Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC RBC DNA HEA 35 AG 11 BLD GRP WHL BLD CMN ALLEL
$646
$387
$709
96
clean
HC REF MAYO, NSFIB NASH FIBROTEST
$1,258
$755
$633
48
clean
HC REF JAK2 EXON 12 MUT DETECT B
$912
$547
$184
96
clean
HC REF FOCUSED PHARMGENOM PANEL
$1,250
$750
$779
48
clean
HC TPMT NUDT15 GENES
$1,085
$651
$586
96
clean
HC NEURO CSF PRION PROTEIN QUALITATIVE
$1,690
$1,014
$802
48
clean
HC TRGT GEN SEQ DNA 324 GENES
$4,200
$2,520
$3,675
96
clean
HC CEREBRAL PERFUSION ANALYSIS CT W/CNTRST
$2,462
$1,477
$1,557
33
clean
COMPUTER-ASSISTED MUSCULOSKELETAL SURGICAL NAVIGATIONAL ORTHOPEDIC PROCEDURE, WITH IMAGE-GUIDANCE BASED ON FLUOROSCOPIC IMAGES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$1,896
3
clean
COMPUTER-ASSISTED MUSCULOSKELETAL SURGICAL NAVIGATIONAL ORTHOPEDIC PROCEDURE, WITH IMAGE-GUIDANCE BASED ON CT/MRI IMAGES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$1,896
3
clean
HC REF ARUP, MERKEL CELL CARCINOMA 3005986
$853
$512
$408
96
clean
HC PLACE XCRAN CAROTID ARTERY STENT - INT VSL
$15,029
$9,018
$8,273
64
clean
HC REF MICROGENDX, UROKEY, UROKEY TEST SERVICE
$888
$533
$386
144
clean
HC REF KARIUS LAB KARIUS SPECTRUM
$5,000
$3,000
$2,291
48
clean
HC PERCUTANEOUS SACRAL AUGMENTATION (UNILATERAL INJECTIONS)
$9,653
$5,792
$6,757
48
clean
HC PERCUTANEOUS SACRAL AUGMENTATION (BILATERAL INJECTIONS)
$11,860
$7,116
$7,654
77
clean
HC BIOFIRE RESPIRATORY PANEL, NFCT DS 22 TRGT SARS-COV-2
$319
$191
$411
48
clean
HC INJECT PLATELET RICH PLASMA
$1,915
$1,149
$922
48
clean
HC HCTRLML PERIP ATHRC
$31,083
$18,650
$19,330
141
clean
HC NFCT DS RNA 4 TARGETS UPPER RESPIRATORY SPECIMEN
$175
$105
$101
34
clean
HC PGDX ELIOTM TISSUE, COMPLETE
$5,886
$3,532
$3,254
48
clean
HC IM/REPL CARTD SINUS BAROREFLX ACTIV DEV TOT SYST
$83,197
$49,918
$49,565
32
clean
HC CVRX BATTERY CHANGE
$56,978
$34,187
$34,187
68
clean
HC PERC LAMINO-/LAMINECTOMY INDIR IMAG GUIDE LUMBAR
$13,257
$7,954
$9,280
69
clean
HC TRNSCTH RNL SYMP DNRV PERC BI
$22,858
$13,715
$8,000
47
clean
HC REF QUEST, 11786 BETA-AMYLOID 42/40 RATIO, PLASMA
$1,125
$675
$587
34
clean
HC NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM
$521
$313
$287
48
clean
HC INFECTIOUS DISEASE BV/VAGINITIS, CANDIDA, TV AMP PRB
$285
$171
$165
34
clean
HC REF MAYO, AMYR BETA-AMYLOID RATIO CSF
$1,903
$1,142
$394
48
clean
HC INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD
$78,876
$47,326
$38,979
92
clean
HC PRGRMG DEVICE EVALUATION CARDIAC MODULJ SYSTEM
$387
$232
$87
46
clean
HC INTERRO DEVICE EVALUATION CARDIAC MODULJ SYSTEM
$484
$290
$88
46
clean
HC REF MAYO, MALP MALABSORPTION EVALUATION PANEL, FECES
$1,750
$1,050
$280
47
clean
HC REF MAYO, GLYCC GLYCINE RECEPTOR ALPHA 1 IGG, CSF
$1,250
$750
$38
188
clean
HC REF MAYO, COMP MDC2 CPT 0432U
$0
$0
$38
188
clean
HC MYOCRD CONTRAST PRFUJ ECHO
$3,971
$2,383
$2,303
33
clean
HC ABLTJ PERC CRYOABLTJ IMG GDN LXTR/PERPH NERVE
$3,595
$2,157
$2,267
46
clean
HC ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV
$12,357
$7,414
$8,816
46
clean
HC THH ONLY - TMVI PERCUTANEOUS APPROACH
$52,987
$31,792
$24,904
62
clean
HC TMVI TRANSTHORACIC EXPOSURE
$25,524
$15,314
$11,996
31
clean
HC EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR
$32,702
$19,621
$15,716
46
clean
HC PATTERN ERG W/I&R
$975
$585
$294
48
clean
HC INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING
$10,547
$6,328
$5,801
27
clean
HC CAR-T THERAPY AUTOLOGOUS CELL ADMINISTRATION
$4,511
$2,706
$2,548
34
clean
HC TTVR PERQ APPR 1ST PROSTH
$38,150
$22,890
$17,181
31
clean
HC TTVR PERQ EA ADDL PROSTH
$29,152
$17,491
$13,701
31
clean
HC INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE
$65,590
$39,354
$36,956
48
clean
HC PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON
$69
$42
$40
48
clean
HC INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON
$69
$42
$40
48
clean
HC ABLATION MAL BRST TUMOR PERQ CRTX UNILATERAL
$6,008
$3,605
$4,091
46
clean
HC R-T FLUOR WOUND IMG 1ST SITE
$595
$357
$326
96
clean
HC IRE ABLATION 1+TUMORS PER ORGAN W/IMG GDN PERQ
$18,193
$10,916
$11,105
46
clean
HC REM OCT RTA TECHL SHCT MIN 8
$73
$44
$43
34
clean
HC REM MNTR PULM FLU MNTR SETUP
$234
$140
$136
33
clean
HC REM MNTR PULM FLU MNTR ALYS
$73
$44
$42
33
clean
HC ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN
$52,962
$31,777
$39,721
46
clean
HC AUTO QUAN&CHARAC CORONARY PLAQ DATA PREP&TRNSMIS
$150
$90
$93
33
clean
HC AUTO QUAN&CHARAC CORONARY PLAQ COMPUTERIZED ALYS
$1,831
$1,098
$1,138
34
clean
