117
—
0
clean
HC ZONISAMIDE
$106
$106
—
0
clean
HC DRUG ASSAY INFLIXIMAB
$170
$170
—
0
clean
HC LAB TEST LACOSAMIDE
$154
$154
—
0
clean
HC DRUG ASSAY VORICONAZOLE SEND OUT
$140
$140
—
0
clean
HC LOXAPINE (SO)
$86
$86
—
0
clean
HC DRUG TEST(S) PRESUMP READ DIR OPTICAL PER DOS
$33
$33
—
0
clean
HC DRUG TEST(S) PRESUMP READ BY INSTRU ASSIST DIR OPTICAL PER DOS
$49
$49
—
0
clean
HC DRUG TEST(S) PRESUMP INSTRU CHEM ANALY CHROMATO MASS SPECTR PER DOS
$75
$75
—
0
clean
HC URINALYSIS W/MICRO
$25
$25
—
0
clean
HC URINALYSIS DIP STICK/TABLET AUTO WO MICRO SEND OUT
$27
$27
—
0
clean
HC DETECTION OF SPERM IN URINE
$25
$25
—
0
clean
HC PREGNANCY TEST URINE
$37
$37
—
0
clean
HC URINE MEASUREMENT
$24
$24
—
0
clean
HC BCR ABL
$363
$363
—
0
clean
HC BCR/ABL1 TRNSLC ANALY MINOR BREAKPNT QUALITATIVE/QUANTITATIVE SO
$955
$955
—
0
clean
HC CALR GENE ANALYSIS COMMON VARIANTS IN EXON 9 SEND OUT
$803
$803
—
0
clean
HC CYSTIC FIBROSIS PCR BUNDLED
$1,790
$1,790
—
0
clean
HC EGFRA MUTATION BUNDLED
$1,060
$1,060
—
0
clean
HC PROTHROMBIN GENE MUTATION
$241
$241
—
0
clean
HC FACTOR V DNA
$352
$352
—
0
clean
HC FLT3 GENE ANALYSIS INTERNAL TANDEM DUPL VARIANTS
$713
$713
—
0
clean
HC FLT3 GENE ANALYSIS TYROSINE KINASE DOMAIN VARIANTS
$645
$645
—
0
clean
HC HEMACHROMATOSIS DNA
$407
$407
—
0
clean
HC IGH PCR
$861
$861
—
0
clean
HC JAK2 MUTATION BY PCR
$424
$424
—
0
clean
HC BCL 2 PCR
$915
$915
—
0
clean
HC MTHFR
$374
$374
—
0
clean
HC MICROSATELLITE INSTABILITY BY PCR
$1,782
$1,782
—
0
clean
HC SMN1 GENE ANALY DOSAGE/DELET ALYS INCL SMN2 ALYS IF PERF SENDOUT
$605
$605
—
0
clean
HC ANTITRYPSIN P1 TYPE BUNDLED
$374
$374
—
0
clean
HC MPL GENE ANALYSIS COMMON VARIANTS SEND OUT
$835
$835
—
0
clean
HC T CELL BETA CLONALITY
$861
$861
—
0
clean
HC T CELL GAMMA CLONALITY
$861
$861
—
0
clean
HC HLA TYPING ONE LOCUS (DPA/B, DQA/B, DRB1, DRB3/4/5)
$802
$802
—
0
clean
HC HLA B 5701 TYPING
$425
$425
—
0
clean
HC APOE BUNDLED
$360
$360
—
0
clean
HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 4
$797
$797
—
0
clean
HC SARCOMA FUSION PANEL
$1,375
$1,375
—
0
clean
HC FUSION PANEL SARCOMA TISSUE NGS
$1,375
$1,375
—
0
clean
HC TARGET GENOMIC SEQ ANALY PNL HEMATOLYMPHD NEO 5-50 GENES
$1,375
$1,375
—
0
clean
HC ACTIONABLE MUTATION PANEL BLOOD NGS
$1,375
$1,375
—
0
clean
HC COMPREHENSIVE SOLID TUMOR FUSION PANEL
$5,696
$5,696
—
0
clean
HC FUSION PANEL COMPREHENSIVE SOLID TUMOR TISSUE NGS
$5,720
$5,720
—
0
clean
HC INFCT DS BACT VAGINOSIS&VAGINITIS DNA VAG FLU ALG
$625
$625
—
0
clean
HC LIVER DISEASE ANALY 3 BIOMARKERS USING IMMUNOASSAY SERUM PROG ALGO
$705
$705
—
0
clean
HC BETA HYDROXYBUTYRATE
$66
$66
—
0
clean
HC ACYLCARNITINE QUANT SO
$107
$107
—
0
clean
HC ACTH SO
$309
$309
—
0
clean
HC CYCLIC AMP BLOOD/URINE
$206
$206
—
0
clean
HC B BURGDOFERI ALBUMIN SERUM
$24
$24
—
0
clean
HC CSF ALBUMIN
$42
$42
—
0
clean
HC URINE MICROALBUMIN 24 HR
$56
$56
—
0
clean
HC ALDOLASE
$77
$77
—
0
clean
HC ALDOSTERONE
$325
$325
—
0
clean
HC ALPHA-1-ANTITRYPSIN TOTAL SEND OUTS
$108
$108
—
0
clean
HC ALPHA-1-ANTITRYPSIN PHENOTYPE SEND OUTS
$113
$113
—
0
clean
HC AFP FOR NEUTRAL T
$134
$134
—
0
clean
HC ALPHA FETO PROTEIN AMINO
$134
$134
—
0
clean
HC ALUMINUM
$203
$203
—
0
clean
HC AMINO ACID SINGLE ANALYTE
$134
$134
—
0
clean
HC AMINOLEVULINIC ACID DELTA SEND OUT
$131
$131
—
0
clean
HC AMINO ACIDS 2-5 SERUM ANALYTES
$105
$105
—
0
clean
HC AMINO ACIDS OVER 5 URINE QUANT
$107
$107
—
0
clean
HC STONERISK AMMONIA
$116
$116
—
0
clean
HC AMYLASE URINE
$75
$75
—
0
clean
HC ANDROSTANEDIOL
$230
$230
—
0
clean
HC ANDROSTENEDIONE (ESOTERIX)
$233
$233
