Service
Code
Listed
Cash
Negotiated
Rates
Checks
CCTA PLAQUE DATA PREP AND TRANSMISSION
$0
$0
$0
18
clean
AUTO QUANT CORON PLAQUE COMPTR ANALYST
$2,852
$1,711
$827
18
clean
CCTA PLAQUE COMP REVIEW AND ANALYSIS/INTERP/REPORT
$0
$0
$0
18
clean
FNA BIOPSY W/ US GUIDANCE FIRST LESION
$2,814
$1,689
$816
15
clean
INCISION AND DRAINAGE ABSCESS SIMPLE/SINGLE TECHFEE
$596
$358
$173
15
clean
INCISION AND DRAINAGE ABSCESS COMPLICATED/MULTIPLE TECHFEE
$1,199
$719
$348
15
clean
INCISION AND DRAINAGE PILONIDAL CYST SIMPLE TECHFEE
$2,111
$1,266
$612
15
clean
INCISION AND REMOVAL FOREIGN BODY SUBQ TISS SIMPLE TECHFEE
$1,199
$719
$348
15
clean
INCISION AND REMOVAL FOREIGN BODY SUBQ TISS COMPL TECHFEE
$4,861
$2,916
$1,410
15
clean
IANDD HEMATOMA SEROMA/FLUID COLLECTION TECHFEE
$4,861
$2,916
$1,410
15
clean
PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST TECHFEE
$1,199
$719
$348
15
clean
INCISION AND DRAINAGE COMPLEX POSTOPERATIVE WOUNDNFECTION TECHFEE
$8,586
$5,152
$2,490
15
clean
DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10% BDY SURF TECHFEE
$1,836
$1,102
$533
15
clean
DBRDMT W/RMVL FM FXAND/DISLC SKINANDSUBQ TISSUS TECHFEE
$2,111
$1,266
$612
15
clean
DBRDMT FXAND/DISLC SUBQ T/M/F BONE TECHFEE
$8,586
$5,152
$2,490
15
clean
DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/ TECHFEE
$1,199
$719
$348
15
clean
DEBRIDE TISSUE/MUSCLE TECHFEE
$1,836
$1,102
$533
15
clean
DEBRIDEMENT BONE 1ST 20 CM
$4,861
$2,916
$1,410
15
clean
PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1 TECHFEE
$596
$358
$173
15
clean
PUNCH BIOPSY SKIN SINGLE LESION
$1,199
$719
$348
15
clean
REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 TECHFEE
$596
$358
$173
15
clean
SHAVING EPIDERMAL/DERMAL LESION FEENLM 0.5CM OR LESS
$596
$358
$173
15
clean
SHAVING EPIDERMAL/DERMAL LESION FEENLM 0.61.0CMM
$596
$358
$173
15
clean
SHAVING EPIDERMAL/DERMAL LESION FEENLM 1.12.0
$1,199
$719
$348
15
clean
SHAVING EPIDERMAL/DERMAL LESION FEENLM OVER 2.0CM
$1,199
$719
$348
15
clean
EXCISION BENIGN LESIONNCLUDING MARGINS EXCEPT SKIN TAG
$4,861
$2,916
$1,410
15
clean
EXC MALIGNANT LESION TRUNK/ARM/LEG 4CM
$4,861
$2,916
$1,410
15
clean
DEBRIDEMENT NAIL ANY METHOD 15 TECHFEE
$178
$107
$52
15
clean
AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 TECHFEE
$596
$358
$173
15
clean
AVULSION OF NAIL PLATE PARTIAL OR COMPLETE SIMPLE EACH AD TECHFEE
$88
$53
$26
15
clean
EVACUATION SUBUNGUAL HEMATOMA TECHFEE
$387
$232
$112
15
clean
EXCISION NAIL MATRIX PERMANENT REMOVAL TECHFEE
$1,199
$719
$348
15
clean
REPAIR NAIL BED TECHFEE
$1,836
$1,102
$533
15
clean
WEDGE EXCISION SKIN NAIL FOLD TECHFEE
$1,199
$719
$348
15
clean
EXCISION OF PILONIDAL CYST OR SINUS SIMPLE TECHFEE
$8,586
$5,152
$2,490
15
clean
EXCISION OF PILONIDAL CYST OR SINUS EXTENSIVE TECHFEE
$8,586
$5,152
$2,490
15
clean
SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP NECK AXILLAE EXTERNAL
$596
$358
$173
15
clean
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.67.5CM TECHFEE
$596
$358
$173
15
clean
SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.612.5CM TECHFEE
$596
$358
$173
15
clean
SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 12.620.0CM TECHFEE
$1,199
$719
$348
15
clean
SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 20.130.0CM TECHFEE
$1,199
$719
$348
15
clean
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 30.0CM TECHFEE
$607
$364
$176
15
clean
SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE EARS EYELIDS NOSE LIPS AND
$596
$358
$173
15
clean
SIMPLE REPAIR F/E/E/N/L/M 2.6CM5.0 CM TECHFEE
$596
$358
$173
15
clean
SIMPLE REPAIR F/E/E/N/L/M 5.1CM7.5 CM TECHFEE
$596
$358
$173
15
clean
SIMPLE REPAIR F/E/E/N/L/M 7.6CM12.5 CM TECHFEE
$596
$358
$173
15
clean
SIMPLE REPAIR F/E/E/N/L/M 12.6CM20.0 CM TECHFEE
