Service
Code
Listed
Cash
Negotiated
Rates
Checks
ARC Molecular HEA RBC Panel
$986
$888
—
0
clean
TPMT and NUDT15 Genotype, B-Mayo
$713
$641
—
0
clean
Albumin, 24 Hr U-Mayo
$242
$217
—
0
clean
Platelet Rich Plasma Injection
$476
$428
$65
5
clean
MR QUANTITATIVE TISSUE ANALYSIS 0649T
$2,563
$2,307
—
0
clean
FNA Biopsy each addtl lesion
$244
$220
$62
19
clean
Fine needle aspiration biopsy, including ultrasound guidance; first lesion
$444
$400
$154
56
clean
Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion
$304
$274
$72
19
clean
IR FNA Biopsy Inc Guid 1st Lesion - 10007
$2,154
$1,939
$723
6
clean
CT FNA Biopsy Inc Guid 1st Lesion - 10009
$2,272
$2,045
$723
6
clean
CT FNA Biopsy Inc Guid ea add Lesion - 10010
$431
$388
—
0
clean
MR FNA Biopsy Inc Guid 1st Lesion - 10011
$2,154
$1,939
$723
6
clean
MR FNA Biopsy Inc Guid ea add Lesion - 10012
$431
$388
—
0
clean
Fine needle aspiration; without imaging guidance
$382
$344
$116
44
clean
Image guided fluid collection by catheter
$837
$753
$723
56
clean
Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive
$518
$466
$653
37
clean
Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive
$259
$233
$63
19
clean
10040 ACNE SURGERY
$349
$314
$122
50
clean
10060 I&D ABSCESS, SIMPLE
$363
$327
$141
88
clean
10061 I&D ABSCESS, COMPLEX
$704
$634
$235
69
clean
10080 I&D PILONIDAL CYST, SIMPLE
$399
$359
$250
50
clean
Incision & Drainage, Pilonidal Cyst; Complicated
$688
$619
$211
19
clean
10120 REMOVAL OF FOREIGN BODY, SIMPLE
$368
$331
$180
88
clean
10121 REMOVAL OF FOREIGN BODY SUBQ/COMPLICATED
$801
$721
$328
69
clean
10140 DRAINAGE OF HEMATOMA/FLUID
$455
$410
$176
106
clean
10160 ASPIRATION OF ABSCESS/CYST
$359
$323
$148
81
clean
Incision And Drainage, Complex, Postoperative Wound Infection
$664
$598
$278
25
clean
Debridement
$178
$160
$65
50
clean
11010 DEBRIDEMENT AT SITE OF OPEN FX/DISL
$1,159
$1,043
$364
63
clean
Debridement including Removal foreign material at open fracture
$1,478
$1,330
$391
38
clean
11012 DEBRIDEMENT INCL REM OF FOREIGN MAT AT OPEN
$2,058
$1,852
$566
63
clean
11042 DEBRIDE, SUBQ TISSUE (INCLUDES EPIDERMIS)
$240
$216
$62
107
clean
Removal Of Dead Or Diseased Skin, Fat Layers Below The Skin And Muscle
$911
$820
$300
63
clean
11044 DEBRIDE; SKIN/SUBQ TISSUE <20SQ CM
$1,180
$1,062
$396
69
clean
Debridement Subcutaneous Tissue: Each Additional 20SQ CM
$91
$82
$26
38
clean
DEBRIDEMENT MUSCLE AND/OR FASCIA EACH ADDITIONAL 20SQ CM
$297
$267
$55
38
clean
Debridement,bone,each add'l 20 sq cm
$493
$444
$96
19
clean
11055 CHG PARING/CUTTING BENIGN HYPERKERATOTIC
$121
$109
$71
69
clean
11056 PARING/CUTTING OF BENIGN HYPERKERATOT
$153
$138
$81
69
clean
Tangential biopsy of skin; single lesion
$201
$181
$127
25
clean
Tangential biopsy of skin; each additional lesion
$116
$104
$33
19
clean
11104 PUNCH BX OF SKIN FIRST LESION
$253
$228
$152
75
clean
Punch biopsy skin each addtl lesion
$137
$123
$39
38
clean
11106 INSCISIONAL BIOPSY OF SKIN LESION
$308
$277
$184
69
clean
Incisional biopsy of skin; each additional lesion
$165
$149
$46
19
clean
11200 REMOVAL OF SKIN TAGS & W/15
$236
$212
$100
94
clean
Removal of Skin Tags, Multiple Fibrocutaneous Tags, Any Area; Each Additional 10 Lesions, or Part
$88
$79
$22
57
clean
11300 SHAVING EPIDERMAL/DERMAL LESION, S
$153
$138
$108
50
clean
Shaving of Epidermal or Dermal Lesion, Single Lesion, Trunk, Arms or Legs; Lesion Diameter 0.6 to 1
$257
$231
$131
25
clean
Shaving of Epidermal or Dermal Lesion, Single Lesion, Trunk, Arms or Legs; Lesion Diameter 1.1 to 2.