HC MECHANICAL THROMBECTOMY VIA ANGIOVAC SYSTEM IN HEART CHAMBERS/VALVES (VENOUS)
$11,370
$6,822
$6,595
47
clean
HC TRANSCATHETER TRICUSPID VALVE IMPLANT
$57,037
$34,222
$17,181
31
clean
HC QUAN MR ALYS TISS COMPOSITION W/MRI SINGLE ORGAN
$2,053
$1,232
$1,125
48
clean
ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSNASAL; WITH INSERTION OF INTRALUMINAL TUBE OR CATHETER
—
—
$4,067
29
clean
HC TRANSPERINEAL FOCAL LASER ABLTJ MAL PRST8 TISS
$6,208
$3,725
$5,305
46
clean
HC ABLATION B9 THYROID NODULE PERQ LASER W/IMG GDN
$2,874
$1,724
$1,863
46
clean
HC HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN
$25,001
$15,001
$17,501
46
clean
HC BDY SURF ACTIVATION MAPG PM/CVDFB LEADS TM F/UP
$76
$46
$44
47
clean
HC NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT
$5,785
$3,471
$3,721
46
clean
HC DIGITIZATION SURG PATH II
$18
$11
$12
33
clean
HC DIGITIZATION SURG PATH III
$16
$9
$10
33
clean
HC DIGITIZATION SURG PATH IV
$16
$10
$10
33
clean
HC DIGITIZATION SURG PATH V
$17
$10
$11
33
clean
HC DIGITIZATION SPECIAL STAIN GRP I MICRO
$17
$10
$11
33
clean
HC DIGITIZATION SPECIAL STAIN GRP II NON MICRO/ENZYME/CYTO/HISTO
$17
$10
$11
33
clean
HC DIGITIZATION HISTO/CYTOCHEM, PER SPECIMEN, 1ST AB STAIN
$16
$10
$10
33
clean
HC DIGITIZATION HISTO/CYTOCHEM, PER SPECIMEN, EA ADD AB STAIN
$17
$10
$11
33
clean
HC DIGITIZATION HISTO/CYTOCHEM, PER SPECIMEN, EA MULTIPLEX AB STAIN
$16
$10
$10
33
clean
HC DIGITIZATION MORPH/TUMOR HISTO, QUANT/SEMIQUANT PER SPECIMEN, EA PROCEDURE, MANUAL
$17
$10
$11
33
clean
HC INSTLJ FECAL MICROBIOTA SSP RCT NMA LWR GI TRC
$246
$148
$155
46
clean
HC MOTR COG VR GAIT TRAIN EA 15
$176
$106
$113
34
clean
HC TCAT INS 2CHMBR LDLS PM CMPL
$35,754
$21,452
$20,317
47
clean
HC TCAT INSJ PERM 2CHMBR LDLS PM R ATR PM COMPNT
$36,440
$21,864
$23,239
48
clean
HC PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM
$69
$42
$40
48
clean
HC TCAT INSJ PERM 1CHMBR LDLS PACEMAKER R ATRIAL
$35,754
$21,452
$23,128
48
clean
HC DIGITIZATION GLASS MCRSCP SLD CYTP SMEARS W/INTERPJ
$16
$10
$10
33
clean
HC DIGITIZATION GLASS MCRSCP SLD CYTP SLCTV CELL NHNCMNT TQ
$16
$10
$10
33
clean
HC DIGITIZATION GLASS MCRSCP SLD CYTP FNA INTERPJ&REPRT
$16
$10
$10
33
clean
HC DIGITIZATION DGTZ GLS MCRSCP SLD M/PHMTRC ISH EA MULT PRB STN
$16
$10
$10
33
clean
HC FNA BX W/O GDN, EA ADDL
$351
$211
$204
33
clean
HC FNA BX W/US GDN 1ST LES
$2,545
$1,527
$897
130
clean
HC FNA BX W/US GDN EA ADDL
$1,720
$1,032
$1,051
36
clean
HC FNA BX W/FLUOR GDN 1ST LES
$1,803
$1,082
$917
48
clean
HC FNA BX W/CT GDN 1ST LES
$2,880
$1,728
$897
82
clean
HC FNA BX W/CT GDN EA ADDL
$965
$579
$560
33
clean
HC FNA W/O IMAGE GUIDANCE
$913
$548
$457
130
clean
HC IMG GUIDE FLUID COLLECT DRAIN BY CATH - SOFT TISSUE
$3,783
$2,270
$1,063
130
clean
HC PLCMT DEV SOFT TISS - 1ST LESION
$2,101
$1,260
$1,036
77
clean
HC PLCMT DEV SOFT TISS - EACH ADD LESION
$1,464
$878
$849
33
clean
HC DRAINAGE OF SKIN ABSCESS - SIMPLE
$994
$597
$255
130
clean
HC DRAINAGE OF SKIN ABSCESS - COMPLEX
$1,305
$783
$515
130
clean
HC DRAINAGE OF PILONIDAL CYST - SIMPLE
$1,480
$888
$797
130
clean
HC DRAINAGE OF PILONIDAL CYST - COMPLICATED
$3,653
$2,192
$1,623
96
clean
HC REMOVE FOREIGN BODY SIMPLE
$1,165
$699
$513
130
clean
HC REMOVE FOREIGN BODY COMPLICATED
$5,350
$3,210
$2,416
131
clean
HC I&D HEMATOMA/SEROMA/FLUID
$5,086
$3,052
$2,082
130
clean
HC PUNCTURE/DRAIN/ASPERATE ABSCESS/LESION
$1,075
$645
$457
164
clean
HC I&D COMPLEX PO INFECTION
$6,410
$3,846
$3,502
131
clean
HC DEBRIDE INF SKIN UP TO 10%
$1,004
$602
$457
82
clean
DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR INFECTED SKIN; EACH ADDITIONAL 10% OF THE BODY SURFACE, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$1,896
3
clean
HC DEBRIDE NECROTIC SKIN/TISSUE ABD WALL
$4,750
$2,850
$2,755
43
clean
REMOVAL OF PROSTHETIC MATERIAL OR MESH, ABDOMINAL WALL FOR INFECTION (EG, FOR CHRONIC OR RECURRENT MESH INFECTION OR NECROTIZING SOFT TISSUE INFECTION) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$3,761
10
clean
HC DEBRIDE FX - SKIN/SUBQ TISSUE
$2,881
$1,729
$1,020
82
clean
HC DEBRIDE FX - SKIN/SUBQ MUSCLE & BONE
$3,624
$2,175
$2,799
130
clean
HC DEBRIDE SUBCUT TISSUE - 1ST 20 SQ CM OR LESS
$1,686
$1,012
$565
164
clean
HC DEBRIDE SUBCUT TISSUE/MUSCLE - 1ST 20 SQ CM OR LESS
$2,255
$1,353
$1,085
130
clean
HC DEBRIDE BONE - 1ST 20 SQ CM OR LESS
$4,919
$2,951
$2,372
130
clean
HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,EACH ADD 20 SQ CM
$1,525
$915
$915
67
clean
HC DEBRIDE SUBCUT TISSUE/MUSCLE - EA ADD 20 SQ CM
$1,546
$927
$912
64