$1,199
$719
$348
15
clean
SIMPLE REPAIR F/E/E/N/L/M 20.1CM30.0 CM TECHFEE
$1,199
$719
$348
15
clean
SIMPLE REPAIR F/E/E/N/L/M 30.0 CM TECHFEE
$596
$358
$173
15
clean
TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE TECHFEE
$1,836
$1,102
$533
15
clean
TX SUPERFICIAL WOUND DEHISCENCE W/PACKING TECHFEE
$1,199
$719
$348
15
clean
REPAIR INTERMEDIATE S/A/T/E 2.5 CM/ TECHFEE
$1,199
$719
$348
15
clean
REPAIR INTERMEDIATE S/A/T/E 2.67.5 CM TECHFEE
$1,199
$719
$348
15
clean
REPAIR INTERMEDIATE S/A/T/E 7.612.5 CM TECHFEE
$1,199
$719
$348
15
clean
REPAIR INTERMEDIATE S/A/T/E 12.620.0CM TECHFEE
$1,199
$719
$348
15
clean
REPAIR INTERMEDIATE S/A/T/E 20.130.0 CM TECHFEE
$1,836
$1,102
$533
15
clean
REPAIR INTERMEDIATE S/A/T/E 30.0 CM TECHFEE
$5,488
$3,293
$1,591
15
clean
12041 REPAIRNTERMEDIATE N/H/F/XTRNL GENT 2.5CM/ TECHFEE
$1,199
$719
$348
15
clean
12042 REPAIRNTERMEDIATE N/H/F/XTRNL GENT 2.67.5 CM TECHFEE
$1,199
$719
$348
15
clean
12044 REPAIRNTERMEDIATE N/H/F/XTRNL GENT 7.612.5CM TECHFEE
$1,836
$1,102
$533
15
clean
12051 REPAIRNTERMEDIATE F/E/E/N/LAND/MUC 2.5 CM/ TECHFEE
$1,199
$719
$348
15
clean
12052 REPAIRNTERMEDIATE F/E/E/N/LAND/MUC 2.65.0 CM TECHFEE
$1,199
$719
$348
15
clean
12053 REPAIRNTERMEDIATE F/E/E/N/LAND/MUC 5.17.5 CM TECHFEE
$1,199
$719
$348
15
clean
12054 REPAIRNTERMEDIATE F/E/E/N/LAND/MUC 7.612.5 CM TECHFEE
$1,199
$719
$348
15
clean
12055 REPAIRNTERMEDIATE F/E/E/N/LAND/MUC 12.620.0CM TECHFEE
$1,323
$794
$384
15
clean
13100 REPAIR COMPLEX TRUNK 1.12.5 CM TECHFEE
$1,836
$1,102
$533
15
clean
13101 REPAIR COMPLEX TRUNK 2.67.5 CM TECHFEE
$1,836
$1,102
$533
15
clean
13102 REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM/ TECHFEE
$307
$184
$89
15
clean
13120 REPAIR COMPLEX SCALP/ARM/LEG 1.12.5 CM TECHFEE
$1,836
$1,102
$533
15
clean
COM. REP. 2.6 7.5 CM SCALP/ARM/LEG
$1,836
$1,102
$533
15
clean
13122 REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM/ TECHFEE
$335
$201
$97
15
clean
13131 REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.12.5 CM TECHFEE
$1,199
$719
$348
15
clean
13132 REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.67.5 CM TECHFEE
$1,836
$1,102
$533
15
clean
13133 REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/ TECHFEE
$450
$270
$130
15
clean
13151 REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.12.5 CM TECHFEE
$1,836
$1,102
$533
15
clean
13152 REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.67.5 CM TECHFEE
$1,836
$1,102
$533
15
clean
13160 SECONDARY CLOSURE OF SURGICAL WOUND DEHISCENCE EXTENSIVE
$5,488
$3,293
$1,591
15
clean
14020 ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM/ TECHFEE
$5,488
$3,293
$1,591
15
clean
14040 SKIN PLASTY TECHFEE
$5,488
$3,293
$1,591
15
clean
4600321 REMOVAL OF SUTURES OR STAPLES NO ANESTH
$29
$18
$8
15
clean
4600322 REMOVAL OF SUTURES AND STAPLES NO ANESTH
$37
$22
$11
15
clean
16000NITIAL TX 1ST DEGREE BURN LOCAL TX TECHFEE
$596
$358
$173
15
clean
16020 DRSAND/DBRDMT PRTLTHKNS BURNS 1ST/SBSQ SMALL TECHFEE
$596
$358
$173
15
clean
16025 DRSAND/DBRDMT PRTLTHKNS BURNS 1ST/SBSQ MEDIUM TECHFEE
$596
$358
$173
15
clean
16030 DRSAND/DBRDMT PRTLTHKNS BURNS 1ST/SBSQ LARGE TECHFEE
$1,199
$719
$348
15
clean
17110 DESTRUCT BENIGN LESION OTHER THAN SKIN TAG UP TO 14 LESION TECHFEE
$596
$358
$173
15
clean
17250 CHEMICAL CAUTERIZATION GRANULATION TISSUE TECHFEE
$596
$358
$173
15
clean
19020 MASTOTOMY WITH EXPLORATION OR DRAINAGE OF ABSCESS DEEP TECHFEE
$4,861
$2,916
$1,410
15
clean
BIOPSY BREAST W/PLACEMENT OF BREAST LOCALIZATION DEVICE 1ST LEISION
$6,481
$3,889
$1,879
15
clean
BIOPSY BREAST W/PLACEMENT OF BREAST LOCALIZATION DEVICE EA ADDL
$1,274
$764
$369
15
clean
20103 EXPLORATION PENETRATING WOUND SPX EXTREMITY TECHFEE
$4,861
$2,916
$1,410
15
clean