$314
$283
$117
44
clean
Shave skin lesion > 2.0 cm
$359
$323
$159
25
clean
11305 SHAVING EPIDERMAL/DERMAL LESION, SINGL
$207
$186
$113
69
clean
Shave skin lesion 0.6-1.0 cm
$276
$248
$74
63
clean
Shave skin lesion 1.1-2.0 cm
$345
$311
$88
19
clean
Shave excision of vulvar condolomya
$419
$377
$156
25
clean
Shaving of Epidermal or Dermal Lesion, Single Lesion, Face, Ears, Eyelids, Nose, Lips, Mucous Membra
$230
$207
$121
50
clean
Shaving of Epidermal or Dermal Lesion, Single Lesion, Face, Ears, Eyelids, Nose, Lips, Mucous Membra
$316
$284
$148
50
clean
SHAVE LESION > 2.0 CM
$486
$437
$188
25
clean
Exc Tr-Ext B9Marg 0.5 < Cm_11400
$303
$273
$95
63
clean
Exc Tr-Ext B9Marg 0.6-1 Cm 11401
$375
$338
$149
44
clean
Excision benign lesion (trunk/arm/leg) 1.1-2 cm
$425
$383
$168
44
clean
Excision, Benign Lesion Including Margins, Except Skin Tag, Trunk, Arms Or Legs; Excised Diameter 2.
$542
$488
$177
63
clean
Excision benign lesion (trunk/arm/leg) 3.1-4 cm
$623
$561
$226
44
clean
11406 EXC TR-EXT B9MARG > 4.0 CM
$771
$694
$294
88
clean
Excision benign lesion (scalp/neck/hand/feet/genitalia) 0.5 cm or less
$300
$270
$102
38
clean
Excision benign lesion (scalp/neck/hand/feet/genitalia) 0.6-1.0 cm
$494
$445
$162
44
clean
Excision benign lesion (scalp/neck/hand/feet/genitalia) 1.1-2.0 cm
$437
$393
$187
44
clean
Excision benign lesion (scalp/neck/hand/feet/genitalia) 2.1-3.0 cm
$608
$547
$195
38
clean
Excision benign lesion (scalp/neck/hand/feet/genitalia) 3.1-4.0 cm
$608
$547
$224
57
clean
Excision benign lesion (scalp/neck/hand/feet/genitalia)over 4.0 cm
$1,177
$1,059
$341
38
clean
11440 EXC BENIGN LESION INCLUDE MARGINS, EXC S
$303
$273
$167
69
clean
Excision, Other Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewhere), Face, Ea
$442
$398
$180
44
clean
Exc Face-Mm B9Marg 1.1-2 Cm_11442
$521
$469
$202
44
clean
Exc Face-Mm B9Marg 2.1-3 Cm_11443
$691
$622
$222
38
clean
Exc Face-Mm B9Marg 3.1-4 Cm_11444
$946
$851
$284
38
clean
Excise Benign Lesion > 4.0 Cm_11446
$1,423
$1,281
$402
38
clean
Excision Of Skin And Subcutaneous Tissue For Hidradenitis, Axillary; With Simple Or Intermediate Rep
$833
$750
$293
101
clean
Excision Of Skin And Subcutaneous Tissue For Hidradenitis, Axillary; With Complex Repair
$1,304
$1,174
$387
19
clean
Excision Of Skin And Subcutaneous Tissue For Hidradenitis, Inguinal; With Simple Or Intermediate Rep
$874
$787
$426
44
clean
Excision Of Skin And Subcutaneous Tissue For Hidradenitis, Inguinal; With Complex Repair
$1,304
$1,174
$394
19
clean
Excision Of Skin And Subcutaneous Tissue For Hidradenitis, Perianal, Perineal, Or Umbilical; With Si
$1,097
$987
$458
63
clean
Excision Of Skin And Subcutaneous Tissue For Hidradenitis, Perianal, Perineal, Or Umbilical; With Co
$1,442
$1,298
$419
19
clean
PFC EXC MALG LESIO ARMS/LEGS >.5CM 11600
$488
$439
$142
38
clean
PFC Excise Malg Lesion 0.6-1.0 Cm 11601
$604
$544
$184
38
clean
PFC Exc Tr-Ext Mlgmarg 1.1-2 Cm 11602
$664
$598
$203
57
clean
PFC Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excised Diameter 2.1 To 3.0
$831
$748
$241
57
clean
Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excised Diameter 3.1 To 4.0
$934
$841
$264
38
clean
Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excised Diameter Over 4.0 Cm
$1,489
$1,340
$391
57
clean
EXCISION MALIGNANT LESION 0.5CM OR LESS
$472
$425
$145
57
clean
EXCISION MALIGNANT LESION S/N/H/F/G .06-1.0 CM
$598
$538
$211
44
clean
Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter
$708
$637
$215
38
clean
Exc H-F-Nk-Sp Mlgmarg 2.1-3_11623
$918
$826
$264
38
clean
PFC Excision/Removal Malignant Lesion 3.1 to 4.0cm 11624
$1,084
$976
$300
38
clean
Excision, malignant lesion incl margins, scalp, neck, hands, feet, genitalia; excised diameter over
$1,324
$1,192
$374
38
clean
Excision malignant lesion, face, ears, eyelids, nose, lips; lesion diameter 0.5
$509
$458
$181
44
clean
Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 0.6
$634
$571
$199
38
clean
Exc Face-Mm Maligmarg 1.1-2 11642
$769
$692
$234
57
clean
EXC. MALG LESION 2.1-3 CM
$1,023
$921
$292
38
clean
Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 3.1
$1,285
$1,157
$410
44
clean
PFC EXC. MALIGNANT LESION INCLUDING MARGINS FACE,EARS,EYELIDS,NOSE,LIPS GREATER THAN 4.0 CM 11646
$1,877
$1,689
$511
38
clean
TRIMMING NONDYSTROPHIC NAILS ANY NUMBER
$51
$46
$22
25
clean
11720 DEBRIDEMENT OF NAIL(S); 1 TO 5
$92
$83
$36
50
clean
DEBRDEMENT NAIL ANY METHOD 6 OR MORE
$165
$149
$53
25
clean
11730 AVULSION NAIL PLATE, SINGLE
$316
$284
$123
69
clean
11732 AVULSION OF NAIL PLATE, PARTIAL/COMPLETE
$127
$114
$40
57
clean
11740 DRAIN BLOOD UNDER FINGER/TOE
$79
$71
$57
44
clean
Removal Of Nail Bed 11750
$719
$647
$224
44
clean
Biopsy Of Nail Unit (Eg, Plate, Bed, Matrix, Hyponychium, Proximal And Lateral Nail Folds)
$240
$216
$111
19
clean
11760 REPAIR OF NAIL BED
$493
$444
$232
44
