Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$720
14
clean
Liver dis 10 assays w/ash
—
—
$503
14
clean
Liver dis 10 assays w/nash
—
—
$503
14
clean
Onco prst8 3 gene ur alg
—
—
$760
14
clean
Onc mrna 5 gen rsk urthl ca
—
—
$760
14
clean
Onc mrna 5 gen recr urthl ca
—
—
$760
14
clean
Adrnl cortcl tum bchm asy 25
—
—
$1,305
14
clean
Onc bladder mrna 219 gen alg
—
—
$3,490
14
clean
Onc thyr 10 microrna seq alg
—
—
$3,002
14
clean
Onc aml dna detcj/nondetcj
—
—
$249
14
clean
Glyca nuc mr spectrsc quan
—
—
$34
14
clean
Onc thyr dna&mrna 112 genes
—
—
$3,600
14
clean
Jak2 gene trgt seq alys
—
—
$122
14
clean
Rx metab advrs trgt seq alys
—
—
$742
14
clean
Tpmt nudt15 genes
—
—
$466
14
clean
HC NEURO CSF PRION PRTN QUAL
$1,465
$1,099
$1,392
80
clean
Trgt gen seq dna 324 genes
—
—
$3,500
14
clean
Anes integumentary sys nos
—
—
$500
1
clean
B brgdrferi antb 5 prtn igm
—
—
$17
14
clean
HCD CT PERFUSION W/CONTRAST CBF
$741
$556
$704
66
clean
B brgdrferi antb 12 prtn igg
—
—
$17
14
clean
Tbrf b grp antb 4 prtn igm
—
—
$15
14
clean
Tbrf b grp antb 4 prtn igg
—
—
$15
14
clean
Onc brst dux carc is 12 gene
—
—
$3,873
14
clean
Onc prst8 mrna 17 gene alg
—
—
$3,873
14
clean
Onc merkel cll carc srm quan
—
—
$323
14
clean
Onc merkel cll carc srm +/-
—
—
$323
14
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$25
14
clean
HC ANTIBODY TREPONEMA PALLIDUM TOTAL & RPR IA QUAL
$62
$47
$59
80
clean
HC SYPHILIS TST NON-TREPONEMAL ANTIBODY IA QUAL RPR
$36
$27
$34
80
clean
Candida species pnl amp prb
—
—
$143
14
clean
HC PLACE CAROTID ARTERY STENT INIT
$17,931
$13,448
$17,034
66
clean
Ig paraprotein qual bld/ur
—
—
$43
14
clean
Onc lng 5 clin rsk factr alg
—
—
$3,520
14
clean
Onc mlnma prame & linc00518
—
—
$760
14
clean
Onc cutan mlnma mrna 23 gene
—
—
$1,950
14
clean
HC OT SHOCKWAVE THERAPY 0101T
$87
$66
$83
66
clean
Hered colon ca do 15 genes
—
—
$1,744
14
clean
Neph ckd mult eclia tum nec
—
—
$950
14
clean
Gstr emptg 7 timed brth spec
—
—
$874
14
clean
Gi barrett esoph 9 prtn bmrk
—
—
$4,950
14
clean
Iadi 16s&18s rrna genes
—
—
$356
14
clean
Trnsplj don-drv cll-fr dna
—
—
$2,753
14
clean
Crd ceramides liq chrom plsm
—
—
$84
14
clean
Hered brst ca rltd do panel
—
—
$1,304
14
clean
Nfct ds dna untrgt ngnrj seq
—
—
$2,126
14
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$112
14
clean
Liver ds 10 biochem asy srm
—
—
$503
14
clean
Onc sld tum alys brca1 brca2
—
—
$3,030
14
clean
Onc solid tumor 30 prtn trgt
—
—
$1,305
14
clean
HC PERC SACROPLAST UNILATERAL INCL IMAGE AND BIOPSY
$3,466
$2,599
$3,292
66
clean
HC PERC SACROPLAST BILATERAL INCL IMAGE AND BIOPSY
$8,565
$6,424
$8,137
66
clean
HC BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2
$510
$382
$484
80
clean
Neuro alzheimer cell aggregj
—
—
$2,215
14
clean
HC NJX PLTLT PLASMA W/IMG HARVEST/PREPARATION
$525
$394
$499
66
clean
Trgt gen seq alys pnl 311+
—
—
$3,500
14
clean
Nfct ds vir resp rna 3 trgt
—
—
$143
1
clean
Nfct ds vir resp rna 4 trgt
—
—
$143
1
clean
Trgt gen seq alys pnl 55-74
—
—
$5,000
14
clean
Onc thyr mut alys 10 gen&37
—
—
$1,266
14
clean
Onc sld org neo dna 505 gene
—
—
$2,920
14
clean
Onc lung mrna quan pcr 11&3
—
—
$3,873
14
clean
Onc brst dux carc 7 proteins
—
—
$5,435
14
clean
Crd cad alys 3 prtn 3 param
—
—
$391
14
clean
Crd cv ds aly 4 prtn plm alg
—
—
$391
14
clean
Nfct ds bct quan antmcrb sc
—
—
$8
14
clean
Ai ds sle alys 8 igg autoant
—
—
$841
14
clean
Onc cutan sq cll ca mrna 40
—
—
$8,500
14
clean
Neph rna psttrnspl perph bld
—
—
$2,650
14
clean
Trgt gen seq alys pnl 83+
—
—
$5,000
14
clean
Onc neo xome&trns seq alys
—
—
$3,438
14
clean
Onc sld orgn tgsa dna 84/+
—
—
$3,500
14
clean
Onc plsm cell do&myeloma id
—
—
$2,435
14
clean
Onc sld tum crcg tum cl slct
—
—
$2,435
14
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$760
14
clean
Onc pan ca alys mrd plasma
—
—
$3,590
14
clean
Hep nafld semiq evl 28 lipid
—
—
$792
14
clean
Psyc genom alys pnl 15 gen
—
—
$1,336
14
clean
Rx metab/pcx dna 16 gen alys
—
—
$1,336
14
clean
Rx metab/pcx dna 25 gen alys
—
—
$742
14
clean
Rx metab/pcx dna 27gen rx ia
—
—
$742
14
clean
Nfct ds bct/viral trail ip10
—
—
$261
14
clean
HCD NFCT DS BCT VAGINOSIS&VAGINITIS MULT AMP PROBE
$689
$517
$655
66
clean
Apol1 risk variants
—
—
$137