20520 REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE TECHFEE
$4,861
$2,916
$1,410
15
clean
20526NJECTION THERAP EG LOCAL ANES CORTICOS CARPAL TUNNEL TECHFEE
$886
$531
$257
15
clean
20550NJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS TECHFEE
$886
$531
$257
15
clean
20551NJECT SINGLE TENDON ORI TECHFEE
$886
$531
$257
15
clean
20552NJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES TECHFEE
$886
$531
$257
15
clean
20553NJECTION SINGLE/MLT TRIGGER POINT 3/ MUSCLES TECHFEE
$886
$531
$257
15
clean
PT NEEDLE W/ONJECT 12 MUSCLES UNITS
$74
$44
$21
15
clean
PT NEEDLE W/ONJECT 3 MUSCLES UNITS
$100
$60
$29
15
clean
20600 ARTHROCENTESIS ASPIRATION AND/ORNJECTION SMALL JOINT OR BURSA
$886
$531
$257
15
clean
20605 ARTHROCENTESIS ASPIRATION AND/ORNJECTIONNTERMEDIATE JOINT OR BURSA
$886
$531
$257
15
clean
20610 ARTHROCENTESIS ASPIRAND/INJ MAJOR JT/BURSA W/O US TECHFEE
$886
$531
$257
15
clean
20612 ASPIRATION AND/ORNJECTION OF GANGLION CYSTS ANY LOCATION TECHFEE
$886
$531
$257
15
clean
21315 CLOSED TX NASAL FRACTURE W/O STABILIZATION TECHFEE
$4,444
$2,666
$1,289
15
clean
21480 CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ TECHFEE
$720
$432
$209
15
clean
23066 BIOPSY SOFT TISSUE OF SHOULDER AREA DEEP TECHFEE
$8,586
$5,152
$2,490
15
clean
23505 TREAT CLAVICLE FRACTURE TECHFEE
$4,801
$2,881
$1,392
15
clean
23575 CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION TECHFEE
$4,801
$2,881
$1,392
15
clean
23605 CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ TECHFEE
$4,801
$2,881
$1,392
15
clean
23650 CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES TECHFEE
$928
$557
$269
15
clean
23675 CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MANJ TECHFEE
$4,801
$2,881
$1,392
15
clean
23931NCISION AND DRAINAGE UPPER ARM OR ELBOW AREA BURSA TECHFEE
$4,861
$2,916
$1,410
15
clean
24341 REPAIR TENDON OR MUSCLE UPPER ARM/ELBOW EA PRIM/SECOND TECHFEE
$21,431
$12,859
$6,215
15
clean
24600 TREATMENT CLOSED ELBOW DISLOCATION W/O ANES TECHFEE
$1,048
$629
$304
15
clean
24605 TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TECHFEE
$4,801
$2,881
$1,392
15
clean
24640 CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ TECHFEE
$720
$432
$209
15
clean
24655 CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION TECHFEE
$4,801
$2,881
$1,392
15
clean
24675 CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ TECHFEE
$4,801
$2,881
$1,392
15
clean
25260 REPAIR TENDON OR MUSCLE FLEXOR FOREARM AND/OR WRIST PRIM TECHFEE
$9,734
$5,840
$2,823
15
clean
25565 CLOSED TX RADIALANDULNAR SHAFT FRACTURES W/MANJ TECHFEE
$4,801
$2,881
$1,392
15
clean
25605 CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF TECHFEE
$4,801
$2,881
$1,392
15
clean
25635 CLTX CARPAL BONE FX W/MANJ EACH BONE TECHFEE
$4,801
$2,881
$1,392
15
clean
25675 CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ TECHFEE
$1,269
$762
$368
15
clean
26010 DRAINAGE FINGER ABSCESS SIMPLE TECHFEE
$879
$528
$255
15
clean
26011 DRAINAGE FINGER ABSCESS COMPLICATED TECHFEE
$4,861
$2,916
$1,410
15
clean
26037 CONTRACTURE RELEASE DECOMPRESSION
$9,734
$5,840
$2,823
19
clean
26045 CONTRACTURE RELEASE FASCIOTOMY OPEN
$9,734
$5,840
$2,823
19
clean
26123 CONTRACTURE RELEASE FASCIOTOMY WITH DIGIT RELEASE
$9,734
$5,840
$2,823
19
clean
26236 PARTIAL EXCISION DISTAL PHALANX OF FINGER
$4,801
$2,881
$1,392
15
clean
26410 REPAIR EXT TENDON HAND PRIM/SECOND W/OUT FREE GRAFT EA TECHFEE
$4,801
$2,881
$1,392
15
clean
26418 REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH TECHFEE
$4,801
$2,881
$1,392
15
clean
26420 REPAIR/GRAFT FINGER TENDON TECHFEE
$9,734
$5,840
$2,823
15
clean
26605 CLTX METACARPAL FX W/MANIPULATION EACH BONE TECHFEE
$917
$550
$266
15
clean
26641 CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ TECHFEE