clean
Reconstruction Of Nail Bed With Graft
$946
$851
$256
19
clean
11765 WEDGE EXCISION OF SKIN OF NAIL
$210
$189
$155
101
clean
Excision Of Pilonidal Cyst Or Sinus; Simple
$786
$707
$353
63
clean
Excision Of Pilonidal Cyst Or Sinus; Extensive
$1,791
$1,612
$641
44
clean
Excision Of Pilonidal Cyst Or Sinus; Complicated
$2,166
$1,949
$681
38
clean
11900 INJ/INTRALESIONAL; UP TO AND INCL 7 LESIONS
$149
$134
$41
88
clean
Injection, intralesional; more than 7 lesions
$243
$219
$79
25
clean
Implant hormone pellet(s)
$426
$383
$135
25
clean
Admin/Implant AMB Charge
$444
$400
$132
69
clean
Removal, Non-Biodegradable Drug Delivery Implant
$534
$481
$196
44
clean
Removal and Reinsertion of Contraceptive capsules
$989
$890
$295
63
clean
12001 WOUND REPAIR, SIMPLE
$242
$218
$198
94
clean
12002 WOUND REPAIR, SIMPLE
$328
$295
$175
88
clean
12004 WOUND REPAIR, SIMPLE
$574
$517
$188
44
clean
12005 REPAIR SUPERFICIAL WOUNDS 12.6 CM TO 20.0 CM
$719
$647
$259
44
clean
12006 SIMPLE REPAIR SCALP 20.1 CM TO 30.0C CM
$688
$619
$324
44
clean
12007 Simple repair scalp, trunk, extremity >30cm
$833
$750
$309
69
clean
12011 WOUND REPAIR, SIMPLE
$308
$277
$204
69
clean
12013 WOUND REPAIR, SIMPLE
$518
$466
$180
44
clean
12014 REPAIR SUPERFICIAL WOUND(S)
$622
$560
$196
44
clean
12015 REPAIR SUPERFICIAL WOUNDS
$782
$704
$234
44
clean
12016 SIMP REPAIR OF SUPERFIC WNDS OF FACE/EARS
$965
$869
$340
44
clean
12017 REPAIR FACE WOUNDS; 20.1-30.0 CM
$940
$846
$347
44
clean
12018 SIMPLE REPAIR OF SUPERFIC WNDS OF FACE/EARS
$942
$848
$376
44
clean
12020 CLOSURE OF SPLIT WOUND
$782
$704
$338
82
clean
Treatment Of Superficial Wound Dehiscence; With Packing
$556
$500
$173
19
clean
12031 WOUND CLOSURE
$518
$466
$236
82
clean
12032 WOUND CLOSURE
$738
$664
$294
82
clean
12034 INTMD WND REPAIR S/TR/EXT
$753
$678
$356
107
clean
12035 INTMD WND REPAIR S/TR/EXT
$980
$882
$410
88
clean
12036 INTRMD REPAIR SCALP/AXILLAE/TRUNK
$1,223
$1,101
$506
88
clean
12037 RPR INTRMD SCALP/TRUNK/EXTREM; >30.0CM
$1,316
$1,184
$568
44
clean
12041 INTRMD RPR HANDS 2.5CM OR LESS
$726
$653
$273
63
clean
12042 INTMD WND REPAIR N-HG/GENIT
$709
$638
$332
63
clean
12044 RPR/INTRMD/WOUNDS OF NECK/HANDS/FEET
$918
$826
$399
63
clean
12045 REPAIR INTMD N/H/F/XTRNL GENT 12.6-20 CM
$1,141
$1,027
$476
44
clean
12046 INTRMD REP, N/H/F/G; 20.1-30.0CM
$1,112
$1,001
$576
44
clean
Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; Over 30.0 Cm
$764
$688
$402
19
clean
12051 WOUND CLOSURE
$661
$595
$312
63
clean
12052 WOUND CLOSURE
$709
$638
$332
63
clean
12053 INTMD WND REPAIR FACE/MM
$820
$738
$383
63
clean
12054 RPR, INTRMD, WOUNDS OF FACE/EARS/EYELIDS
$876
$788
$346
82
clean
12055 RPR, INTRMD, FACE/EARS/EYELIDS/NOSE
$1,385
$1,247
$410
69
clean
Repair, Intermediate, Wounds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membranes; 20.1 Cm To
$1,698
$1,528
$431
19
clean
Repair, Intermediate, Wounds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membranes; Over 30.0 C
$1,044
$940
$495
19
clean
Repair Cmplx Trunk 1.1 - 2.5Cm_13100
$952
$857
$300
38
clean
13101 COMPLEX REPAIR TRUNK 2.6-7.5 CM
$1,048
$943
$465
69
clean
13102 COMPLEX REPAIR TRUNK ADD'L 5CM
$373
$336
$97
57
clean
13120 CMPLX RPR S/A/L 1.1-2.5 CM
$929
$836
$405
82
clean
13121 RPR, COMPLEX, SC/ARM/LEG; 2.6-7.5CM
$1,140
$1,026
$499
126
clean
13122 RPR COMPLEX SCALP/ARMS/LEGS EA. ADDL 5CM
$430
$387
$111
57
clean
Repair, Complex, Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genitalia, Hands And/Or Feet; 1.1 Cm
$1,378
$1,240
$410
25
clean
13132 CHG RPR, COMPLEX, FOREHEAD, CHEEKS
$792
$713
$619
44
clean
13133 CHG EA. ADDL 5CM OR LESS
$357
$321
$173
38
clean
13151 RPR COMPLEX EYELIDS,NOSE,EARS AND/
$1,284
$1,156
$495
63
clean
13152 RPR COMPLEX EYELIDS,NOSE,EARS, AND
$1,760
$1,584
$629
44
clean
13153 RPR COMPLEX EYELIDS,NOSE,EARS, AND
$683
$615
$187
38
clean
Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated
$3,546
$3,191
$947
38
clean
Adjacent Tissue Transfer Or Rearrangement, Trunk; Defect 10 Sq Cm Or Less
$1,909
$1,718
$634
82
clean
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK DEFECT 10.1 SQ CMTO 30.0 CM
$2,532
$2,279
$841
63
clean
Adjacent Tissue Transfer Or Rearrangement, Scalp, Arms And/Or Legs; Defect 10 Sq Cm Or Less
$1,398
$1,258
$761
44
clean
Adjacent tissue transfer/ 10.1 cm to 30.0 sq cm
$2,661
$2,395
$938
19
clean
Adjacent Tissue Transfer Or Rearrangement, Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genitalia,
$2,475
$2,228
$826
63
clean
Adjacent tissue transfer, defect 10.1sq cm to 30.0sq cm
$3,116
$2,804
$1,021
19
clean
14060 TISS. TRANS. E/N/E/L; 10CM OR LESS
$2,527
$2,274
$906
69
clean
adjacent tissue transfer or rearrangement, eyelid,nose,ears and or lips; defect 10.1 sqcm to 3.0 sq
$3,495
$3,146
$1,089
19
clean
ADJACENT TISSUE TRANSFER OR RE-ARRANGEMENT, ANY AREA-DEFECT 30.1 SQ CM TO 60.0 SQ CM
$3,650
$3,285
$1,086
38
