Service
Code
Listed
Cash
Negotiated
Rates
Checks
10005 U/S guided FNA
$225
$158
$52
9
clean
10021 FINE NEEDLE ASPIRATION; WITHOUT IMAGING GUIDANCE ProFee
$247
$173
$57
9
clean
10040 ACNE SURGERY (EG, MARSUPIALIZATION, OPENING OR REMOVAL OF MULTIPLE MILIA, COMEDONES, C ProFee
$354
$248
$146
18
clean
10060 Incision and drainage of abscess simple or single
$419
$293
$109
54
clean
10061 INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS O ProFee
$723
$506
$166
45
clean
10080 I&D, pilonidal cyst, simple
$349
$244
$80
18
clean
10120 INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; SIMPLE ProFee
$359
$251
$154
27
clean
10121 INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; COMPLICATED ProFee
$652
$456
$248
18
clean
10140 INCISION AND DRAINAGE OF HEMATOMA, SEROMA OR FLUID COLLECTION ProFee
$413
$289
$152
18
clean
10160 Puncture aspiration of abscess, hematoma, bulla, or cyst
$340
$238
$115
18
clean
10180 INCISION AND DRAINAGE, COMPLEX, POSTOPERATIVE WOUND INFECTION ProFee
$606
$424
$139
9
clean
11000 DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR INFECTED SKIN; UP TO 10% OF BODY SURFACE ProFee
$102
$71
$47
18
clean
11004 DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND FASCIA FOR NECROTIZING SOFT TISSU ProFee
$2,078
$1,455
$478
9
clean
11005 DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND FASCIA FOR NECROTIZING SOFT TISSU ProFee
$2,657
$1,860
$611
9
clean
11006 DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND FASCIA FOR NECROTIZING SOFT TISSU ProFee
$2,503
$1,752
$576
9
clean
11010 DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/ ProFee
$976
$683
$224
9
clean
11011 DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/ ProFee
$1,226
$858
$282
9
clean
11012 DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/ ProFee
$1,642
$1,149
$378
9
clean
11042 Debridement, subcutaneous tissue; first 20 sq cm or less
$402
$282
$97
18
clean
11043 DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES EPIDERMIS, DERMIS, AND SUBCUTANEOUS TISSUE ProFee
$558
$391
$230
18
clean
11044 DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASC ProFee
$832
$582
$191
9
clean
11045 DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); EACH A ProFee
$117
$82
$27
6
clean
11046 DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES EPIDERMIS, DERMIS, AND SUBCUTANEOUS TISSUE ProFee
$239
$167
$55
6
clean
11047 DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASC ProFee
$428
$300
$98
6
clean
11055 Paring or cutting of benign hyperkeratotic lesion single lesion
$229
$161
$45
18
clean
11056 Paring or cutting of benign hyperkeratotic lesion 2 to 4 lesions
$102
$71
$23
9
clean
11102 TANGENTIAL BIOPSY OF SKIN ProFee
$55
$39
$99
18
clean
11103 TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION ProFee
$76
$53
$45
12
clean
11104 Punch BX Skin Single Lesion
$124
$87
$121
18
clean
11105 Biopsy of skin, subcutaneous tissue and/or mucous membrane; each add'l lesion
$248
$174
$57
6
clean
11106 Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesi
$610
$427
$140
9
clean
11200 Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions
$297
$208
$121
18
clean
11201 Removal of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions
$92
$64
$40
6
clean
11300 Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion < 0.5 cm
$145
$102
$68
9
clean
11301 Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion 0.6 to 1.0 c
$182
$127
$42
9
clean
11302 Shaving epidermal or dermal lesion, single lesion trunk, arms or legs; diameter 1.1 to 2.0cm
$227
$159
$107
9
clean
11305 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, SCALP, NECK, HANDS, FEET, GENITA ProFee
$158
$111
$104
18
clean
11306 Shaving of epidermal or dermal lesion; scalp, neck, hands, feet, genitalia; 0.6-1.0 cm
$217
$152
$102
9
clean
11310 Shaving of lesion; face, ears, eyelids, nose, lips, mucous membrane; < 0.5 cm
$346
$242
$80
9
clean
11311 Shaving of lesion; face, ears, eyelids, nose, lips, mucous membrane; 0.6-1.0 cm
$38
$26
$122
9
clean
11400 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), ProFee
$320
$224
$128
18
clean
11401 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), ProFee
$359
$251
$145
18
clean
11402 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), ProFee
$395
$277
$159
18
clean
11403 Excision, benign lesion including margins; trunk, arms or legs; 2.1-3.0cm
$646
$452
$148
18
clean
11404 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), ProFee
$560
$392
$231
18
clean
11406 Excision, benign lesion including margins; trunk, arms or legs; >4.0cm
$867
$607
$248
18
clean
11420 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), ProFee
$309
$216
$123
18
clean
11421 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), ProFee
$385
$270
$144
18
clean
11422 Excision, benign lesion including margins; scalp, neck, hands, feet, genitalia; 1.1-2.0cm
