Service
Code
Listed
Cash
Negotiated
Rates
Checks
PR DRAIN SKIN ABSCESS SIMPLE
$338
$254
$316
1
clean
PR DRAIN SKIN ABSCESS COMPLIC
$589
$442
$484
2
clean
PR REMOVE FOREIGN BODY SIMPLE
$625
$469
$1,001
2
clean
PR DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED) FIRST 20 SQ CM OR LESS
$191
$143
$493
2
clean
PR RMVL SK TGS MLT FIBRQ TAGS ANY AREA UP&W/15 <
$244
$183
$213
2
clean
PR DEBRIDEMENT OF NAILS, 6 OR MORE
$79
$59
$91
2
clean
PR REMOVAL OF NAIL PLATE
$171
$128
$181
2
clean
HC INJECT SKIN LESIONS UP TO AND INCLUDING 7 LESIONS
$298
$223
$279
1
clean
PR NJX ILESN > 7
$76
$57
$143
2
clean
PR REPR SUPERF WND BODY <2.5CM
$142
$107
$237
2
clean
PR REPR SUPERF WND BODY 2.6-7.5
$186
$139
$266
2
clean
PR REPR SUPERF WND BODY 7.6-12.5
$230
$172
$301
2
clean
PR REPR SUPERF WND BODY 12.6-20
$299
$224
$423
2
clean
PR REPR SUPERF WND BODY 20.1-30
$367
$275
$362
2
clean
PR REPR SUPERF WND FACE <2.5CM
$174
$131
$243
2
clean
PR REPR SUPERF WND FACE 2.6-5
$183
$137
$278
2
clean
PR REPR SUPERF WND FACE 5.1-7.5
$235
$176
$341
2
clean
PR REPR SUPERF WND FACE 7.6-12.5
$297
$223
$374
2
clean
PR REPR SUPERF WND FACE 12.6-20
$406
$304
$387
2
clean
P REPR SUPERF WND FACE 20.1-30
$479
$359
$401
2
clean
P SMPL RPR SUPFC F/E/E/N/L/M > 30.0CM
$299
$224
$279
1
clean
PR CLOSURE SUPERF WND DEHIS SIMPLE
$542
$406
$506
1
clean
P CLOSURE SUPERF WND DEHIS W PACKING
$451
$338
$321
2
clean
PR LAYR CLOS WND TRUNK,ARM,LEG <2.5CM
$483
$362
$451
1
clean
PR LAYR CLOS WND TRUNK,ARM,LEG 2.6-7.5
$604
$453
$572
2
clean
PR LAYR CLOS WND TRUNK,ARM,LEG 7.6-12.5
$604
$453
$565
1
clean
PR LAYR CLOS WND TRUNK,ARM,LEG 12.6-20
$767
$575
$820
2
clean
PR LAYR CLOS WND REST BODY <2.5CM
$459
$344
$557
2
clean
PR LAYR CLOS WND REST BODY 2.6-7.5
$623
$468
$608
2
clean
PR LAYR CLOS WND FACE,FACIAL 2.5-5
$634
$475
$580
2
clean
PR REPR CMPL WND SCALP,EXTR 2.6-7.5
$818
$614
$1,013
2
clean
C WOUND PREP F/N/HF/G
$908
$681
$849
1
clean
C APPLY SKIN SUBSTITUTE GRAFT TRUNK,ARM,LEG, SURF AREA UP TO 100 SQ CM,FIRST 25 SQ CM
$2,014
$1,511
$1,883
1
clean
C APPLY SKIN SUBSTITUTE GRAFT FACE,SCALP,EYELID,MOUTH,NECK,SURF AREA UP TO 100 SQ CM,FIRST 25 SQ CM
$2,014
$1,511
$1,883
1
clean
PR 1ST TX 1ST DGR BRN NO > LOCAL TX IS REQUIRED
$47
$35
$44
1
clean
PR DRS&/DBRDMT PRTL-THKNS BRNS 1ST/SBSQ SM
$240
$180
$319
2
clean
C CHEMICAL CAUTERIZATION OF GRANULATION TISSUE (PROUD FLESH, SINUS OR FISTULA)
$240
$180
$224
1
clean
PR THERAP INJECTION CARPAL TUNNEL
$146
$110
$190
2
clean
PR INJ TENDON/LIGAMENT/CYST
$100
$75
$188
2
clean
PR INJECT TENDON ORIGIN/INSERT
$99
$74
$186
2
clean
PR INJECT TRIGGER POINT, 1 OR 2
$94
$71
$341
2
clean
PR INJECT TRIGGER POINTS, > 2
$107
$80
$384
2
clean
PR DRAIN/INJECT SMALL JOINT/BURSA
$92
$69
$237
2
clean
PR ARTHROCENTESIS, ASPIRATION AND/OR INJ, SMALL JOINT/BURSA; W US GUID, W PERM RECORDING/REPORTING
$119
$89
$290
2
clean
PR ARTHROCENTESIS INTER JOINT OR BURSA W/O US GUIDANCE
$94
$71
$252
2
clean
PR ARTHROCENTESIS, ASPIRATI &/OR INJ, INTERMEDIATE JOINT OR BURSA W US GUID, W PERM RECORD & REPORT
$134
$100
$442
2
clean
PR ARTHROCENTESIS MAJOR JOINT OR BURSA W/O US GUIDANCE
$117
$87
$360
2
clean
PR ARTHROCENTESIS,ASPIRATION AND/OR INJ, MAJOR JOINT OR BURSA;W US GUIDE, W PERMANENT RECORD & REPORT
$152
$114
$496
2
clean
PR REDUCE TEMPOROMANDIBL DISLOC
$97
$73
$482
2
clean
PR CLOSED RX SHLDR DISLOCATION
$965
$724
$914
2
clean
PR CLOSED RX SHLDR DISLOC,ANESTHESIA
$1,334
$1,000
$1,104
2
clean
PR REMOVAL ARM/ELBOW F.B.,SUPERFICIAL
$456
$342
$346
2
clean
PR REMOVAL ARM/ELBOW F.B.,DEEP
$1,181
$886
$1,028
2
clean
PR CLOSED RX RADIAL HEAD DISLOC,CHILD
$261
$196
$261
2
clean
PR CLOSED RX RAD/ULNA SHAFT FX,MANIP
$822
$616
$1,710
2
clean
PR CLOSED RX DIST RAD/ULNA FX,MANIPUL
$1,664
$1,248
$1,400
2
clean
PR CLOSE RX PROX/MID FING SHFT FX,MANIP
$997
$748
$591
2
clean
