Service
Code
Listed
Cash
Negotiated
Rates
Checks
10060-I&D Abscess/Cyst/Hematoma Simple
$463
$370
$397
1
clean
10140 I&D HEMATOMA SEROMA/FLUID COLLECTION ProFee
$248
$198
$105
1
clean
12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< ProFee
$243
$194
$40
2
clean
12001-Scalp/Neck/Trunk/Genital/Extremity <= 2.5 cm
$509
$407
$462
3
clean
12002-Scalp/Neck/Trunk/Genital/Extremity 2.6-7.5 cm
$536
$429
$515
2
clean
12004 SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM ProFee
$289
$231
$67
1
clean
12004-Scalp/Neck/Trunk/Genital/Extremity 7.6-12.5 cm
$456
$365
$406
1
clean
12011-Face/Ear/Eyelid/Nose/Lip Less Than/Equal to 2.5 cm
$547
$438
$496
2
clean
12034 REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM ProFee
$463
$370
$181
1
clean
25622 - Carpal Scaphoid w/o manipulation
$1,095
$876
$953
1
clean
Bill Only Venipuncture
$17
$14
$15
24
clean
Urinary Catheter Insertion
$259
$207
$231
1
clean
XR Neck Soft Tissue
$229
$183
$194
1
clean
CT Brain/Head w/o Contrast
$1,316
$1,053
$1,128
2
clean
CT Angio Brain/Head
$1,603
$1,282
$1,374
2
clean
CT Angio Neck
$1,603
$1,282
$1,374
2
clean
XR Chest 2 Views
$246
$197
$219
9
clean
XR Ribs 3 Views Left
$291
$233
$269
6
clean
CT Angio Chest
$1,603
$1,282
$1,454
2
clean
XR Spine Cervical 2 or 3 Views
$291
$233
$269
1
clean
XR Spine Cervical 4 or 5 Views
$307
$246
$273
2
clean
XR Spine Thoracic 3 Views
$307
$246
$273
2
clean
XR Spine Lumbar Flexion and Extension - Report
$100
$80
$13
2
clean
XR Spine Lumbar Flexion and Extension
$399
$319
$355
6
clean
XR Sacrum/Coccyx 2+ Views
$261
$209
$233
1
clean
XR Clavicle Left
$246
$197
$227
2
clean
XR Shoulder Complete 2+ Views Left
$291
$233
$259
6
clean
XR Humerus Left
$246
$197
$227
2
clean
XR Elbow 2 Views Left
$229
$183
$208
4
clean
XR Elbow Complete 3+ Views Left
$246
$197
$227
6
clean
XR Forearm 2 Views Left
$246
$197
$227
2
clean
XR Wrist Complete 3+ Views Left
$246
$197
$216
8
clean
XR Hand 2 Views Left
$215
$172
$199
2
clean
XR Hand Complete 3+ Views Left
$246
$197
$227
6
clean
Fingers minimum of 2 Views
$200
$160
$182
15
clean
XR Hip 2-3 Views Left
$246
$197
$219
6
clean
XR Hips 3-4 Views w/AP Pelvis Bilat - Report
$100
$80
$15
1
clean
XR Femur 2 Views Left
$265
$212
$227
2
clean
XR Knee 1 or 2 Views Bilateral
$246
$197
$207
6
clean
XR Knee 3 Views Bilateral
$274
$219
$244
15
clean
XR Tibia/Fibula Left
$246
$197
$232
4
clean
XR Ankle 2 Views Left
$229
$183
$211
4
clean
XR Ankle Complete 3+ Views Left
$246
$197
$223
6
clean
XR Ankle Complete 3+ Views Left - Report
$100
$80
$9
2
clean
XR Foot Complete 3+ Views Left
$246
$197
$221
16
clean
XR Toe(s) 2+ Views Left
$200
$160
$178
6
clean
XR Abdomen 1 View
$200
$160
$177
4
clean
XR Abdomen 2 Views
$246
$197
$226
4
clean
CT Abdomen w/ Contrast
$1,603
$1,282
$1,374
1
clean
CT Abdomen and Pelvis w/o Contrast
$2,356
$1,885
$1,998
4
clean
CT Abdomen and Pelvis w/ Contrast
$2,659
$2,127
$2,339
2
clean
Basic Metabolic Panel
$112
$90
$100
2
clean
CMP
$135
$108
$119
24
clean
Lipid Panel w/Rfx to Direct LDL IMEL
$122
$98
$107
16
clean
Renal Function Panel IMEL
$156
$125
$135
4
clean
Acute Hepatitis Panel IHC
$272
$218
$242
4
clean
Hep Fnct Pnl
$238
$190
$217
4
clean
Acetaminophen Level
$110
$88
$95
1
clean
Vancomycin Level Trough
$125
$100
$107
2
clean
Drug Screen Urine
$66
$53
$60
3
clean
Urinalysis Dipstick
$40
$32
$35
8
clean
Pregnancy Test Urine
$62
$50
$54
6
clean
Factor V Leiden Genotype IHC
$816
$653
$754
2
clean
Albumin, Urine mg/dL IHC
$87
$70
$75
3
clean
Amylase Level
$51
$41
$47
4
clean