$476
$333
$159
18
clean
11423 Excision, benign lesion including margins; scalp, neck, hands, feet, genitalia; 2.1-3.0cm
$554
$388
$173
18
clean
11424 Excision, benign lesion including margins; scalp, neck, hands, feet, genitalia; 3.1-4.0cm
$647
$453
$248
18
clean
11426 Excision, benign lesion > 4.0 cm including margins, except skin tag (unless listed elsewhere),
$990
$693
$248
18
clean
11440 Excision, benign lesion including margins; face, ears, eyelids, nose, lips; < 0.5cm
$420
$294
$140
18
clean
11441 EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWH ProFee
$454
$318
$157
18
clean
11442 EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWH ProFee
$505
$354
$170
18
clean
11443 Excise benign lesion including margins, face ,ears, eyelids, nose, lips; 2.1-3.0cm
$628
$440
$189
18
clean
11444 Excision, benign lesion including margins; face, ears, eyelids, nose, lips; 3.1-4.0cm
$812
$569
$248
18
clean
11446 Excision, benign lesion including margins; face, ears, eyelids, nose, lips; > 4.0cm
$370
$259
$85
9
clean
11470 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, PERIANAL, PERINEAL, OR UMBI ProFee
$985
$690
$227
9
clean
11600 EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 0 ProFee
$481
$337
$188
18
clean
11601 EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 0 ProFee
$510
$357
$117
9
clean
11602 EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 1 ProFee
$668
$468
$154
9
clean
11603 Excision, malignant lesion including margins, trunk, arms, or legs; 2.1-3.0cm
$965
$676
$222
18
clean
11606 Excision, malignant lesion including margins, trunk, arms, or legs; >4.0cm
$1,138
$797
$262
18
clean
11620 EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXC ProFee
$489
$342
$188
18
clean
11621 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; 0.6-1.0cm
$530
$371
$210
18
clean
11623 EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXC ProFee
$867
$607
$199
9
clean
11624 EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXC ProFee
$937
$656
$216
9
clean
11626 EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXC ProFee
$1,199
$839
$276
9
clean
11640 EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED ProFee
$502
$351
$194
18
clean
11642 EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED ProFee
$746
$522
$172
9
clean
11643 EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED ProFee
$812
$568
$187
9
clean
11644 EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED ProFee
$1,158
$811
$270
18
clean
11646 EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED ProFee
$1,400
$980
$326
18
clean
11719 Trimming of nondystrophic nails, any number
$61
$43
$14
9
clean
11720 DEBRIDEMENT OF NAIL(S) BY ANY METHOD(S); 1 TO 5 ProFee
$59
$41
$27
18
clean
11730-Avulsion Nail Plate Single
$417
$292
$96
18
clean
11732-Avulsion Nail Plate Each Addl
$250
$175
$58
6
clean
11740-Evacuation Subungual Hematoma
$319
$223
$73
9
clean
11750 EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE (EG, INGROWN OR DEFORMED NAIL), ProFee
$611
$428
$142
18
clean
11765 Wedge excision of skin of nail fold (e.g., for ingrown toenail)
$156
$109
$73
9
clean
11770 EXCISION OF PILONIDAL CYST OR SINUS SIMPLE ProFee
$643
$450
$148
9
clean
11771 EXCISION OF PILONIDAL CYST OR SINUS EXTENSIVE ProFee
$1,565
$1,096
$360
9
clean
11772 EXCISION OF PILONIDAL CYST OR SINUS COMPLICATED ProFee
$2,326
$1,628
$535
9
clean
11900 INJECTION, INTRALESIONAL; UP TO AND INCLUDING 7 LESIONS ProFee
$70
$49
$70
18
clean
11901 INJECTION, INTRALESIONAL; MORE THAN 7 LESIONS ProFee
$107
$75
$86
18
clean
11981 Insertion of non-biodegradable drug delivery implant into tissue
$554
$388
$248
9
clean
11982 Removal, non-biodegradable drug delivery implant
$353
$247
$143
18
clean
11983 Removal with reinsertion non-biodegradable drug delivery implant
$637
$446
$248
18
clean
12001 Simple repair of wounds; scalp, neck, axillae, genitalia, trunk, extremeties; <2.5cm
$203
$142
$247
18
clean
12002 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK ProFee
$211
$148
$143
27
clean
12004 Simple repair of wounds; scalp, neck, axillae, genitalia, trunk, extremeties; 7.6-12.5cm
$336
$235
$158
9
clean
12005 Simple repair of wounds; scalp, neck, axillae, genitalia, trunk, extremeties; 12.6-20.0cm
$451
$316
$104
9
clean
12011 Simple repair of wounds of face, ears, eyelids, nose, lips, mucous membra; <2.5cm
$254
$178
$120
9
clean
12013-Face/Ear/Eyelid/Nose/Lip 2.6-5.0 cm
$1,016
$711
$234
18
clean
12014 Simple repair of wounds of face, ears, eyelids, nose, lips, mucous membra; 5.1-7.5cm
$290
$203
$136
9
clean
12020 Treatment of superficial wound dehiscence simple closure
$678
$475
$248
18
clean
12031 REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HA ProFee
$616
$431
$223
18
clean
12032 REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HA ProFee
$676
$473