clean
HC DEBRIDE BONE - EA ADD 20 SQ CM
$2,897
$1,738
$1,770
36
clean
HC PAR/CUT BENIGN HYPERKERATOTIC LESION - SNGLE
$477
$286
$254
48
clean
HC TRIM SKIN LESIONS - 2-4
$472
$283
$254
48
clean
HC TRIM SKIN LESIONS - >4
$431
$259
$237
48
clean
HC TANGNTL BX SKIN SINGLE LES
$448
$269
$314
130
clean
HC TANGNTL BX SKIN EA SEP/ADDL
$394
$236
$232
84
clean
HC PUNCH BX SKIN SINGLE LESION
$842
$505
$457
164
clean
HC PUNCH BX SKIN EA SEP/ADDL
$379
$227
$223
84
clean
HC INCISIONAL BIOPSY SKIN SINGLE LESION
$1,076
$646
$744
116
clean
HC INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION
$333
$200
$200
56
clean
HC REMOVE SKIN TAGS - 1-15 LESIONS
$531
$319
$262
125
clean
HC SHV 1 LES S/H/F/G 0.5 CM OR LESS
$387
$232
$224
48
clean
HC SHAVE SKIN LESION >2.0CM
$618
$371
$411
48
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.5 CM OR LESS
—
—
$747
34
clean
HC EXC TR-EXT B9+MARG 0.6 - 1.0 CM
$1,179
$708
$490
82
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 1.1 TO 2.0 CM
—
—
$747
34
clean
HC EXC TR-EXT B9+MARG 2
$2,443
$1,466
$873
82
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 3.1 TO 4.0 CM
—
—
$1,858
35
clean
HC EXC TR-EXT B9+MARG >
$6,431
$3,859
$2,380
83
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.5 CM OR LESS
—
—
$1,742
34
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.6 TO 1.0 CM
—
—
$747
34
clean
HC EXC H-F-NK-SP B9+MAR - 1.1 - 2.0 CM
$2,772
$1,663
$1,733
130
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 2.1 TO 3.0 CM
—
—
$1,742
34
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 3.1 TO 4.0 CM
—
—
$1,991
35
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER OVER 4.0 CM
—
—
$3,268
35
clean
EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 0.5 CM OR LESS
—
—
$747
34
clean
HC EXC FACE-MM B9+MARG - 0.6 - 1.0 CM
$1,271
$763
$747
82
clean
HC EXCISE LESION FACE 1.1-2 CM
$2,264
$1,358
$854
82
clean
HC EXC FACE-MM B9+MARG - 2.1 - 3.0 CM
$3,435
$2,061
$1,800
82
clean
EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER OVER 4.0 CM
—
—
$3,268
35
clean
EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, AXILLARY; WITH SIMPLE OR INTERMEDIATE REPAIR
—
—
$3,268
35
clean
EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, AXILLARY; WITH COMPLEX REPAIR
—
—
$3,268
35
clean
EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, INGUINAL; WITH SIMPLE OR INTERMEDIATE REPAIR
—
—
$3,268
35
clean
EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, PERIANAL, PERINEAL, OR UMBILICAL; WITH SIMPLE OR INTERMEDIATE REPAIR
—
—
$3,268
35
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 0.5 CM OR LESS
—
—
$747
34
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 0.6 TO 1.0 CM
—
—
$747
34
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 1.1 TO 2.0 CM
—
—
$429
34
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 2.1 TO 3.0 CM
—
—
$747
34
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 3.1 TO 4.0 CM
—
—
$825
34
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER OVER 4.0 CM
—
—
$1,991
35
clean
HC EXC H-F-NK-SP MLG+MA - 0.5CM OR LESS
$1,640
$984
$1,593
82
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.6 TO 1.0 CM
—
—
$747
34
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 3.1 TO 4.0 CM
—
—
$1,991
35
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER OVER 4.0 CM
—
—
$3,268
35
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 0.5 CM OR LESS
—
—
$747
34
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 1.1 TO 2.0 CM
—
—
$747
34
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 2.1 TO 3.0 CM
—
—
$1,742
34
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 3.1 TO 4.0 CM
—
—
$1,991
35
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER OVER 4.0 CM
—
—
$3,268
35
clean
HC TRIM NONDYSTRIPHIC NAIL
$213
$128
$102
96
clean
HC DEBRIDE NAIL, 1-5
$311
$187
$109
125
clean
HC DEBRIDE NAIL, >6
$334
$200
$139
48
clean
HC NAIL PLATE AVULSION/SIMPLE/SINGLE
$663
$398
$301
125
clean
HC NAIL AVULSION, EA ADD NAIL PLATE
$408
$245
$241
64
clean
HC DRAIN BLOOD UNDER NAIL
$317
$190
$169
96
clean
HC REMOVAL OF NAIL BED - COMPLEX
$1,693
$1,016
$554
164
clean
BIOPSY OF NAIL UNIT (EG, PLATE, BED, MATRIX, HYPONYCHIUM, PROXIMAL AND LATERAL NAIL FOLDS) (SEPARATE PROCEDURE)
—
—
$747
34
clean
HC REPAIR NAIL BAD
$1,685
$1,011
$891
130
clean
HC RECONSTRUCT NAIL BED W/GRAF
$3,444
$2,066
$2,159
48
clean
HC EXCISION OF NAIL FOLD, TOE
$8,518
$5,111
$2,220
48
clean
EXCISION OF PILONIDAL CYST OR SINUS; SIMPLE
—
—
$3,268
35
clean