14
clean
Onc orop/anal 17 dna ddpcr
—
—
$1,800
14
clean
Neuro alys b-amyl 1-42&1-40
—
—
$261
14
clean
Onc prst8 ca alys all psa
—
—
$760
14
clean
Onc lung elisa 7 autoant alg
—
—
$841
14
clean
Neurflmnt lt chn dig ia quan
—
—
$116
1
clean
Onc urthl mrna 5 gen alg
—
—
$760
14
clean
Onc bldr 10 ur hrbr urthl ca
—
—
$897
14
clean
Onc bldr 10 prb recr bldr ca
—
—
$897
14
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$897
14
clean
Onc prst8 ca img alys 128
—
—
$706
14
clean
Tgsap sl or neo dna523&rna55
—
—
$3,289
14
clean
Onc nonsm cll lng ca 37 gen
—
—
$3,500
14
clean
Neu prksn msfl a-syncln prtn
—
—
$541
14
clean
Pfas 16 pfas compnd lc ms/ms
—
—
$199
14
clean
Gi baret esph dna mthyln aly
—
—
$1,755
14
clean
Onc prst8 mrna 18 gen 1st ur
—
—
$760
14
clean
Onc brst semiq meas thym kn
—
—
$323
14
clean
Onc lung flow cytmtry 5 mrk
—
—
$760
14
clean
Neph dbtc ckd mult eclia alg
—
—
$950
14
clean
Onc sld tum dna 80 & rna 36
—
—
$2,920
14
clean
Psyc genom alys pnl 15 gen
—
—
$1,336
14
clean
Cv ds acs bld alg 5 yr score
—
—
$391
14
clean
Onc pan solid tum alys dna
—
—
$1,943
13
clean
Gi malabs aat calpro pncrtc
—
—
$62
14
clean
Gly rcptr alpha1 igg srm/csf
—
—
$37
14
clean
Klhl11 antb sr/csf asy qual
—
—
$37
14
clean
Onc prst8 5 dna reg mrk pcr
—
—
$760
14
clean
Rx metab advrs vrnt alys 25
—
—
$417
14
clean
Neurflmnt lt chn ultrsens ia
—
—
$116
13
clean
Insj impltbl glucose sensor
—
—
$1,507
26
clean
Rmvl impltbl glucose sensor
—
—
$80
26
clean
Remvl insj impltbl gluc sens
—
—
$1,519
26
clean
Onc sld tum bld/slv 648 gene
—
—
$4,500
14
clean
Hered prst8 ca gsap 23 genes
—
—
$1,304
14
clean
Onc sol tum cfdna&rna ngs gm
—
—
$3,649
13
clean
Pattern erg w/i&r
—
—
$36
52
clean
HC TRANSCATH TRICUSPID VALVE REPAIR;INITIAL PROSTHESIS
$19,556
$14,667
$18,578
66
clean
HC TRANSCATH TRICUSPID VALVE REPAIR;ADDTL PROSTHESIS
$9,720
$7,290
$9,234
66
clean
HC INSERT/REPLMNT ICDS W/SUBSTERNAL ELECTRODE
$41,434
$31,075
$39,362
66
clean
HC TTVI PROSTHETIC VALVE, PERCUTANEOUS
$51,683
$38,762
$49,099
66
clean
Fna bx w/o img gdn ea addl
—
—
$49
27
clean
HC FNA W US GUIDANCE; 1ST LESION
$2,007
$1,505
$1,706
93
clean
HC FNA W US GUIDANCE; EA ADDITIONAL
$981
$736
$834
93
clean
Fna bx w/fluor gdn 1st les
—
—
$282
27
clean
HC FNA W CT GUIDANCE; 1ST LESION
$3,011
$2,258
$2,559
93
clean
HC FNA W CT GUIDANCE; EA ADDITIONAL
$1,044
$783
$887
93
clean
HC FNA W/O IMAGE GUIDANCE
$437
$328
$371
93
clean
HC SOFT TISSUE DRAINAGE W GUIDANCE
$3,904
$2,928
$3,513
92
clean
HC PLCMT SOFT TISSUE LOCAL DEVICE PERC W IMG 1ST LESION
$2,124
$1,593
$1,912
92
clean
Plmt sft tiss loclzj dev ea
—
—
$167
26
clean
Extraction
—
—
$65
26
clean
HC I&D ABSCESS SIMPLE OR SINGLE
$387
$291
$349
92
clean
HC I&D ABSC; COMPL OR MULTI
$779
$584
$701
92
clean
HC I/D PILONID CYST SIMPLE
$1,543
$1,157
$1,389
92
clean
HC I&D PILONID CYST; CPLX
$588
$441
$529
92
clean
HC INC & REM FB, SQ; SMPL
$3,386
$2,539
$3,047
92
clean
HC INC & REM FB, SQ; COMPL
$5,185
$3,889
$4,667
92
clean
PBB I&D HEMATOMA SEROMA/FLUID COLLECTION
$3,158
$2,369
$3,001
158
clean
HC PUNCT ASP - ABSC,HEMAT,CYST
$978
$734
$522
158
clean
HC I&D,COMPLEX,POSTOP WOUND INF
$5,579
$4,184
$5,021
92
clean
HC DEBR EXZ/INF SKIN; 10% BS
$588
$441
$529
92
clean
Dbrdmt ecz/infct skn ea addl
—
—
$20
26
clean
Dbrdmt skin xtrnl gent&per
—
—
$550
26
clean
Dbrdmt skin abdominal wall
—
—
$747
26
clean
Dbrdmt skin xtrnl gent per
—
—
$677
26
clean
Rmv prstc mtrl/mesh abd wall
—
—
$264
26
clean
Debride skin at fx site
—
—
$281
26
clean
Debride skin musc at fx site
—
—
$383
26
clean
Deb skin bone at fx site
—
—
$515
26
clean
HC DEB SUBQ TISSUE 20 SQ CM/<
$876
$657
$789
92
clean
HC DEB MUSC/FASCIA 20SQ CM/<
$1,211
$908
$1,150
158
clean
HC DEB BONE 20SQ CM/<
$2,345
$1,759
$2,110
92
clean
Dbrdmt subq tiss each addl
—
—
$32
26
clean
Dbrdmt musc&/fsca ea addl
—
—
$62
26
clean
HC DEB BONE ADD-ON=<20SQ CM
$1,758
$1,319
$1,583
92
clean
Paring/cutg b9 hyprker les 1
—
—
$42
26
clean
HC TRIM SKIN LESIONS 2 TO 4
$778
$584
$701
92
clean
PBB PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4
$618
$463
$556
92
clean
Tangntl bx skin single les
—
—
$67
26
clean
Tangntl bx skin ea sep/addl
—
—
$35
26
clean
Punch bx skin single lesion
—
—
$83
26
clean
Punch bx skin ea sep/addl
—