PR CLOSED RX IPR JT DISLOCATION
$849
$637
$891
2
clean
PR INJECTION OF JOINT OF LOWER BACK INTO PELVIS
$215
$161
$948
2
clean
PR CLOSED RX TRAUMA HIPR DISLOC,ANESTH
$2,425
$1,819
$2,281
2
clean
PR CLOSED RX TRIMALLEOLAR FX,MANIP
$1,421
$1,066
$2,052
2
clean
P OPEN RX ANKLE DISLOCATN
$2,327
$1,745
$1,220
2
clean
PR APPLY LONG ARM SPLINT
$131
$98
$187
2
clean
PR APPLY FOREARM SPLINT,STATIC
$127
$95
$164
2
clean
PR APPLY FINGER SPLINT,STATIC
$93
$69
$124
2
clean
PR STRAPPING OF ELBOW OR WRIST
$133
$99
$205
2
clean
PR APPLY LONG LEG SPLINT
$163
$122
$293
2
clean
PR APPLY LOWER LEG SPLINT
$156
$117
$227
2
clean
PR STRAPPING OF ANKLE
$56
$42
$115
2
clean
PR REMOVE NASAL FOREIGN BODY
$407
$305
$265
2
clean
PR CTRL NOSEBLEED,ANTER,SIMPLE
$179
$134
$265
2
clean
PR CTRL NOSEBLEED,ANTER,COMPLEX
$243
$183
$461
2
clean
PR INSERT EMERGENCY ENDOTRACH AIRWAY
$446
$335
$581
2
clean
PR LARYNGOSCOPY,INDIRECT,DIAGNOSTIC
$157
$118
$259
2
clean
PR THORACENTESIS, NEEDLE OR CATHETER, ASPIRATION OF THE PLEURAL SPACE; WITHOUT IMAGING GUIDANCE
$284
$213
$963
2
clean
PR INSRTION NON-TUNNLD CNTRLLY >5
$266
$200
$1,698
2
clean
HC CENTRAL/PERIPH BLOOD DRAW
$267
$200
$249
1
clean
HC DECLOTTING BY THROMBOLYTIC AGENT OF IMPLANTED VASCULAR ACCESS DEVICE OR CATHETER
$1,184
$888
$1,107
1
clean
PR INSERT NEEDLE,INTRAOSSEOUS INFUSN
$186
$139
$254
2
clean
PR BONE MARROW/STEM XPLANT,ALLOGENIC
$626
$470
$6,409
2
clean
PR HEMATOPOIETIC PROGENITOR CELL (HPC); AUTOLOGOUS TRANSPLANTATION
$462
$347
$4,027
2
clean
PR NASO/ORO-GASTRIC TUBE PLACEMEN
$70
$52
$65
1
clean
C INTUB/ASP TX
$375
$281
$351
1
clean
P IRRIGATION OF BLADDER
$97
$73
$219
2
clean
PR INSERTION OF NON-INDWELLING BLADDER CATHETER
$82
$61
$147
2
clean
PR INSERT TEMPORARY BLADDER CATH
$81
$61
$175
2
clean
PR CHANGE OF CYSTOSTOMY TUBE
$163
$122
$655
2
clean
P US URINE CAPACITY MEASURE
$34
$26
$116
2
clean
PR OBSTETRICAL CARE,VAG DELIV ONLY
$2,515
$1,886
$5,253
2
clean
PR SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC
$163
$122
$687
2
clean
PR SPINAL PUNC,DRAIN,THERAPUTIC
$236
$177
$1,597
2
clean
PR INJECT LUMB EPIDUR,BLOOD/CLOT PATCH
$292
$219
$1,462
2
clean
PR INJ(S), OF DIAG/THERAPEUTIC SUBSTANCE(S) NOT INCLUDING NEUROLYTIC SUBSTANCES; W IMAGING GUIDANCE
$277
$208
$1,050
2
clean
PR INJ(S), OF DIAG/THERAPEUTIC SUBSTANCE(S) NOT INCLUDING NEUROLYTIC SUBSTANCES; W IMAGING GUIDANCE
$257
$192
$1,113
2
clean
PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT
$217
$163
$1,025
2
clean
PR THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT
$266
$200
$923
2
clean
PR INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID, TRIGEMINAL NERVE, EACH BRANCH (IE, OPHTHALMIC, MAXILLARY, MANDIBULAR)
$134
$100
$398
2
clean
PR INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID, GREATER OCCIPITAL NERVE
$135
$101
$503
2
clean
PR INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; BRACHIAL PLEXUS, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED
$178
$134
$687
2
clean
PR INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; AXILLARY NERVE, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED
$165
$124
$1,277
2
clean
PR INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID, SUPRASCAPULAR NERVE
$142
$107
$1,176
2
clean
PR INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID, INTERCOSTAL NERVE, SINGLE LEVEL
$152
$114
$1,245
2
clean
PR INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID, INTERCOSTAL NERVE, EACH ADDITIONAL LEVEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$63
$47
$959
2
clean
PR INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID, ILIOINGUINAL, ILIOHYPOGASTRIC NERVES
$141
$106
$1,240
2
clean
PR INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID, PUDENDAL NERVE
$142
$107
$1,150
2
clean
PR INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; SCIATIC NERVE, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED
$186
$139
$1,171
2
clean
PR INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; FEMORAL NERVE, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED
$163
$122
$1,036
2
clean
PR INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID, OTHER PERIPHERAL NERVE OR BRANCH
$107
$80
$826
2
clean
PR INJ,ANESTHETIC AGENT/STEROID, NERVES INNERVATING SACROLIAC JT,W/IMAGE GUIDANCE
$212
$159
$1,291
2
clean
PR INJ,ANESTHETIC AGENT/STEROID NERVES GENICULAR NERVE BRANCHES INC IMAGING GUIDANCE
$213
$160
$957
2
clean
PR INJECTION(S), ANESTHETIC AGENT AND/OR STEROID; PLANTAR COMMON DIGITAL NERVE(S) (EG, MORTON'S NEUROMA)
$85
$64
$235
2
clean
PR PARAVERTEBRAL BLOCK, THORACIC; SINGLE INJECTION SITE (INCLUDES IMAGING GUIDANCE, WHEN PERFORMED)
$198
$149
$926
2
clean
PR PARAVERTEBRAL BLOCK (PVB) (PARASPINOUS BLOCK), THORACIC;SECOND & ANY ADDITIONAL INJECTION SITE(S)
$123
$92
$574
2
clean
PR INJECTION(S), ANESTHETIC AGENT AND/OR STEROID; TRANSFORAMINAL EPIDURAL, WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT), CERVICAL OR THORACIC, SINGLE LEVEL
$339
$254
$1,262
2
clean
PR INJECTION(S), ANESTHETIC AGENT AND/OR STEROID; TRANSFORAMINAL EPIDURAL, WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT), CERVICAL OR THORACIC, EA ADDL
$158
$118
$644
2
clean
PR INJECTION(S), ANESTHETIC AGENT AND/OR STEROID; TRANSFORAMINAL EPIDURAL, WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT), LUMBAR OR SACRAL, SINGLE LEVEL
$288
$216
$1,237
2
clean
PR INJECTION(S), ANESTHETIC AGENT AND/OR STEROID; TRANSFORAMINAL EPIDURAL, WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT), LUMBAR OR SACRAL, EA ADDL
$130
$98
$631
2
clean
PR TRANSVERSUS ABDOMINIS PLANE (TAP) BLOCK UNILATERAL, BY INJECTION(S)
$133
$99
$1,021
2
clean
PR INJ PARAVERT FACET JOINT W/ IMAGE GUID CERV/THOR SNGL LVL
$273
$205
$1,225
2
clean
PR INJ PARAVERT FACET JOINT W/ IMAGE GUID CERV/THOR 2ND LVL
$153
$114
$666
2
clean
PR INJ PARAVERT FACET JOINT W/IMAGE GUID 3 OR MORE LVL
$154
$115
$650
2
clean
PR INJ PARAVERT FACET JOINT W/IMAGE GUID, LUMB/SAC SNGL LVL
$235
$176
$1,129
2
clean
PR INJ PARAVERT FACET JOINT W/IMAGE GUID, LUMB/SAC 2NDL LVL
$130
$98
$606
2
clean
PR INJ PARAVERT FACET JOINT W/IMAGE GUID, LUMB/SAC 3/MORE LVL
$131
$99
$520
2
clean
PR INJECT NERV BLCK,SPHENOPALAT GANGLN
$275
$206
$607
2
clean
PR INJECT NERV BLCK,STELLATE GANGLION
$198
$149
$1,337
2
clean
PR INJ ANES AGT; SUP HYPOGASTRIC P
$329
$246
$1,566
2
clean
PR INJECT NERV BLCK,PARAVERT SYMPATH
$220
$165
$1,213
2
clean
PR INJECT NERV BLCK,CELIAC PLEXUS
$246
$184
$1,372
2
clean
PR CHEMODENERVATION OF MUSCLE INNERVATED BY FACIAL NERVE, UNILATERAL
$311
$233
$349
2
clean
PR CHEMODENERVATION OF MUSCLE, INNERVATED BY FACIAL, TRIGEMINAL, CERVICAL SPINAL AND ACCESSORY NERVES, BILATERAL
$378
$284
$246
2
clean
PR CHEMODENERVATION OF MUSCLE, NECK MUSCLE, EXCL MUSCLES OF THE LARYNX, UNILATERAL
$334
$250
$632
2
clean
PR INJECT RX INTERCOSTAL NERVE
$464
$348
$1,630
2
clean
PR DESTRUCTION NEUROLYTIC AGENT,GENICULAR NERVE BRANCHES INC IMAGING GUIDANCE
$382
$286
$1,675
2
clean
PR RADIOFREQUENCY ABLATION,NERVES INNERVATING SACROILIAC JT, W/IMAGE GUIDANCE
$510
$382
$2,126
2
clean
PR DESTRUCT BY NEUROLYTIC AGENT; PLANTAR COMMON DIGITAL NERVE
$176
$132
$788
2
clean
PR DEST NEUROLYTIC AGENT,PARAVER FACET JNT NERVE(S),SNGL W IMAG
$499
$374
$2,087
2
clean
PR DESTROY,PARAVERTEBRAL FACET JNT NERVE(S),W IMAG GUIDE EA ADD
$172
$129
$717
2
clean
PR DESTRUCTION PARAVERTEBRAL FACET JOINT NERVE(S), W IMAGING
$499
$374
$2,265
2
clean
PR DEST NEUROLYTIC AGENT,PARAVER FACET JNT NERVE(S),W IMAG ADDTL
$152
$114
$644
2
clean
PR DESTRUCTION BY NEUROLYTIC AGENT, OTHER PERIPHERAL NERVE OR BRANCH
$313
$235
$1,514
2
clean
PR CHEMODENERVATION OF ONE EXTREMITY, 1-4 MUSCLES
$276
$207
$509
2
clean