Occult Blood Screen
$48
$38
$43
2
clean
25-Hydroxyvitamin D2 and D3 IHC
$138
$110
$140
18
clean
Cortisol IHC
$147
$118
$131
16
clean
CK and CKMB IMEL
$63
$50
$55
4
clean
82565 Cystatin and Creatinine with eGFR IMEL
$46
$37
$44
2
clean
Creatinine, Body Fluid IMEL
$65
$52
$58
14
clean
Vit B12 Lvl
$152
$122
$132
18
clean
DHEA IMEL
$159
$127
$145
4
clean
Vitamin D 1 25 Dihydroxy IHC
$164
$131
$140
2
clean
Estradiol (Males,Children,Postmeno) IMEL
$242
$194
$215
8
clean
Estrogen, Fractionated IHC
$188
$150
$174
6
clean
Ferritin IHC
$135
$108
$125
6
clean
Folate IHC
$152
$122
$141
2
clean
82784 Immunoglobulins (IgG/A/M) IMEL
$207
$166
$92
24
clean
.Glucose Fasting
$58
$46
$54
2
clean
POC Glucose
$43
$34
$38
4
clean
.GTT 1 HR
$72
$58
$61
8
clean
GGT IMEL
$63
$50
$58
6
clean
Follicle Stimulating Hormone IHC
$162
$130
$146
4
clean
Luteinizing Hormone IHC
$179
$143
$159
4
clean
Helicobacter pylori Breath Test IHC
$327
$262
$317
6
clean
Hemoglobin A1C IMEL
$95
$76
$84
14
clean
Homocysteine IHC
$149
$119
$138
2
clean
17 Hydroxyprogesterone Qnt HPLC MS/MS IHC
$225
$180
$214
2
clean
83516 Connective Tissue Disease Panel IMEL
$104
$83
$92
39
clean
Fecal Pancreatic Elastace IHC
$334
$267
$286
5
clean
Insulin IHC
$102
$82
$91
12
clean
83540 Iron Profile IMEL
$205
$164
$58
12
clean
Lactic Acid
$95
$76
$85
8
clean
LDH IMEL
$56
$45
$51
4
clean
Lipase Level
$79
$63
$71
4
clean
Magnesium Level
$69
$55
$63
6
clean
B-Type Natriuretic Peptide IHC
$296
$237
$278
16
clean
Osmolality, Ur IHC
$69
$55
$64
1
clean
Fecal Calprotectin IHC
$72
$58
$62
2
clean
Phosphorus Level
$54
$43
$46
1
clean
Potassium IHC
$48
$38
$41
3
clean
Progesterone IHC
$179
$143
$165
6
clean
84146 Macroprolactin IMEL
$393
$315
$164
4
clean
84153 PSA Free And Total IMEL
$285
$228
$202
15
clean
84156 Protein/Creatinine Ratio, Urine IMEL
$154
$123
$50
18
clean
84165 Prot Electrophoresis Capillary Ser IMEL
$239
$192
$116
6
clean
84270 Testosterone
$115
$92
$126
8
clean
Sodium Urine 24 Hour IMEL
$152
$121
$45
3
clean
Phospholipids IHC
$72
$58
$65
2
clean
Free Testosterone Adult Male IMEL
$218
$174
$194
14
clean
84403 Testosterone
$115
$92
$208
24
clean
Total T4 IHC
$72
$58
$67
2
clean
Free T4 Level
$79
$63
$70
27
clean
Thyroid Stimulating Hormone
$149
$119
$132
18
clean
Thyroid Stimulating Immunoglobulin IHC
$435
$348
$402
2
clean
84466 TIBC with Transferrin IMEL
$205
$164
$81
10
clean
Total T3 IHC
$74
$59
$68
2
clean
Free T3 IHC
$149
$119
$132
14
clean
Troponin I
$183
$146
$161
12
clean
Uric Acid
$46
$37
$41
3
clean
Beta hCG Quantitative
$96
$77
$88
6
clean
Hematocrit
$30
$24
$29
2
clean
CBC w/ Diff
$74
$59
$65
24
clean
Retic Cnt Auto
$67
$54
$65
2
clean
Peripheral Blood Smear Path Review IHC
$159
$127
$146
1
clean
Factor V IHC
$155
$124
$127
1
clean
Protein C Ag IMEL
$110
$88
$90
3
clean
85305 Protein C And S Panel, Total, Ag IMEL
$286
$229
$143
3
clean
D Dimer
$78
$62
$70
4
clean
INR (Fingerstick)
$48
$38
$44
20
clean
85613 Lupus Anticoagulant Reflexive Panel IMEL
$150
$120
$140
2
clean
Sed Rate (ESR) Auto
$46
$37
$41
16
clean
85730 Lupus Anticoagulant Reflexive Panel IMEL
$150
$120
$50
6
clean
86003 Inhalant Comp Allergen Profile IMEL
$40
$32
$37
122
clean
86038 Lupus Comprehensive Rfx Panel IMEL
$165
$132
$100
36
clean
C Reactive Protein HS IHC
$97
$78
$86
36
clean
86147 Cardiolipin Antibody Panel IMEL
$176
$141
$157
12
clean
EBV Heterophile Antibody IMEL
$62
$50
$53
3
clean
Thyroid Antibodies IMEL
$258
$207
$149
20
clean
Lupus Comprehensive Rfx Panel IMEL
$165
$132
$55
15
clean
.Rapid Plasma Reagin IHC