EXCISION OF PILONIDAL CYST OR SINUS; EXTENSIVE
—
—
$3,268
35
clean
EXCISION OF PILONIDAL CYST OR SINUS; COMPLICATED
—
—
$3,268
35
clean
HC INJECT INTO SKIN LES
$398
$239
$226
77
clean
INSERTION OF TISSUE EXPANDER(S) FOR OTHER THAN BREAST, INCLUDING SUBSEQUENT EXPANSION
—
—
$3,987
35
clean
REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT IMPLANT
—
—
$7,654
35
clean
REMOVAL OF TISSUE EXPANDER WITHOUT INSERTION OF IMPLANT
—
—
$3,268
35
clean
HC REMOVE DRUG IMPLANT
$452
$271
$390
130
clean
HC SMPL RPR WND FACE/NCK/TRUNK < 2.5 CM
$806
$484
$301
125
clean
HC SIMPLE REPAIR WOUND 2.6-7.5 CM
$801
$481
$301
125
clean
HC SIMPLE REPAIR WOUND - NON-FACE, 7.6-12.5 CM
$948
$569
$440
96
clean
HC SIMPLE REPAIR WOUND - NON-FACE, 12.6-20 CM
$1,241
$745
$527
82
clean
HC SIMPLE REPAIR WOUND - NON-FACE, 20.1-30 CM
$1,624
$974
$782
48
clean
HC REPAIR SIMPLE SUPERFICIAL WOUND > 30CM
$1,635
$981
$534
48
clean
HC SMPL RPR WND FACE/EARS/EYELIDS/LIPS < 2.5 CM
$754
$452
$301
125
clean
HC SIMPLE REPAIR WOUND 2.6-5 CM
$862
$517
$415
96
clean
HC SIMPLE REPAIR WOUND 5.1-7.5 CM
$1,074
$644
$465
48
clean
HC SIMPLE REPAIR WOUND - FACE, 7.6-12.5 CM
$989
$593
$449
48
clean
HC SIMPLE REPAIR WOUND - FACE, 12.6-20 CM
$1,459
$875
$703
48
clean
HC SIMPLE REPAIR WOUND - FACE, 20.1-30 CM
$941
$565
$516
48
clean
HC SIMPLE RPR FACE > 30CM
$982
$589
$447
48
clean
HC TREAT SUPERFICIAL WOUND
$2,775
$1,665
$1,110
130
clean
HC TREAT WOUND DEHISC W/PACK
$1,502
$901
$723
48
clean
Showing the first 200 of 7,073 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,661 of 3,922 comparable items (42%) 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 $2,598 exceeds the gross charge $1,258
warn
mrf_rate_without_estimate
38,239 of 38,239 percentage/algorithm rates across 2,392 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 12037/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 73592/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 83951/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 87206/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 C1751/o
info
mrf_item_fields_vary
this code and setting cover at least 226 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 J0457/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L1845/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 0201T/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 27096/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 35206/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 43761/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 56440/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their 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 max differ, so no cross-line comparison was made for this item
CPT 81219/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, max differ, so no cross-line comparison was made for this item
CPT 83986/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, max differ, so no cross-line comparison was made for this item
CPT 87252/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, max differ, so no cross-line comparison was made for this item
CPT C1752/o
info
mrf_item_fields_vary
this code and setting cover at least 46 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 J0461/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, max differ, so no cross-line comparison was made for this item
CPT L1930/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 12041/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 81220/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 84075/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, max differ, so no cross-line comparison was made for this item
CPT 87255/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 C1753/o
info
mrf_item_fields_vary
this code and setting cover at least 15 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 J0462/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 L3002/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 35207/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 43762/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 56605/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their 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 max differ, so no cross-line comparison was made for this item
CPT 81222/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 84080/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87281/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, max differ, so no cross-line comparison was made for this item