$223
18
clean
12034 REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HA ProFee
$724
$507
$248
18
clean
12035 REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HA ProFee
$943
$660
$217
9
clean
12041 REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 2.5 CM OR ProFee
$612
$428
$223
18
clean
12042 Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6-7.5cm
$822
$576
$223
18
clean
12045 REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 12.6 CM T ProFee
$832
$582
$191
9
clean
12051 REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANE ProFee
$695
$487
$223
18
clean
12052 REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANE ProFee
$710
$497
$223
18
clean
13101 REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM ProFee
$887
$621
$248
18
clean
13120 REPAIR COMPLEX SCALP ARMS AND/OR LEGS 1.1 CM TO 2.5 CM ProFee
$827
$579
$248
18
clean
13121 REPAIR COMPLEX SCALP ARMS AND/OR LEGS 2.6 CM TO 7.5 CM ProFee
$939
$657
$216
9
clean
13132 Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands; 2.6-7.5cm
$1,299
$909
$299
18
clean
13152 REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 2.6 CM TO 7.5 CM ProFee
$1,226
$858
$282
9
clean
13160 SECONDARY CLOSURE OF SURGICAL WOUND OR DEHISCENCE, EXTENSIVE OR COMPLICATED ProFee
$3,280
$2,296
$754
9
clean
14020 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, ARMS AND/OR LEGS; DEFECT 10 SQ CM OR ProFee
$2,154
$1,508
$495
9
clean
14021 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, ARMS AND/OR LEGS; DEFECT 10.1 SQ CM ProFee
$1,715
$1,201
$394
9
clean
15002 SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, BURN ES ProFee
$803
$562
$185
9
clean
15004 SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, BURN ES ProFee
$1,288
$902
$296
9
clean
15005 SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, BURN ES ProFee
$316
$221
$73
6
clean
15050 Pinch graft, single or multiple, to cover small ulcer, up to defect size 2 cm diameter
$1,578
$1,105
$363
18
clean
15100 SPLIT-THICKNESS AUTOGRAFT, TRUNK, ARMS, LEGS; FIRST 100 SQ CM OR LESS, OR 1% OF BODY A ProFee
$2,518
$1,763
$579
9
clean
15101 SPLIT-THICKNESS AUTOGRAFT, TRUNK, ARMS, LEGS; EACH ADDITIONAL 100 SQ CM, OR EACH ADDIT ProFee
$378
$265
$87
6
clean
15120 SPLIT-THICKNESS AUTOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, ProFee
$3,267
$2,287
$751
9
clean
15121 SPLIT-THICKNESS AUTOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, ProFee
$454
$318
$104
6
clean
15240 FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, FOREHEAD, CHEEKS, ProFee
$2,722
$1,905
$626
9
clean
15830 EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDES LIPECTOMY); ABDOMEN, INFRAU ProFee
$4,612
$3,228
$1,061
9
clean
15851 REMOVAL OF SUTURES UNDER ANESTHESIA (OTHER THAN LOCAL), OTHER SURGEON ProFee
$164
$115
$38
9
clean
15853. Removal of sutures or staples not requiring anesthesia
$52
$36
$12
9
clean
15854 Removal of sutures and staples not requiring anesthesia
$73
$51
$17
9
clean
16000-Initial Treatment First Degree Burn
$225
$158
$52
18
clean
16020 Dressings and/or debridement of partial-thickness burns, initial or subsequent; small
$242
$169
$80
27
clean
16025-Burn Dressings/Debridement Medium
$637
$446
$147
9
clean
16030-Burn Dressings/Debridement Large
$732
$512
$168
9
clean
17000 Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettemen
$189
$133
$76
18
clean
17003 DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CU ProFee
$33
$23
$43
12
clean
17110 DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CU ProFee
$237
$166
$97
18
clean
17111 DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CU ProFee
$218
$153
$50
9
clean
17250 Chemical cauterization of granulation tissue (proud flesh, sinus or fistula)
$110
$77
$25
9
clean
19020 MASTOTOMY WITH EXPLORATION OR DRAINAGE OF ABSCESS, DEEP ProFee
$952
$666
$219
9
clean
19120 EXCISION OF CYST, FIBROADENOMA, OR OTHER BENIGN OR MALIGNANT TUMOR, ABERRANT BREAST TI ProFee
$1,434
$1,004
$330
9
clean
19125 EXCISION OF BREAST LESION IDENTIFIED BY PREOPERATIVE PLACEMENT OF RADIOLOGICAL MARKER, ProFee
$1,860
$1,302
$428
9
clean
19126 EXCISION OF BREAST LESION IDENTIFIED BY PREOPERATIVE PLACEMENT OF RADIOLOGICAL MARKER, ProFee
$663
$464
$152
6
clean
19300 MASTECTOMY FOR GYNECOMASTIA ProFee
$1,642
$1,149
$378
9
clean
19301 MASTECTOMY, PARTIAL (EG, LUMPECTOMY, TYLECTOMY, QUADRANTECTOMY, SEGMENTECTOMY); ProFee
$2,275
$1,593
$523
9
clean
20103 EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE) EXTREMITY ProFee
$1,230
$861
$283
9
clean
20526 INJECTION THERAPEUTIC CARPAL TUNNEL - Tech
$286
$200
$60
36
clean
20550, Injection(s); tendon sheath, ligament;
$705
$494
$37
36
clean
20551 INJ TEND ORIGIN/INS CHARGE
$683
$478
$40
45
clean
20552-Inject Trigger Point 1-2 Muscles
$501
$351
$44
54
clean
20553 Inject trigger points 3/>
$706
$494
$56
36
clean
PT Dry Needling, 3+ Muscles Assist Unit