$67
$54
$58
4
clean
86617 Lyme, IgG and IgM, Immunoblot IMEL
$269
$215
$154
3
clean
Rubella Screen IgG IHC
$125
$100
$107
2
clean
Syphilis Ab w/ RPR Rfx IHC
$112
$90
$104
3
clean
86800 Thyroid Antibodies IMEL
$258
$207
$106
20
clean
Hepatitis C Ab IHC
$119
$95
$102
2
clean
HLA B27 Typing IHC
$221
$177
$256
4
clean
Antibody Screen Gel
$160
$128
$137
3
clean
86900 Type and Screen IMEL
$330
$264
$46
10
clean
86901 Type and Screen IMEL
$330
$264
$46
4
clean
Compatible - Serological Immediate Spin
$169
$135
$156
7
clean
Blood Culture IHC
$123
$98
$113
4
clean
CSF Culture IHC
$159
$127
$144
20
clean
Culture Urine IMEL
$123
$98
$112
14
clean
Clostridium difficile Ag & Toxin by EIA IHC
$131
$105
$121
1
clean
Helicobacter pylori Ag Stl IHC
$116
$93
$106
2
clean
HBsAg with Rfx to Confirm IMEL
$119
$95
$102
5
clean
Diagnostic HIV Ag/Ab Combo 1/2 IMEL
$119
$95
$106
4
clean
C. trachomatis by TMA IHC
$249
$199
$222
10
clean
Influenza A/B
$153
$122
$136
5
clean
Enteric Parasite Pnl by PCR, Stool IMEL
$386
$309
$346
12
clean
87529 HSV 1 And 2 Subtype By PCR IMEL
$505
$404
$230
3
clean
87591 C.tracho/N.gonorrhoeae by Mol Assay IMEL
$242
$194
$215
12
clean
Respiratory SARS-CoV-2 Panel (QIAstat-DX)
$386
$309
$357
10
clean
SARS CoV 2 PCR (TF) IHC
$161
$129
$144
18
clean
RSV
$125
$100
$115
1
clean
Strep A (ID NOW)
$119
$95
$107
2
clean
Cell Count and Differential, CSF IMEL
$63
$50
$58
3
clean
Body Fluid Crystal Exam IMEL
$87
$70
$81
2
clean
90791 Psychiatric diagnostic evaluation - no medical services Charge
$273
$218
$156
3
clean
90834 Psychotherapy, 45 min Charge
$177
$142
$99
4
clean
Electrocardiogram 12 Lead
$131
$105
$117
5
clean
Cardiac Monitoring
$154
$123
$126
1
clean
US Lower Ext Venous Duplex Left
$384
$307
$349
4
clean
Aerosol Delivery Device
$91
$73
$84
24
clean
96360 - ED Hydration, first hour
$291
$233
$259
20
clean
96361- ED Hydration, each additional hour
$75
$60
$65
12
clean
96365- ED IV tx, first hour
$324
$259
$282
28
clean
96366- ED IV tx, each additional hour
$78
$62
$70
6
clean
96367- ED IV tx, sequential infusion
$291
$233
$269
3
clean
96368- ED IV tx, concurrent infusion
$291
$233
$256
3
clean
96372 ED Subq/IM Injection
$58
$46
$52
32
clean
96374- ED Injection, single/initial
$51
$41
$46
32
clean
96375 IV PUSH SEQUENTIAL NEW DRUG CHARGE
$51
$41
$45
12
clean
PT Therapeutic Exercise Assit Units
$87
$70
$76
12
clean
Neuromuscular Reeducation Charges
$80
$64
$31
2
clean
Gait Training Charges
$80
$64
$28
2
clean
Manual Therapy Charge Units
$80
$64
$70
12
clean
PT Low Complex Units
$207
$166
$177
5
clean
PT Therapeutic Activity Assistant Units
$87
$70
$33
2
clean
PT Wheelchair Management Charges
$87
$70
$30
3
clean
Phlebotomy
$118
$94
$109
1
clean
Dressing Change 99212
$138
$110
$117
1
clean
99235 OBSERVATION OR INPATIENT CARE SERVICES ProFee
$290
$232
$140
1
clean
99282 ED VISIT E&M PATIENT, LEV 2, REQ MED APPROP HSTRY/EXAM/MDM, CC
$197
$158
$176
4
clean
99282 EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY ProFee
$420
$336
$38
2
clean
99283 EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY ProFee
$677
$542
$65
5
clean
99283 ED VISIT E&M PATIENT, LEV 3, REQ MED APPROP HSTRY/EXAM/LOW MDM, CC
$301
$241
$268
9
clean
99284 EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY ProFee
$1,050
$840
$110
3
clean
Showing the first 200 of 254 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 86812/b
warn
mrf_negotiated_above_gross
highest negotiated rate $301 exceeds the gross charge $221
CPT 99282/b
warn
mrf_negotiated_above_gross
highest negotiated rate $276 exceeds the gross charge $197
CPT J0171/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $3
CPT J1171/b
warn
mrf_negotiated_above_gross
highest negotiated rate $8 exceeds the gross charge $6
CPT J3030/b
warn
mrf_negotiated_above_gross
highest negotiated rate $191 exceeds the gross charge $33
CPT Q0138/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,129 exceeds the gross charge $2,716
CPT 70450/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82043/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82306/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82570/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82784/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82947/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82950/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83516/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83540/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83993/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84132/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84146/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84153/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84156/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84165/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84270/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84300/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84402/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84403/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84466/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85302/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85305/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85610/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85613/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85730/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86038/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86308/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86376/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86431/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86592/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86617/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86800/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86850/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86900/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86901/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87529/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 89051/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 94640/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96361/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96368/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0690/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0696/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1650/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1815/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1885/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2274/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2919/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3480/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7040/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7120/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7512/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q0162/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item