$1,162
$697
$337
15
clean
26645 CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ TECHFEE
$4,801
$2,881
$1,392
15
clean
26670 CLTX CARPOMETACARPOL DISLOC W/MANIP WO ANESTH
$983
$590
$285
15
clean
26700 CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TECHFEE
$949
$569
$275
15
clean
26725 CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA TECHFEE
$952
$571
$276
15
clean
26742 CLTX ARTCLR FXNVG MTCARPHLNGL/IPHAL JT W/MANJ TECHFEE
$4,801
$2,881
$1,392
15
clean
26755 CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TECHFEE
$898
$539
$260
15
clean
26770 CLTXPHAL JT DISLC W/MANJ W/O ANES TECHFEE
$809
$486
$235
15
clean
26775 CLTXPHAL JT DISLC W/MANJ REQ ANES TECHFEE
$1,098
$659
$318
15
clean
27250 CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA TECHFEE
$720
$432
$209
15
clean
27256 TREATMENT OF SPONTANEOUS HIP DISLOCATION TECHFEE
$856
$513
$248
15
clean
SUTURE QUAD/HAMSTRING MUSCLE RUPTURE
$21,431
$12,859
$6,215
15
clean
27550 CLOSED TX KNEE DISLOCATION W/O ANESTHESIA TECHFEE
$1,407
$844
$408
15
clean
27560 CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA TECHFEE
$1,033
$620
$300
15
clean
REPAIR PRIMARY OPEN OR PERCUTANEOUS RUPTURED ACHILLES TENDON TECHFEE
$21,431
$12,859
$6,215
15
clean
REPAIR EXTENSOR TENDON LEG PRIMARY WITHOUT GRAFT EACH TENDON TECHFEE
$21,431
$12,859
$6,215
30
clean
27788 CLOSED TX DISTAL FIBULAR FX WITH MANI
$1,175
$705
$341
15
clean
27808 CLOSED TREATMENT OF BIMALLEOLAR ANKLE FRACTURE EG LATERAL TECHFEE
$935
$561
$271
15
clean
27810 CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ TECHFEE
$4,801
$2,881
$1,392
15
clean
27818 CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION TECHFEE
$4,801
$2,881
$1,392
15
clean
27840 CLTX ANKLE DISLOCATION WO ANESTH
$1,066
$640
$309
15
clean
27842 CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ TECHFEE
$4,801
$2,881
$1,392
15
clean
28190 REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TECHFEE
$2,111
$1,266
$612
15
clean
28208 REPAIR TENDON EXTENSOR FOOT PRIMARY OR SECONDARY EACH T TECHFEE
$9,734
$5,840
$2,823
15
clean
28515 CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ TECHFEE
$720
$432
$209
15
clean
28630 CLTX METATARSOPHLNGL JT DISLC W/O ANES TECHFEE
$720
$432
$209
15
clean
28660 CLTXNTERPHALANGEAL JOINT DISLOCATION W/O ANES TECHFEE
$720
$432
$209
15
clean
28665 CLOSED TREATMENT OFNTERPHALANGEAL JOINT DISLOCATION REQUIRING
$797
$478
$231
15
clean
29075 APPLICATION CAST ELBOW FINGER SHORT ARM TECHFEE
$797
$478
$231
15
clean
29105 APPLICATION LONG ARM SPLINT SHOULDER HAND TECHFEE
$473
$284
$137
15
clean
29125 APPLICATION SHORT ARM SPLINT FOREARMHAND STATIC TECHFEE
$387
$232
$112
15
clean
29126 APPLICATION SHORT ARM SPLINT DYNAMIC TECHFEE
$387
$232
$112
15
clean
29130 APPLICATION FINGER SPLINT STATIC TECHFEE
$387
$232
$112
15
clean
29131 APPLICATION FINGER SPLINT DYNAMIC TECHFEE
$178
$107
$52
15
clean
29200 STRAPPING THORAX TECHFEE
$473
$284
$137
15
clean
29260 STRAPPING ELBOW/WRIST TECHFEE
$178
$107
$52
15
clean
29280 STRAPPING HAND/FINGER TECHFEE
$178
$107
$52
15
clean
29345 APPLICATION LONG LEG CAST THIGH TO TOES
$797
$478
$231
15
clean
29405 APPLICATION SHORT LEG CAST BELOW KNEETOE TECHFEE
$797
$478
$231
15
clean
29505 APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES TECHFEE
$473
$284
$137
15
clean
29515 APPLICATION SHORT LEG SPLINT CALF FOOT TECHFEE
$473
$284
$137
15
clean
29530 STRAPPING KNEE TECHFEE
$387
$232
$112
15
clean
29540 STRAPPING ANKLE AND/FOOT TECHFEE
$473
$284
$137
15
clean
29550 STRAPPING TOES TECHFEE
$178
$107
$52
15
clean
29580 STRAPPING UNNA BOOT TECHFEE
$473
$284
$137
15
clean
29705 REMOVAL/BIVALVING FULL ARM/FULL LEG CAST TECHFEE
$797
$478
$231
15
clean
30300 FB REMOVAL NOSE TECHFEE
$545
$327
$158