$71
$50
$24
40
clean
20600 Small Joint injections
$111
$78
$36
54
clean
20604 ARTHROCNT ASPIR&/INJ SML JT/BURSAW/US REC RPRT - Tech
$706
$494
$65
18
clean
20605-Intermediate Aspiration/Inj w/o US
$631
$442
$41
63
clean
20606 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, INTERMEDIATE JOINT OR BURSA (EG, TEMPOROM ProFee
$125
$88
$73
27
clean
20610 Arthrocentesis Large Joint
$205
$144
$49
81
clean
20611 Profee Major Joint injection with Ultrasound guidance with recording and reporting
$140
$98
$79
36
clean
20612 ASPIRATION AND/OR INJECTION OF GANGLION CYST(S) ANY LOCATION ProFee
$148
$104
$43
27
clean
20680 REMOVAL OF IMPLANT; DEEP (EG, BURIED WIRE, PIN, SCREW, METAL BAND, NAIL, ROD OR PLATE) ProFee
$1,498
$1,049
$345
9
clean
21011 EXCISION, TUMOR, SOFT TISSUE OF FACE OR SCALP, SUBCUTANEOUS; LESS THAN 2 CM ProFee
$1,040
$728
$239
9
clean
21012 EXCISION, TUMOR, SOFT TISSUE OF FACE OR SCALP, SUBCUTANEOUS; 2 CM OR GREATER ProFee
$1,153
$807
$265
9
clean
21014 EXCISION, TUMOR, SOFT TISSUE OF FACE AND SCALP, SUBFASCIAL (EG, SUBGALEAL, INTRAMUSCUL ProFee
$2,038
$1,427
$469
9
clean
21480-Temporomandibular/Jaw
$378
$265
$87
9
clean
21552 EXCISION, TUMOR, SOFT TISSUE OF NECK OR ANTERIOR THORAX, SUBCUTANEOUS; 3 CM OR GREATER ProFee
$1,812
$1,268
$417
9
clean
21554 EXCISION, TUMOR, SOFT TISSUE OF NECK OR ANTERIOR THORAX, SUBFASCIAL (EG, INTRAMUSCULAR ProFee
$2,481
$1,737
$571
9
clean
21555 EXCISION, TUMOR, SOFT TISSUE OF NECK OR ANTERIOR THORAX, SUBCUTANEOUS; LESS THAN 3 CM ProFee
$1,240
$868
$285
9
clean
21930 Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm
$1,499
$1,049
$345
18
clean
21931 EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBCUTANEOUS; 3 CM OR GREATER ProFee
$1,906
$1,334
$438
9
clean
21932 EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBFASCIAL (EG, INTRAMUSCULAR); LESS TH ProFee
$2,246
$1,572
$517
9
clean
21933 EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR ProFee
$2,522
$1,765
$580
9
clean
22900 EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL, SUBFASCIAL (EG, INTRAMUSCULAR); LESS T ProFee
$2,291
$1,604
$527
9
clean
22902 EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL, SUBCUTANEOUS; LESS THAN 3 CM ProFee
$1,337
$936
$308
9
clean
22903 EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL, SUBCUTANEOUS; 3 CM OR GREATER ProFee
$1,488
$1,042
$342
9
clean
22999 UNLISTED PROCEDURE, ABDOMEN, MUSCULOSKELETAL SYSTEM ProFee
$688
$482
$158
9
clean
23071 EXCISION, TUMOR, SOFT TISSUE OF SHOULDER AREA, SUBCUTANEOUS; 3 CM OR GREATER ProFee
$1,460
$1,022
$336
9
clean
23073 EXCISION, TUMOR, SOFT TISSUE OF SHOULDER AREA, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR ProFee
$2,420
$1,694
$557
9
clean
23120 CLAVICULECTOMY; PARTIAL ProFee
$2,040
$1,428
$469
9
clean
23125 CLAVICULECTOMY; TOTAL ProFee
$2,734
$1,914
$629
9
clean
23130 ACROMIOPLASTY OR ACROMIONECTOMY, PARTIAL, WITH OR WITHOUT CORACOACROMIAL LIGAMENT RELE ProFee
$2,467
$1,727
$567
9
clean
XR Arthrogram Injection Shoulder Right
$292
$204
$67
12
clean
23410 REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF (EG, ROTATOR CUFF) OPEN; ACUTE ProFee
$2,903
$2,032
$668
9
clean
23412 REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF (EG, ROTATOR CUFF) OPEN; CHRONIC ProFee
$3,453
$2,417
$794
9
clean
23420 RECONSTRUCTION OF COMPLETE SHOULDER (ROTATOR) CUFF AVULSION, CHRONIC (INCLUDES ACROMIO ProFee
$3,398
$2,379
$782
9
clean
23472 ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACE ProFee
$4,985
$3,490
$1,147
9
clean
23500 CLOSED TREATMENT OF CLAVICULAR FRACTURE WITHOUT MANIPULATION ProFee
$766
$536
$248
18
clean
23505-Clavicular w/manipulation
$3,791
$2,654
$872
9
clean
23515 OPEN TREATMENT OF CLAVICULAR FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED ProFee
$2,524
$1,767
$581
9
clean
23550 OPEN TREATMENT OF ACROMIOCLAVICULAR DISLOCATION, ACUTE OR CHRONIC; ProFee
$1,938
$1,357
$446
9
clean
23570 CLOSED TREATMENT OF SCAPULAR FRACTURE WITHOUT MANIPULATION ProFee
$833
$583
$248
18
clean
23600 Closed treatment of proximal humeral fracture; without manipulation
$1,073
$751
$244
18
clean
23615 OPEN TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR ANATOMICAL NECK) FRACTURE, INCLUDES IN ProFee
$3,127
$2,189
$719
9
clean
23620 CLOSED TREATMENT OF GREATER HUMERAL TUBEROSITY FRACTURE; WITHOUT MANIPULATION ProFee
$1,020
$714
$235
18
clean
23650-Shoulder w/o Anesthesia
$419
$293
$265
27
clean
23655 CLOSED TREATMENT OF SHOULDER DISLOCATION, WITH MANIPULATION; REQUIRING ANESTHESIA ProFee
$1,405
$984
$327
18
clean
23700 MANIPULATION UNDER ANESTHESIA, SHOULDER JOINT, INCLUDING APPLICATION OF FIXATION APPAR ProFee
$695
$487
$160
9
clean
24071 EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA, SUBCUTANEOUS; 3 CM OR GREATER ProFee
$1,642
$1,149
$378
9
clean
24073 EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA, SUBFASCIAL (EG, INTRAMUSCULAR ProFee