clean
Adjacent tissue transfer or rearrangement, any area; each addit. 30 Sq cm
$1,021
$919
$222
38
clean
Surgical Preparation Or Creation Of Recipient Site By Excision Of Open Wounds, Burn Eschar, Or Scar
$1,094
$985
$292
38
clean
Surgical Preparation or Creation of Recipient Site by Excision of Open Wounds, Burn Eschar, or Scar
$240
$216
$59
38
clean
15004 SURG PREP RECIP SITE F/S/H/F 1ST 100SQCM
$1,372
$1,235
$365
63
clean
Harvest Of Skin For Tissue Cultured Skin Autograft, 100 Sq Cm Or Less
$598
$538
$165
19
clean
Pinch Graft, Single Or Multiple, To Cover Small Ulcer, Tip Of Digit, Or Other Minimal Open Area (Exc
$1,525
$1,373
$555
19
clean
Split-Thickness Autograft, Trunk, Arms, Legs; First 100 Sq Cm Or Less, Or 1% Of Body Area Of Infants
$2,917
$2,625
$906
57
clean
Split-Thickness Autograft, Trunk, Arms, Legs; Each Additional 100 Sq Cm, Or Each Additional 1% Of Bo
$517
$465
$145
38
clean
15115 EPIDERMAL AUTOGRAFT F/S/H/F 1ST 100SQCM
$3,353
$3,018
$928
44
clean
Split-Thickness Autograft, Face, Scalp, Eyelids, Mouth, Neck, Ears, Orbits, Genitalia, Hands, Feet,
$3,281
$2,953
$995
38
clean
Full Thickness Graft, Free, Including Direct Closure Of Donor Site, Scalp, Arms, And/Or Legs; 20 Sq
$1,758
$1,582
$787
19
clean
FT/GRAFT FR W/DIR CLSR DONOR SITE EA ADDL 20 CM
$362
$326
$95
19
clean
Full Thickness Graft, Free, Including Direct Closure Of Donor Site, Forehead, Cheeks, Chin, Mouth, N
$3,171
$2,854
$1,007
19
clean
Skin full graft een & lips
$3,187
$2,868
$1,094
19
clean
APPLICATION SKIN SUBSITUTE GRAFT TO TRUNK, ARMS,LEGS, TOTAL WOUND SURFACE AREA UP TO 100SQ CM, FIRS
$433
$390
$128
63
clean
APPLICATION SKIN SUBSTITUTE GRAFT TO TRUNK,ARMS, LEGS, EACH ADDITIONAL 25 SQ CM WOUND AREA
$94
$85
$25
38
clean
APPLICATION SKIN SUBSTITUTE GRAFT TO TRUNK,ARMS,LEGS,TOTAL WOUND FIRST 100 SQ CM
$1,011
$910
$303
63
clean
APPLICATION SKIN SUBSTITUTE GRAFT TO TRUNK ARMS, LEGS-EACH ADDITIONAL 100 SQ CM
$230
$207
$65
57
clean
Application of skin graft to extremities, wound surface up to 100sq cm
$501
$451
$168
44
clean
Transfer pedicle flap, any location
$1,452
$1,307
$491
38
clean
ENT_MUSC MYO/FSCQ FLAP HEAD & NECK NAMED VASC PEDCL
$4,774
$4,297
$1,260
76
clean
Muscle, myocutaneous, or fasciocutaneous flap; trunk
$5,714
$5,143
$1,719
38
clean
Musc myocutaneous/fasciocutaneous flap UXTR
$5,188
$4,669
$1,482
38
clean
Muscle, Myocutaneous, Or Fasciocutaneous Flap; Lower Extremity
$4,963
$4,467
$1,615
38
clean
Showing the first 200 of 4,643 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 27267/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,333 exceeds the gross charge $656
CPT J9280/b
warn
mrf_negotiated_above_gross
highest negotiated rate $96 exceeds the gross charge $23
CPT 33229/b
warn
mrf_negotiated_above_gross
highest negotiated rate $19,593 exceeds the gross charge $11,797
CPT 33249/b
warn
mrf_negotiated_above_gross
highest negotiated rate $32,939 exceeds the gross charge $31,041
CPT 33264/b
warn
mrf_negotiated_above_gross
highest negotiated rate $32,939 exceeds the gross charge $21,519
CPT 52007/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,091 exceeds the gross charge $869
CPT 52204/b
warn
mrf_negotiated_above_gross
highest negotiated rate $945 exceeds the gross charge $745
CPT 52224/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,867 exceeds the gross charge $1,165
CPT 95976/b
warn
mrf_negotiated_above_gross
highest negotiated rate $400 exceeds the gross charge $222
CPT Q2049/b
warn
mrf_negotiated_above_gross
highest negotiated rate $424 exceeds the gross charge $246
CPT 0481T/b
warn
mrf_negotiated_above_gross
highest negotiated rate $390 exceeds the gross charge $238
CPT 22513/b
warn
mrf_negotiated_above_gross
highest negotiated rate $8,603 exceeds the gross charge $2,550
CPT 22514/b
warn
mrf_negotiated_above_gross
highest negotiated rate $8,571 exceeds the gross charge $2,362
CPT 85097/b
warn
mrf_negotiated_above_gross
highest negotiated rate $834 exceeds the gross charge $550
CPT 52317/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,002 exceeds the gross charge $1,931
CPT 22554/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,795 exceeds the gross charge $664
CPT 52441/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,538 exceeds the gross charge $1,218
CPT 52442/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,151 exceeds the gross charge $308
CPT Q5120/b
warn
mrf_negotiated_above_gross
highest negotiated rate $347 exceeds the gross charge $340
CPT 36425/b
warn
mrf_negotiated_above_gross
highest negotiated rate $410 exceeds the gross charge $102
CPT 23044/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,137 exceeds the gross charge $851
CPT 36557/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,554 exceeds the gross charge $3,829
CPT 36563/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,554 exceeds the gross charge $1,795