CPT C1757/o
info
mrf_item_fields_vary
this code and setting cover at least 135 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 J0475/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L3260/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 12042/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 73630/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 81223/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, max differ, so no cross-line comparison was made for this item
CPT 84087/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 87305/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, max differ, so no cross-line comparison was made for this item
CPT C1758/o
info
mrf_item_fields_vary
this code and setting cover at least 55 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 J0500/o
info
mrf_item_fields_vary
this code and setting cover at least 7 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 L3650/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 27299/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 35226/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43830/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 56810/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 84105/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 87329/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 C1759/o
info
mrf_item_fields_vary
this code and setting cover at least 15 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 J0515/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 L3670/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 43999/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, max differ, so no cross-line comparison was made for this item
CPT 81225/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 84110/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 87337/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 C1760/o
info
mrf_item_fields_vary
this code and setting cover at least 22 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 J0561/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, max differ, so no cross-line comparison was made for this item
CPT L3730/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 0238T/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 27301/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their 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 min, max differ, so no cross-line comparison was made for this item
CPT 81226/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 87338/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 C1762/o
info
mrf_item_fields_vary
this code and setting cover at least 71 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 J0571/o
info
mrf_item_fields_vary
this code and setting cover at least 4 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 L3908/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 12051/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 27323/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 57000/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their 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 min, max differ, so no cross-line comparison was made for this item
CPT 81227/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 84120/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 87340/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 C1763/o
info
mrf_item_fields_vary
this code and setting cover at least 47 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 J0572/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 L4360/o
info
mrf_item_fields_vary
this code and setting cover at least 17 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 73702/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 81229/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 84126/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 87385/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, max differ, so no cross-line comparison was made for this item
CPT C1764/o
info
mrf_item_fields_vary
this code and setting cover at least 13 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 J0574/o
info
mrf_item_fields_vary
this code and setting cover at least 4 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 L4387/o
info
mrf_item_fields_vary
this code and setting cover at least 4 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 13101/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, max differ, so no cross-line comparison was made for this item