—
$41
26
clean
HC INCISIONAL BX SKIN; SINGLE LESION
$695
$521
$625
92
clean
HC INCISIONAL BX SKIN; EA SEP/ADDL LESION
$330
$247
$297
92
clean
HC SKIN TAG REMOVAL UP TO 15 LESIONS
$409
$307
$368
92
clean
Rmvl skin tags ea addl 10
—
—
$17
26
clean
Shave skin lesion 0.5 cm/<
—
—
$65
26
clean
Shave skin lesion 0.6-1.0 cm
—
—
$83
26
clean
Shave skin lesion 1.1-2.0 cm
—
—
$95
26
clean
Shave skin lesion >2.0 cm
—
—
$108
26
clean
Shave skin lesion 0.5 cm/<
—
—
$69
26
clean
Shave skin lesion 0.6-1.0 cm
—
—
$83
26
clean
Shave skin lesion 1.1-2.0 cm
—
—
$98
26
clean
Shave skin lesion >2.0 cm
—
—
$105
26
clean
Shave skin lesion 0.5 cm/<
—
—
$78
26
clean
Shave skin lesion 0.6-1.0 cm
—
—
$96
26
clean
Shave skin lesion 1.1-2.0 cm
—
—
$112
26
clean
Shave skin lesion >2.0 cm
—
—
$134
26
clean
Exc tr-ext b9+marg 0.5 cm<
—
—
$81
26
clean
HC EXCISION BENIGN TRUNK/ARMS/LEGS 0.6-1.0CM
$691
$518
$622
92
clean
HC EXC TR-EXT B9+MARG 1.1-2 CM
$1,372
$1,029
$1,234
92
clean
Exc tr-ext b9+marg 2.1-3cm
—
—
$134
26
clean
Exc tr-ext b9+marg 3.1-4 cm
—
—
$150
26
clean
Exc tr-ext b9+marg >4.0 cm
—
—
$219
26
clean
HC EXC BLES S/N/EX G; 0.5CM/<
$3,158
$2,369
$2,843
92
clean
Exc h-f-nk-sp b9+marg 0.6-1
—
—
$104
26
clean
HC EXCISION BENIGN LESION S/N/EX G: 1.1-2.0 CM
$125
$94
$119
92
clean
Exc h-f-nk-sp b9+marg 2.1-3
—
—
$139
26
clean
Exc h-f-nk-sp b9+marg 3.1-4
—
—
$160
26
clean
Exc h-f-nk-sp b9+marg >4 cm
—
—
$232
26
clean
Exc face-mm b9+marg 0.5 cm/<
—
—
$96
26
clean
Exc face-mm b9+marg 0.6-1 cm
—
—
$118
26
clean
Exc face-mm b9+marg 1.1-2 cm
—
—
$131
26
clean
Exc face-mm b9+marg 2.1-3 cm
—
—
$157
26
clean
Exc face-mm b9+marg 3.1-4 cm
—
—
$197
26
clean
Exc face-mm b9+marg >4 cm
—
—
$271
26
clean
Showing the first 200 of 10,585 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 27500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $770 exceeds the gross charge $588
CPT 27501/o
warn
mrf_negotiated_above_gross
highest negotiated rate $743 exceeds the gross charge $588
CPT 12006/o
warn
mrf_negotiated_above_gross
highest negotiated rate $199 exceeds the gross charge $125
CPT 12007/o
warn
mrf_negotiated_above_gross
highest negotiated rate $224 exceeds the gross charge $125
CPT 27508/o
warn
mrf_negotiated_above_gross
highest negotiated rate $772 exceeds the gross charge $588
CPT 12015/o
warn
mrf_negotiated_above_gross
highest negotiated rate $167 exceeds the gross charge $125
CPT 12016/o
warn
mrf_negotiated_above_gross
highest negotiated rate $213 exceeds the gross charge $125
CPT 12017/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $125
CPT 26641/o
warn
mrf_negotiated_above_gross
highest negotiated rate $619 exceeds the gross charge $588
CPT 27516/o
warn
mrf_negotiated_above_gross
highest negotiated rate $762 exceeds the gross charge $588
CPT 12020/o
warn
mrf_negotiated_above_gross
highest negotiated rate $231 exceeds the gross charge $125
CPT 12021/o
warn
mrf_negotiated_above_gross
highest negotiated rate $137 exceeds the gross charge $125
CPT 28405/o
warn
mrf_negotiated_above_gross
highest negotiated rate $664 exceeds the gross charge $588
CPT 12031/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $125
CPT 12034/o
warn
mrf_negotiated_above_gross
highest negotiated rate $258 exceeds the gross charge $125
CPT 27538/o
warn
mrf_negotiated_above_gross
highest negotiated rate $713 exceeds the gross charge $588
CPT G0168/o
warn
mrf_negotiated_above_gross
highest negotiated rate $117 exceeds the gross charge $54
CPT 12035/o
warn
mrf_negotiated_above_gross
highest negotiated rate $300 exceeds the gross charge $125
CPT 27550/o
warn
mrf_negotiated_above_gross
highest negotiated rate $759 exceeds the gross charge $588
CPT 12036/o
warn
mrf_negotiated_above_gross
highest negotiated rate $333 exceeds the gross charge $125
CPT 12037/o
warn
mrf_negotiated_above_gross
highest negotiated rate $374 exceeds the gross charge $125
CPT 55120/o
warn
mrf_negotiated_above_gross
highest negotiated rate $275 exceeds the gross charge $85
CPT 12042/o
warn
mrf_negotiated_above_gross
highest negotiated rate $239 exceeds the gross charge $125
CPT 27562/o
warn
mrf_negotiated_above_gross
highest negotiated rate $721 exceeds the gross charge $588
CPT 31511/o
warn
mrf_negotiated_above_gross