$2,805
$1,964
$645
9
clean
24075 EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA, SUBCUTANEOUS; LESS THAN 3 CM ProFee
$1,329
$930
$306
9
clean
24076 EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA, SUBFASCIAL (EG, INTRAMUSCULAR ProFee
$2,206
$1,544
$507
9
clean
24101 ARTHROTOMY, ELBOW; WITH JOINT EXPLORATION, WITH OR WITHOUT BIOPSY, WITH OR WITHOUT REM ProFee
$2,012
$1,408
$463
9
clean
24105 EXCISION, OLECRANON BURSA ProFee
$1,408
$986
$324
9
clean
24200 REMOVAL OF FOREIGN BODY, UPPER ARM OR ELBOW AREA; SUBCUTANEOUS ProFee
$485
$340
$112
9
clean
Showing the first 200 of 1,796 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 87651/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $134
CPT 87807/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $71
CPT 87880/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $74
CPT 88342/o
warn
mrf_negotiated_above_gross
highest negotiated rate $326 exceeds the gross charge $229
CPT 90460/o
warn
mrf_negotiated_above_gross
highest negotiated rate $31 exceeds the gross charge $14
CPT 90473/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $21
CPT 90474/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $43
CPT 90648/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $28
CPT 90747/o
warn
mrf_negotiated_above_gross
highest negotiated rate $151 exceeds the gross charge $87
CPT 90785/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $64
CPT 92250/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $207
CPT 93000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $75
CPT 93010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $183 exceeds the gross charge $92
CPT 94002/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,013 exceeds the gross charge $831
CPT 94667/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $158
CPT 94761/o
warn
mrf_negotiated_above_gross
highest negotiated rate $349 exceeds the gross charge $179
CPT 95115/o
warn
mrf_negotiated_above_gross
highest negotiated rate $83 exceeds the gross charge $43
CPT 95117/o
warn
mrf_negotiated_above_gross
highest negotiated rate $83 exceeds the gross charge $52
CPT 95992/o
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $174
CPT 96156/o
warn
mrf_negotiated_above_gross
highest negotiated rate $171 exceeds the gross charge $161
CPT 96158/o
warn
mrf_negotiated_above_gross
highest negotiated rate $171 exceeds the gross charge $134
CPT 96159/o
warn
mrf_negotiated_above_gross
highest negotiated rate $46 exceeds the gross charge $35
CPT 29260/o
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $123
CPT 96368/o
warn
mrf_negotiated_above_gross
highest negotiated rate $938 exceeds the gross charge $174
CPT 29540/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $92
CPT 97012/o
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $168
CPT 97018/o
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $131
CPT 97032/o
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $132
CPT 36416/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $50
CPT 97113/o
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $143
CPT 36592/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $172
CPT 97129/o
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $146
CPT 39200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,419 exceeds the gross charge $203
CPT 97535/o
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $153
CPT 97537/o
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $130
CPT 97542/o
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $81
CPT 97606/o
warn
mrf_negotiated_above_gross
highest negotiated rate $697 exceeds the gross charge $676
CPT 97750/o
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $110
CPT 97761/o
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $178
CPT 46606/o
warn
mrf_negotiated_above_gross
highest negotiated rate $335 exceeds the gross charge $310
CPT 97763/o
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $141
CPT 46945/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,727 exceeds the gross charge $426
CPT 97803/o
warn
mrf_negotiated_above_gross
highest negotiated rate $64 exceeds the gross charge $38
CPT 97804/o
warn
mrf_negotiated_above_gross
highest negotiated rate $48 exceeds the gross charge $21
CPT 99000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $28 exceeds the gross charge $19
CPT 99058/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $231
CPT 99070/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $43
CPT 99173/o
warn
mrf_negotiated_above_gross
highest negotiated rate $58 exceeds the gross charge $13
CPT 99201/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $107
CPT 51797/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $145
CPT 57160/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $170