CPT 97607/b
warn
mrf_negotiated_above_gross
highest negotiated rate $271 exceeds the gross charge $239
CPT 97810/b
warn
mrf_negotiated_above_gross
highest negotiated rate $62 exceeds the gross charge $31
CPT 97811/b
warn
mrf_negotiated_above_gross
highest negotiated rate $51 exceeds the gross charge $31
CPT 97813/b
warn
mrf_negotiated_above_gross
highest negotiated rate $67 exceeds the gross charge $31
CPT 97814/b
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $31
CPT 54680/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,316 exceeds the gross charge $961
CPT 36595/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,234 exceeds the gross charge $1,741
CPT 36596/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,596 exceeds the gross charge $1,413
CPT 86860/b
warn
mrf_negotiated_above_gross
highest negotiated rate $166 exceeds the gross charge $161
CPT 99050/b
warn
mrf_negotiated_above_gross
highest negotiated rate $44 exceeds the gross charge $26
CPT 86921/b
warn
mrf_negotiated_above_gross
highest negotiated rate $166 exceeds the gross charge $98
CPT 37184/b
warn
mrf_negotiated_above_gross
highest negotiated rate $18,448 exceeds the gross charge $18,264
CPT 37200/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,554 exceeds the gross charge $2,326
CPT 37211/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,554 exceeds the gross charge $3,845
CPT 23525/b
warn
mrf_negotiated_above_gross
highest negotiated rate $722 exceeds the gross charge $561
CPT 99384/b
warn
mrf_negotiated_above_gross
highest negotiated rate $205 exceeds the gross charge $84
CPT 99385/b
warn
mrf_negotiated_above_gross
highest negotiated rate $197 exceeds the gross charge $96
CPT 99386/b
warn
mrf_negotiated_above_gross
highest negotiated rate $239 exceeds the gross charge $119
CPT 99387/b
warn
mrf_negotiated_above_gross
highest negotiated rate $257 exceeds the gross charge $143
CPT 99394/b
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $60
CPT 88333/b
warn
mrf_negotiated_above_gross
highest negotiated rate $834 exceeds the gross charge $677
CPT 99395/b
warn
mrf_negotiated_above_gross
highest negotiated rate $180 exceeds the gross charge $72
CPT 24065/b
warn
mrf_negotiated_above_gross
highest negotiated rate $441 exceeds the gross charge $333
CPT 99396/b
warn
mrf_negotiated_above_gross
highest negotiated rate $195 exceeds the gross charge $84
CPT 99397/b
warn
mrf_negotiated_above_gross
highest negotiated rate $205 exceeds the gross charge $96
CPT 99401/b
warn
mrf_negotiated_above_gross
highest negotiated rate $61 exceeds the gross charge $43
CPT 24160/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,538 exceeds the gross charge $2,308
CPT 58291/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,119 exceeds the gross charge $1,650
CPT 58353/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,194 exceeds the gross charge $1,077
CPT 58543/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,406 exceeds the gross charge $1,253
CPT 58553/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,899 exceeds the gross charge $1,501
CPT 92081/b
warn
mrf_negotiated_above_gross
highest negotiated rate $61 exceeds the gross charge $38
CPT 58563/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,491 exceeds the gross charge $1,846
CPT 58565/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,185 exceeds the gross charge $2,113
CPT 75605/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,554 exceeds the gross charge $4,860
CPT 75898/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,234 exceeds the gross charge $788
CPT G0402/b
warn
mrf_negotiated_above_gross
highest negotiated rate $121 exceeds the gross charge $50
CPT 43220/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,625 exceeds the gross charge $628
CPT 43249/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,550 exceeds the gross charge $868
CPT 92595/b
warn
mrf_negotiated_above_gross
highest negotiated rate $503 exceeds the gross charge $51
CPT 44386/b
warn
mrf_negotiated_above_gross
highest negotiated rate $496 exceeds the gross charge $457
CPT 44401/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,083 exceeds the gross charge $1,384
CPT 44407/b
warn
mrf_negotiated_above_gross
highest negotiated rate $566 exceeds the gross charge $553
CPT 44408/b
warn
mrf_negotiated_above_gross
highest negotiated rate $476 exceeds the gross charge $445
CPT 44500/b
warn
mrf_negotiated_above_gross
highest negotiated rate $963 exceeds the gross charge $570
CPT 15786/b
warn
mrf_negotiated_above_gross
highest negotiated rate $285 exceeds the gross charge $186
CPT 45340/b
warn
mrf_negotiated_above_gross
highest negotiated rate $690 exceeds the gross charge $542
CPT 15833/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,066 exceeds the gross charge $172