highest negotiated rate $204 exceeds the gross charge $56
CPT 26990/o
warn
mrf_negotiated_above_gross
highest negotiated rate $457 exceeds the gross charge $437
CPT 12054/o
warn
mrf_negotiated_above_gross
highest negotiated rate $297 exceeds the gross charge $53
CPT 31530/o
warn
mrf_negotiated_above_gross
highest negotiated rate $193 exceeds the gross charge $83
CPT 85730/o
warn
mrf_negotiated_above_gross
highest negotiated rate $37 exceeds the gross charge $26
CPT 81208/o
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $93
CPT 31577/o
warn
mrf_negotiated_above_gross
highest negotiated rate $267 exceeds the gross charge $56
CPT 15100/o
warn
mrf_negotiated_above_gross
highest negotiated rate $596 exceeds the gross charge $437
CPT 15110/o
warn
mrf_negotiated_above_gross
highest negotiated rate $573 exceeds the gross charge $437
CPT 41009/o
warn
mrf_negotiated_above_gross
highest negotiated rate $330 exceeds the gross charge $56
CPT 78494/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $139
CPT 64445/o
warn
mrf_negotiated_above_gross
highest negotiated rate $232 exceeds the gross charge $24
CPT 41250/o
warn
mrf_negotiated_above_gross
highest negotiated rate $219 exceeds the gross charge $56
CPT 51785/o
warn
mrf_negotiated_above_gross
highest negotiated rate $325 exceeds the gross charge $250
CPT 27220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $615 exceeds the gross charge $588
CPT 27222/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,438 exceeds the gross charge $1,188
CPT 81292/o
warn
mrf_negotiated_above_gross
highest negotiated rate $743 exceeds the gross charge $180
CPT 27230/o
warn
mrf_negotiated_above_gross
highest negotiated rate $715 exceeds the gross charge $588
CPT 27232/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,063 exceeds the gross charge $535
CPT 27788/o
warn
mrf_negotiated_above_gross
highest negotiated rate $629 exceeds the gross charge $588
CPT 27240/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,396 exceeds the gross charge $1,188
CPT 80048/o
warn
mrf_negotiated_above_gross
highest negotiated rate $67 exceeds the gross charge $55
CPT 80053/o
warn
mrf_negotiated_above_gross
highest negotiated rate $95 exceeds the gross charge $81
CPT 27265/o
warn
mrf_negotiated_above_gross
highest negotiated rate $613 exceeds the gross charge $588
CPT 80061/o
warn
mrf_negotiated_above_gross
highest negotiated rate $95 exceeds the gross charge $80
CPT 25535/o
warn
mrf_negotiated_above_gross
highest negotiated rate $731 exceeds the gross charge $588
CPT 27266/o
warn
mrf_negotiated_above_gross
highest negotiated rate $856 exceeds the gross charge $535
CPT 80076/o
warn
mrf_negotiated_above_gross
highest negotiated rate $55 exceeds the gross charge $53
CPT 27301/o
warn
mrf_negotiated_above_gross
highest negotiated rate $978 exceeds the gross charge $437
CPT 21280/o
warn
mrf_negotiated_above_gross
highest negotiated rate $848 exceeds the gross charge $588
CPT 25660/o
warn
mrf_negotiated_above_gross
highest negotiated rate $661 exceeds the gross charge $588
CPT 25675/o
warn
mrf_negotiated_above_gross
highest negotiated rate $675 exceeds the gross charge $588
CPT 25680/o
warn
mrf_negotiated_above_gross
highest negotiated rate $780 exceeds the gross charge $588
CPT 11422/o
warn
mrf_negotiated_above_gross
highest negotiated rate $138 exceeds the gross charge $125
CPT 76886/o
warn
mrf_negotiated_above_gross
highest negotiated rate $67 exceeds the gross charge $37
CPT 21453/o
warn
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $588
CPT 35226/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,193 exceeds the gross charge $588
CPT 81408/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,200 exceeds the gross charge $105
CPT 28193/o
warn
mrf_negotiated_above_gross
highest negotiated rate $750 exceeds the gross charge $535
CPT 85055/o
warn
mrf_negotiated_above_gross
highest negotiated rate $39 exceeds the gross charge $23
CPT 81418/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,009 exceeds the gross charge $631
CPT 81420/o
warn
mrf_negotiated_above_gross
highest negotiated rate $835 exceeds the gross charge $615
CPT J7500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12 exceeds the gross charge $2