15
clean
30901 NASAL PACK/CAUTERY SIMPL TECHFEE
$411
$247
$119
15
clean
30903 NASAL PACK ANT COMP ROCKT TECHFEE
$634
$380
$184
15
clean
30905 NASAL HEM CONT POSTANDANT TECHFEE
$908
$545
$263
15
clean
31500NTUBATION/ET TUBENSERT TECHFEE
$697
$418
$202
15
clean
31502 TRACH REPLC ED TECH FEE
$697
$418
$202
15
clean
31505 DIAGNOSTIC LARYNGOSC ED TECH FEE
$582
$349
$169
15
clean
31603NCISION OF WINDPIPE ED TECH FEE
$4,444
$2,666
$1,289
15
clean
31605 TRACHEOSTOMY CRICOT ED TECH FEE
$880
$528
$255
15
clean
SUCTION SPUTUM/ RSV
$610
$366
$177
34
clean
32551 CHEST TUBE PLACEMENT TECHFEE
$4,660
$2,796
$1,351
15
clean
32554 THORACENTESIS NEEDLE/CATH PLEURA W/OMAGING TECHFEE
$1,855
$1,113
$538
15
clean
THORACENTESIS NEEDLE OR CATHETER ASPIRATION OF THE PLEURAL SPACE TECHFEE
$1,855
$1,113
$538
15
clean
33016 PERICARDIOCENTESIS TECHFEE
$4,660
$2,796
$1,351
15
clean
35206 REPAIR BLOOD VESSEL LESION ED TECH FEE
$9,443
$5,666
$2,738
15
clean
35226 ER REPAIR BLOOD VESSEL LOWER EXTREMITY TECHFEE
$2,149
$1,290
$623
15
clean
BILL ONLY VENIPUNCTURE LC
$10
$6
$8
48
clean
36425 ESTAB.ACCESS TO VEIN ED TECH FEE
$1,197
$718
$347
15
clean
TRANSFUSE FRESH FROZEN PLASMA
$1,312
$787
$380
34
clean
36556NSERT C VENOUS CATH ED TECH FEE
$9,443
$5,666
$2,738
15
clean
INSERT PICC AGE 5 W/O PORT OR PUMP
$4,660
$2,796
$1,351
34
clean
Showing the first 200 of 1,162 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 36415/o
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 36569/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 71271/o
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 73000/o
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 73010/o
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 73020/o
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 73030/o
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 73060/o
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 73070/o
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 73080/o
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 73090/o
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 73100/o
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 73110/o
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 73120/o
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 73130/o
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 73200/o
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 73201/o
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 73202/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73218/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73219/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73220/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73221/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73222/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73223/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73560/o
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 73562/o
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 73564/o
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 73590/o
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 73600/o
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 73610/o
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 73620/o
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 73630/o
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 73650/o
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 73700/o
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 73701/o
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 73702/o
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 73718/o
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 73719/o
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 73720/o
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 73721/o
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 73722/o
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 73723/o
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 76641/o
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 76642/o
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 76881/o
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 76882/o
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 77067/o
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 77080/o
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 87426/o
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 97545/o
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 97546/o
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 A4217/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 A4649/o
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 A6250/o
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 G0481/o
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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0290/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 J0295/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 J0461/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 J0616/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 J0690/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 J0692/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 J0694/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 J0696/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 J0744/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 J0885/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 J1010/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 J1065/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 J1100/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 J1163/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 J1327/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 J1644/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 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 J1756/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 J1815/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 J1885/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 J1940/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 J1956/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 J2002/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 J2003/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 J2004/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 J2020/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 J2175/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 J2185/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 J2250/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 J2274/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 J2312/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 J2354/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 J2405/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 J2543/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 J2919/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 J2997/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 J3030/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 J3372/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 J3373/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 J3430/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 J3475/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 J7613/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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9217/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