CPT 45346/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,011 exceeds the gross charge $900
CPT 45349/b
warn
mrf_negotiated_above_gross
highest negotiated rate $407 exceeds the gross charge $282
CPT 45388/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,184 exceeds the gross charge $1,679
CPT J1364/b
warn
mrf_negotiated_above_gross
highest negotiated rate $84 exceeds the gross charge $73
CPT 46604/b
warn
mrf_negotiated_above_gross
highest negotiated rate $736 exceeds the gross charge $308
CPT 46917/b
warn
mrf_negotiated_above_gross
highest negotiated rate $620 exceeds the gross charge $581
CPT 19281/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,665 exceeds the gross charge $366
CPT 47383/b
warn
mrf_negotiated_above_gross
highest negotiated rate $8,994 exceeds the gross charge $2,616
CPT 47531/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,626 exceeds the gross charge $1,591
CPT 47555/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,626 exceeds the gross charge $2,876
CPT 47556/b
warn
mrf_negotiated_above_gross
highest negotiated rate $10,696 exceeds the gross charge $1,603
CPT 94610/b
warn
mrf_negotiated_above_gross
highest negotiated rate $209 exceeds the gross charge $148
CPT 31574/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,262 exceeds the gross charge $740
CPT 64595/b
warn
mrf_negotiated_above_gross
highest negotiated rate $534 exceeds the gross charge $512
CPT 94668/b
warn
mrf_negotiated_above_gross
highest negotiated rate $132 exceeds the gross charge $94
CPT J7324/b
warn
mrf_negotiated_above_gross
highest negotiated rate $136 exceeds the gross charge $130
CPT 31627/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,472 exceeds the gross charge $576
CPT J7327/b
warn
mrf_negotiated_above_gross
highest negotiated rate $728 exceeds the gross charge $721
CPT 32400/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,665 exceeds the gross charge $1,557
CPT 95044/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,045 exceeds the gross charge $46
warn
mrf_rate_without_estimate
218,739 of 218,739 percentage/algorithm rates across 4,643 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 20985/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, max differ, so no cross-line comparison was made for this item
CPT 27266/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, min, max differ, so no cross-line comparison was made for this item
CPT 33210/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, min, max differ, so no cross-line comparison was made for this item
CPT 50961/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, min, max differ, so no cross-line comparison was made for this item
CPT 64999/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83970/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 95813/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, min, max differ, so no cross-line comparison was made for this item
CPT J9263/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, min, max differ, so no cross-line comparison was made for this item
CPT 21011/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, min, max differ, so no cross-line comparison was made for this item
CPT 33213/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, min, max differ, so no cross-line comparison was made for this item
CPT 51050/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, max differ, so no cross-line comparison was made for this item
CPT 65205/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, min, max differ, so no cross-line comparison was made for this item
CPT 83986/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 95816/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, min, max differ, so no cross-line comparison was made for this item
CPT J9267/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, min, max differ, so no cross-line comparison was made for this item
CPT 21012/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, min, max differ, so no cross-line comparison was made for this item
CPT 27299/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, min, max differ, so no cross-line comparison was made for this item
CPT 33214/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, min, max differ, so no cross-line comparison was made for this item
CPT 51102/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, min, max differ, so no cross-line comparison was made for this item
CPT 65210/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, min, max differ, so no cross-line comparison was made for this item
CPT 84080/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 95819/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, min, max differ, so no cross-line comparison was made for this item