CPT 81001/o
warn
mrf_negotiated_above_gross
highest negotiated rate $52 exceeds the gross charge $37
CPT 81435/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,434 exceeds the gross charge $457
CPT 81002/o
warn
mrf_negotiated_above_gross
highest negotiated rate $52 exceeds the gross charge $24
CPT 46040/o
warn
mrf_negotiated_above_gross
highest negotiated rate $434 exceeds the gross charge $232
CPT 81443/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,693 exceeds the gross charge $1,892
CPT 69020/o
warn
mrf_negotiated_above_gross
highest negotiated rate $339 exceeds the gross charge $269
warn
mrf_rate_without_estimate
1,412 of 1,412 percentage/algorithm rates across 62 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 35537/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 37780/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 43280/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 46230/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 50434/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 54410/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 58822/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 62369/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 65175/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 69105/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 73580/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77318/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 81108/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 81451/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 83080/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 85345/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 86825/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 88141/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 92601/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 95938/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 C1900/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 P2038/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 0042U/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 0343U/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 11983/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 19368/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 22100/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 24410/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 26551/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 27499/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28298/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 31090/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 33502/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 35538/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 37785/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43281/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 46250/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 50435/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 54411/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 58825/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 62370/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 65205/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 69110/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 73590/o
info
mrf_item_fields_vary
this code and setting cover at least 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 77321/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 81109/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 81455/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 83088/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 85347/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 86826/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 88142/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 92602/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 95939/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 C2617/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 P3000/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 0043U/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 0344U/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 12001/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 19369/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 22101/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 24420/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 26553/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 28299/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 31200/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 33504/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 35539/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 37788/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 43282/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 46255/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 50437/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 54415/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 58900/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 63001/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 65210/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 69140/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 73592/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 77331/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 81110/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 81456/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 83090/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 85348/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 86828/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 88143/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 92603/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 95954/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 C2618/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 P9011/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 0044U/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 0345U/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 12002/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 19370/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 22102/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 24430/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 26554/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 27500/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28300/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 31201/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 33505/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 35540/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 37799/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 43284/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 46270/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 50500/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 54416/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 58920/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 63003/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 65220/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 69145/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 73600/o
info
mrf_item_fields_vary
this code and setting cover at least 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 77332/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 81111/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 81457/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 83150/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 85360/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 86829/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 88147/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 92604/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 95955/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 C2621/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 P9047/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 0045U/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 0347U/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 12004/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 19371/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 22110/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 24435/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