CPT 99241/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $100
CPT 99242/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $182
CPT 99381/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $219
CPT 99383/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $237
CPT 99397/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $219
CPT 99407/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $109
CPT 99497/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $79
CPT G0101/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $167
CPT G0283/o
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $116
CPT G0378/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,550 exceeds the gross charge $123
CPT G0390/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,943 exceeds the gross charge $1,254
CPT G0439/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $213
CPT G0442/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $17
CPT G0444/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $17
CPT G2025/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $175
CPT 11201/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $92
CPT 11300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $145
CPT 65222/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $197
CPT 11302/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $227
CPT 69209/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $71
CPT 11306/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $217
CPT 11311/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $38
CPT 73501/o
warn
mrf_negotiated_above_gross
highest negotiated rate $313 exceeds the gross charge $307
CPT 73565/o
warn
mrf_negotiated_above_gross
highest negotiated rate $313 exceeds the gross charge $307
CPT 75571/o
warn
mrf_negotiated_above_gross
highest negotiated rate $725 exceeds the gross charge $209
CPT 76802/o
warn
mrf_negotiated_above_gross
highest negotiated rate $315 exceeds the gross charge $293
CPT 76812/o
warn
mrf_negotiated_above_gross
highest negotiated rate $315 exceeds the gross charge $293
CPT 81162/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,142 exceeds the gross charge $3,204
CPT 81517/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,143 exceeds the gross charge $440
CPT L0120/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $87
CPT L2232/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $85
CPT L3260/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $91
CPT Q0091/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $83
CPT Q4010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $80
CPT Q4049/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $7
CPT 11765/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $156
CPT 86039/o
warn
mrf_negotiated_above_gross
highest negotiated rate $25 exceeds the gross charge $14
CPT 86870/o
warn
mrf_negotiated_above_gross
highest negotiated rate $643 exceeds the gross charge $636
CPT 86886/o
warn
mrf_negotiated_above_gross
highest negotiated rate $326 exceeds the gross charge $192
CPT 86900/o
warn
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $86
CPT 20611/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 20612/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87651/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 21930/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 87799/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 23500/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 87804/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 23570/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 23600/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 23620/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 88300/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 23650/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 23655/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 24500/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 90471/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 24530/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 90472/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 24535/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 24576/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 24650/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 90619/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 25560/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 90620/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 25565/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 90621/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 25600/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 90633/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 25605/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 90636/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 25622/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 90647/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 25630/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 25650/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 90651/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 26010/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 90680/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 26011/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 90681/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 26111/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 90696/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 26115/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 90697/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 26600/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 90698/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 26605/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 90700/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 26720/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 90710/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 26725/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 90713/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 26750/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 90715/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 26755/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 90716/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 26770/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 90723/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 27096/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 90744/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 27240/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 27244/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 27252/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 90791/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 27266/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 90832/o
info
mrf_item_fields_vary
this code and setting cover at least 9 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 27301/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 90834/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 27447/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 27500/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 92950/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 27520/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 27530/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 27750/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 93306/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 27760/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 93922/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 27767/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 27786/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 94640/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 27808/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27824/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 94760/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 28043/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 28190/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 28400/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 28450/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 28470/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 28490/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 28510/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 29065/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 96360/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 29075/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 96361/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 29105/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 96365/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 29125/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 96366/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 29130/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 96367/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 29345/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 96368/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 29405/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 96372/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 29505/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 96374/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 29515/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 96375/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 29580/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 30300/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 97022/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