CPT 21013/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, min, max differ, so no cross-line comparison was made for this item
CPT 27301/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, min, max differ, so no cross-line comparison was made for this item
CPT 33215/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, min, max differ, so no cross-line comparison was made for this item
CPT 51600/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, min, max differ, so no cross-line comparison was made for this item
CPT 65220/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, min, max differ, so no cross-line comparison was made for this item
CPT 84100/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 95822/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, min, max differ, so no cross-line comparison was made for this item
CPT J9299/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 21014/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, min, max differ, so no cross-line comparison was made for this item
CPT 27305/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, max differ, so no cross-line comparison was made for this item
CPT 33216/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, min, max differ, so no cross-line comparison was made for this item
CPT 51610/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, min, max differ, so no cross-line comparison was made for this item
CPT 65222/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, min, max differ, so no cross-line comparison was made for this item
CPT 84105/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 95860/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, min, max differ, so no cross-line comparison was made for this item
CPT J9303/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 21315/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, min, max differ, so no cross-line comparison was made for this item
CPT 27307/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, max differ, so no cross-line comparison was made for this item
CPT 33228/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, min, max differ, so no cross-line comparison was made for this item
CPT 51700/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, min, max differ, so no cross-line comparison was made for this item
CPT 65430/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, min, max differ, so no cross-line comparison was made for this item
CPT 84133/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 95861/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, min, max differ, so no cross-line comparison was made for this item
CPT J9305/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 21320/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, min, max differ, so no cross-line comparison was made for this item
CPT 27310/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, max differ, so no cross-line comparison was made for this item
CPT 51701/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, min, max differ, so no cross-line comparison was made for this item
CPT 65435/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, min, max 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 95863/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, min, max differ, so no cross-line comparison was made for this item
CPT J9308/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 21336/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, max differ, so no cross-line comparison was made for this item
CPT 27323/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, min, max differ, so no cross-line comparison was made for this item
CPT 33233/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, min, max differ, so no cross-line comparison was made for this item
CPT 51702/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, min, max differ, so no cross-line comparison was made for this item
CPT 65600/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, min, max differ, so no cross-line comparison was made for this item
CPT 84155/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 95864/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, min, max differ, so no cross-line comparison was made for this item
CPT J9312/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 21346/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, min, max differ, so no cross-line comparison was made for this item
CPT 27327/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, min, max differ, so no cross-line comparison was made for this item
CPT 33234/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, min, max differ, so no cross-line comparison was made for this item
CPT 51703/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, min, max differ, so no cross-line comparison was made for this item