CPT 44500/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 57061/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 73706/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 81230/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 84144/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 C1765/o
info
mrf_item_fields_vary
this code and setting cover at least 11 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 J0595/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 L4396/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 13102/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 73718/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 81231/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 84146/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, max differ, so no cross-line comparison was made for this item
CPT C1767/o
info
mrf_item_fields_vary
this code and setting cover at least 31 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 J0601/o
info
mrf_item_fields_vary
this code and setting cover at least 4 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 L8501/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 27385/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 44799/o
info
mrf_item_fields_vary
this code and setting cover at least 7 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 57100/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 81232/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, max differ, so no cross-line comparison was made for this item
CPT 84150/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, max differ, so no cross-line comparison was made for this item
CPT 87449/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1768/o
info
mrf_item_fields_vary
this code and setting cover at least 235 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 J0602/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 L8509/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 13121/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their 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 min, max differ, so no cross-line comparison was made for this item
CPT 81234/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 84153/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 87468/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, max differ, so no cross-line comparison was made for this item
CPT C1769/o
info
mrf_item_fields_vary
this code and setting cover at least 652 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 J0607/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 L8600/o
info
mrf_item_fields_vary
this code and setting cover at least 24 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 0275T/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 36002/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 57155/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their 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 max differ, so no cross-line comparison was made for this item
CPT 81235/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 84155/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87469/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 C1771/o
info
mrf_item_fields_vary
this code and setting cover at least 30 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 J0612/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L8606/o
info
mrf_item_fields_vary
this code and setting cover at least 8 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 13122/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 36010/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 81240/o
info
mrf_item_fields_vary
this code and setting cover at least 4 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 84156/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, max differ, so no cross-line comparison was made for this item
CPT 87471/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 C1772/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 J0613/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 L8613/o
info
mrf_item_fields_vary
this code and setting cover at least 31 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 36011/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 57156/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their 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 min, max differ, so no cross-line comparison was made for this item