PR REMV F.B.,EYE,SUPERF CONJUNC
$93
$70
$321
2
clean
P REMV F.B.,EYE,EMBED CONJUNC
$115
$86
$210
2
clean
PR REMV F.B.,EYE,CORNEA,NO SLIT
$130
$98
$229
2
clean
PR REMV EXT CANAL FOREIGN BODY
$151
$113
$210
2
clean
P REMV EXT CANAL F.B.,GEN ANESTH
$306
$229
$336
2
clean
P REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE, UNILATERAL
$50
$37
$56
2
clean
O CT HEAD W/O CONTRAST
$1,589
$1,192
$200
1
clean
PR XR CHEST SINGLE VIEW
$248
$186
$48
1
clean
C CT LSPINE W/&W/O CONTRAST
$2,470
$1,852
$370
1
clean
O XR SHOULDER 2+ VIEW, COMPLETE
$83
$62
$64
2
clean
O XR WRIST 3+ VIEW, COMPLETE
$89
$67
$77
2
clean
O XR FOOT 3+ VIEW COMPLETE LEFT
$433
$325
$63
1
clean
O CT ANGIO ABDOMINAL AORTA
$2,727
$2,046
$775
1
clean
HC PREGNANCY TEST, URINE
$86
$64
$12
1
clean
HC OCCULT BLOOD FECES TC
$47
$35
$6
1
clean
HC GLUCOSE BLOOD TEST TC
$33
$25
$5
1
clean
HC H.PYLORI BREATH TEST (REF LAB)
$106
$80
$95
1
clean
HC INSULIN ASSAY (REF LAB)
$106
$80
$16
1
clean
HC PROCALCITONIN
$322
$242
$38
1
clean
HC C-PEPTIDE, SERUM (REF LAB)
$106
$80
$29
1
clean
HC PT, INR (POC)
$106
$80
$6
1
clean
HC CRP/C-REACTIVE PROTEIN
$109
$82
$7
1
clean
HC CULTURE, MRSA SCREEN
$106
$80
$9
1
clean
HC HIVDQ-HIV-1 RNA DETECT&QUANT,P (REF LAB)
$746
$559
$120
1
clean
HC B.PERTUSSIS/PARAPERTUSSIS,PCR (REF LAB)
$209
$157
$49
1
clean
P POCT RAPID STREP
$77
$58
$23
1
clean
HC CYTOPATH C/V THIN LAYER
$106
$80
$29
1
clean
C IMMUNIZATION ADMINISTRATION, 1 VACCINE
$101
$76
$94
1
clean
C IMMUNIZATION ADMINISTRATION, EACH ADDITIONAL
$86
$64
$80
1
clean
PR HEART/LUNG RESUSCITATION (CPR)
$583
$438
$545
1
clean
PR CARDIOVERSION ELECTIVE ELECTRICAL CONVERSION OF ARRHYTHMIA EXTERNAL
$345
$259
$323
1
clean
PR EKG (COMPLETE)
$125
$94
$117
1
clean
PR EKG TRACING (TECH)
$242
$181
$226
1
clean
P ECG MONITOR/24 HRS,RECORDING
$63
$47
$193
2
clean
HC ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D W/ CONTRAST
$2,243
$1,683
$2,098
1
clean
HC ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD WO/ CONTRAST
$1,019
$764
$953
1
clean
HC ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R WO/ CONTRAST
$1,370
$1,028
$1,281
1
clean
HC ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&ST WO/ CONTRAST
$2,214
$1,660
$2,070
1
clean
PR VENTILATION ASSIST & MGMT INPATIENT 1ST DAY
$1,741
$1,305
$1,627
1
clean
C RT-SPIROMETRY SCREENING FVC/FEV
$255
$192
$239
1
clean
C RT-SPIROMETRY PRE/POST BRONCODILATOR
$472
$354
$441
1
clean
C RT MAXIMUM BREATHING CAPACITY, MAXIMAL VOLUNTARY VENTILATION
$234
$176
$219
1
clean
PR AIRWAY INHALATION TREATMENT
$398
$298
$372
3
clean
PR POS AIRWAY PRESSURE, CPAP
$432
$324
$404
1
clean
PR NEB/INHALER,DEMO AND/OR EVAL
$571
$429
$534
1
clean
C RT-OXIMETRY STANDARD STUDY
$98
$73
$91
1
clean
PR NDL EMG GDN CONJUNCT CHEMODNRVTJ
$50
$37
$119
2
clean
PR INTRAVENOUS INFUSION, HYDRATN; INITIAL, 31 MINUTES TO 1 HR
$482
$362
$450
2
clean
PR INTRAVENOUS INFUSION, HYDRATION; EACH ADDITIONAL HOUR
$155
$116
$150
2
clean
HC IV INFUSION THERAPY PROPHYLAXIS/ DX INITIAL TO UP TO 1 HR
$603
$452
$564
1
clean
HC IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR
$271
$204
$254
1
clean
HC IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR
$310
$232
$289
1
clean
HC IV INFUSION THERAPY PROPHYLAXIS/DX CONCURRENT
$280
$210
$262
1
clean
PR THER, PROPHYLACTIC, OR DIAG INJ SUBCUTANEOUS/INTRAMUSCULAR
$119
$89
$111
2
clean
PR THER,PROPHYLACTIC,DIAG INJ;IV PUSH,SNGLE/INITIAL SUBST/DRUG
$320
$240
$316
2
clean
PR TX, PROPHYLACT,DIAG INJ;EA ADDTL SEQ IV PUSH NEW SUB/DRUG
$175
$131
$175
2
clean
HC IRRIGATION IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST
$197
$148
$184
1
clean
C OT-ULTRASOUND EACH 15 MIN
$345
$258
$26
1
clean
Showing the first 200 of 243 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