CPT 65800/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, min, max 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 95870/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, min, max differ, so no cross-line comparison was made for this item
CPT J9354/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 21440/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, min, max differ, so no cross-line comparison was made for this item
CPT 27328/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, max differ, so no cross-line comparison was made for this item
CPT 51705/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, min, max differ, so no cross-line comparison was made for this item
CPT 65855/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, min, max 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 95873/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, min, max differ, so no cross-line comparison was made for this item
CPT L0120/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, min, max differ, so no cross-line comparison was made for this item
CPT 21451/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, min, max differ, so no cross-line comparison was made for this item
CPT 27331/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, max differ, so no cross-line comparison was made for this item
CPT 51710/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, min, max differ, so no cross-line comparison was made for this item
CPT 66761/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, min, max differ, so no cross-line comparison was made for this item
CPT 84166/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 95874/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, min, max differ, so no cross-line comparison was made for this item
CPT L1832/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, min, max differ, so no cross-line comparison was made for this item
CPT 21480/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, min, max differ, so no cross-line comparison was made for this item
CPT 27337/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, min, max differ, so no cross-line comparison was made for this item
CPT 33285/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, min, max differ, so no cross-line comparison was made for this item
CPT 51720/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, min, max differ, so no cross-line comparison was made for this item
CPT 66821/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, min, max 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 95885/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, min, max differ, so no cross-line comparison was made for this item
CPT L3650/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, min, max differ, so no cross-line comparison was made for this item
CPT 21550/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, min, max differ, so no cross-line comparison was made for this item
CPT 27339/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, max differ, so no cross-line comparison was made for this item
CPT 33285/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 51728/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, min, max differ, so no cross-line comparison was made for this item
CPT 67228/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, min, max differ, so no cross-line comparison was made for this item
CPT 84311/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 95886/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, min, max differ, so no cross-line comparison was made for this item
CPT L3807/b
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 21552/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, max differ, so no cross-line comparison was made for this item
CPT 27350/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, max differ, so no cross-line comparison was made for this item
CPT 33286/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, min, max differ, so no cross-line comparison was made for this item
CPT 51741/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, min, max differ, so no cross-line comparison was made for this item
CPT 67700/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, min, max differ, so no cross-line comparison was made for this item
CPT 84376/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 95887/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, min, max differ, so no cross-line comparison was made for this item
CPT L8606/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, min, max differ, so no cross-line comparison was made for this item
CPT 21554/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, max differ, so no cross-line comparison was made for this item