CPT 81242/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 84157/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87476/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 C1773/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 J0615/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT L8614/o
info
mrf_item_fields_vary
this code and setting cover at least 20 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 13131/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 36015/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 81245/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 84165/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 87481/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1776/o
info
mrf_item_fields_vary
this code and setting cover at least 1583 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 J0616/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L8630/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 27570/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 36140/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 45300/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 57160/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 81246/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 84166/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, max differ, so no cross-line comparison was made for this item
CPT 87483/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 93702/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT C1777/o
info
mrf_item_fields_vary
this code and setting cover at least 20 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 J0618/o
info
mrf_item_fields_vary
this code and setting cover at least 4 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 L8658/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 13132/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 27599/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36200/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 45399/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 84181/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, max differ, so no cross-line comparison was made for this item
CPT 87484/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, max differ, so no cross-line comparison was made for this item
CPT C1778/o
info
mrf_item_fields_vary
this code and setting cover at least 51 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 J0636/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 L8680/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 36218/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 45900/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 57200/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 81249/o
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 84182/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, max differ, so no cross-line comparison was made for this item
CPT 87491/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 93750/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT C1780/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 J0640/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, max differ, so no cross-line comparison was made for this item
CPT L8681/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 13133/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 36222/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 45915/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 81256/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 84207/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 87496/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1781/o
info
mrf_item_fields_vary
this code and setting cover at least 388 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 J0651/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, max differ, so no cross-line comparison was made for this item
CPT L8690/o
info
mrf_item_fields_vary
this code and setting cover at least 11 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 27603/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 45999/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 57410/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 84220/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87497/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1782/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item