—
0
clean
HC CSF ANGIOTENSIN CONVERTING ENZ
$116
$116
—
0
clean
HC ASSAY OF ANTI-MULLERIAN HORMONE SEND OUT
$154
$154
—
0
clean
HC APOLIPOPROTEIN B 100
$125
$125
—
0
clean
HC ARSENIC BLOOD
$152
$152
—
0
clean
HC ASCORBIC ACID
$80
$80
—
0
clean
HC METAL ANALYSIS BY ATOMIC ABSOR
$94
$94
—
0
clean
HC BETA 2 MICROGLOBULIN
$129
$129
—
0
clean
HC TOTAL BILE ACIDS
$137
$137
—
0
clean
HC BILIRUBIN TOTAL
$31
$31
—
0
clean
HC BILIRUBIN DIRECT
$41
$41
—
0
clean
HC BIOTINIDASE
$105
$105
—
0
clean
HC BLOOD OCCULT SCREEN CONSEC
$28
$28
—
0
clean
HC OCCULT BLOOD-NON FECAL
$26
$26
—
0
clean
HC BLOOD OCCULT DIAGNOSTIC CONSEC
$28
$28
—
0
clean
HC CADMIUM URINE
$185
$185
—
0
clean
HC VITAMIN D25 OH TOTAL
$145
$145
—
0
clean
HC CALCITONIN
$215
$215
—
0
clean
HC CALCIUM
$35
$35
—
0
clean
HC CALCIUM IONIZED
$110
$110
—
0
clean
HC STONERISK CALCIUM
$48
$48
—
0
clean
HC CALCULUS QUAL
$103
$103
—
0
clean
HC CARBON DIOXIDE
$30
$30
—
0
clean
HC CARBOXY HEMOGLOBIN
$98
$98
—
0
clean
HC BODY FLUID CEA
$152
$152
—
0
clean
HC CARNITINE TOTAL AND FREE
$105
$105
—
0
clean
HC CAROTENE
$73
$73
—
0
clean
HC DOPAMINE ESOTERIX
$202
$202
—
0
clean
HC CERULOPLASMIN
$86
$86
—
0
clean
HC CHMILUMINESCNT ASSAY (VIRACOR)
$87
$87
—
0
clean
HC CHLORIDE
$28
$28
—
0
clean
HC CHLORIDE URINE SEND OUTS
$45
$45
—
0
clean
HC CHLORIDE CSF
$40
$40
—
0
clean
HC CHOLESTEROL
$29
$29
—
0
clean
HC CHOLINESTERASE SO
$63
$63
—
0
clean
HC CHROMIUM WHOLE BLOOD
$162
$162
—
0
clean
HC STONERISK CITRATE
$223
$223
—
0
clean
HC C TELOPEPTIDE
$102
$102
—
0
clean
HC COPPER SERUM
$99
$99
—
0
clean
HC CORTICOSTERONE
$180
$180
—
0
clean
HC CORTISOL FREE
$133
$133
—
0
clean
HC CORTISOL SALIVA
$143
$143
—
0
clean
HC QUANTITATIVE EA SPECIMEN NON DRUG ANALYTE NOT SPECIFIED
$144
$144
—
0
clean
HC CREATININE
$38
$38
—
0
clean
HC BODY FLUID CREATININE
$54
$54
—
0
clean
HC CRYOGLOBULIN
$52
$52
—
0
clean
HC CYANIDE
$155
$155
—
0
clean
HC VITAMIN B12
$119
$119
—
0
clean
HC VIT B12 UBC
$114
$114
—
0
clean
HC LAB CYSTATIN C SEND OUT
$103
$103
—
0
clean
HC DHEA (ESOTERIX)
$202
$202
—
0
clean
HC DHEA-S (ESOTERIX)
$177
$177
—
0
clean
HC DEOXYCORTICOSTERONE
$247
$247
—
0
clean
HC DEOXYCORTISOL 11
$233
$233
—
0
clean
HC DIBUCAINE INHIBITION
$98
$98
—
0
clean
HC DIHYDROTESTOSTERONE SEND OUT
$145
$145
—
0
clean
HC VITAMIN D 125 LCMS
$307
$307
—
0
clean
HC PANCREATIC ELASTASE FECAL BY IMMUNOASSAY QUAN SEND OUTS
$253
$253
—
0
clean
HC PANCREATIC ELASTASE-1
$91
$91
—
0
clean
HC NEUTROPHIL OXID BURST TEST
$144
$144
—
0
clean
HC LIPO ELECTROPHORESIS TECHNIQUE
$274
$274
—
0
clean
HC EPO SO
$151
$151
—
0
clean
HC ESTRADIOL ULTRA SENSITIVE
$224
$224
—
0
clean
HC ASSAY OF ESTROGENS FRACTIONATED SEND OUTS
$253
$253
—
0
clean
HC ESTROGEN ESOTERIX
$174
$174
—
0
clean
HC ESTRIOL (SO)
$148
$148
—
0
clean
HC ESTRONE
$200
$200
—
0
clean
HC ETHYLENE GLYCOL
$118
$118
—
0
clean
HC FECAL FAT STAIN
$41
$41
—
0
clean
HC FECAL LIPIDS QUANT
$134
$134
—
0
clean
HC FREE FATTY ACID (SO)
$106
$106
—
0
clean
HC VERY LONG CHAIN FATTY ACIDS
$144
$144
—
0
clean
HC FERRITIN
$92
$92
—
0
clean
HC FOLIC ACID SERUM SEND OUT
$82
$82
—
0
clean
HC FOLIC ACID RBC SEND OUT
$126
$126
—
0
clean
HC GALACTOSE-1-PHOS URIDYLTRANS
$168
$168
—
0
clean
HC B BURGDOFERI GAMMA GLOBULIN EA
$60
$60
—
0
clean
HC IGE
$132
$132
—
0
clean
HC IGG SUBCLASS EA OF 4
$59
$59
—
0
clean
HC GASES BLOOD PH
$68
$68
—
0
clean
HC VENOUS BLOOD GAS STUDY
$178
$178
—
0
clean
HC GASTRIN SO
$141
$141
—
0
clean
HC GLUCAGON EA
$114
$114
—
0
clean
HC CSF GLUCOSE
$31
$31
—
0
clean
HC GLUCOSE
$27
$27
—
0
clean
HC FINGERSTICK GLUCOSE
$19
$19
—
0
clean
HC GLUCOSE WITH DOSE
$42
$42
—
0
clean
HC GLUCOSE TOLERANCE 3 SPECIMENS
$120
$120
—
0
clean
HC LACTOSE TOL EACH SPEC BEY 3
$38
$38
—
0
clean
HC G 6 PD QUANT
$71
$71
—
0
clean
HC GLUTAMYL TRANSFERASE
$58
$58
—
0
clean
HC FRUCTOSAMINE
$120
$120
—
0
clean
Showing the first 200 of 1,755 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
7,112 of 7,112 percentage/algorithm rates across 889 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT Q0144/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q0161/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q0162/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80299/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81245/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 81246/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 83020/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 84165/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 84166/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 86255/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 86334/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 86335/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 87150/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 87186/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 87480/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 87510/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 87631/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 87660/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 88108/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 88291/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 88341/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 88342/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 88377/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 90791/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90792/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90832/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 90834/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 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 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT G0416/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 H0032/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 H0035/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 J0165/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0515/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0696/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1050/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 J1071/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1610/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1630/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 J1631/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1650/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1815/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1817/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2359/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2794/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3486/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 J7510/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 J7512/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 J7517/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J8499/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 J8540/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J8610/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item