4,000 of 4,000 percentage/algorithm rates across 243 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 12016/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 12017/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 12021/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 12032/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 12035/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 12041/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 12042/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 12052/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 13121/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 16020/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 20526/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 20550/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 20551/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 20552/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 20553/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 20600/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 20604/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 20605/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 20606/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 20610/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 20611/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 21480/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 23650/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 23655/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 24200/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 24201/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 24640/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 25565/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 25605/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26725/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26770/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27096/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27252/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27818/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 27846/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 29105/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29125/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 29130/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 29260/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 29505/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29515/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29540/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 30300/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 30901/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 30903/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 31500/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 31505/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 32554/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 36556/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 36680/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 38240/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 38241/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 51700/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 51701/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 51702/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 51705/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 51798/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 59409/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 62270/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 62272/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 62273/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 62321/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 62323/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 62328/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 62329/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 64400/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 64405/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 64415/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 64417/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 64418/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 64420/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 64421/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 64425/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 64430/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 64445/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 64447/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 64450/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 64451/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 64454/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 64455/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 64461/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 64462/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 64479/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 64480/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 64483/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 64484/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 64486/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 64490/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 64491/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 64492/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 64493/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 64494/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 64495/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 64505/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 64510/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 64517/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 64520/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 64530/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 64612/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 64615/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 64616/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 64620/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 64624/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 64625/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 64632/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 64633/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 64634/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 64635/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 64636/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 64640/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 64642/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 65205/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 65210/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 65220/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 69200/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 69205/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 69209/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 73030/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73110/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93225/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 94640/o
info
mrf_item_fields_vary
this code and setting cover at least 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 95874/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96360/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96361/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96374/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96375/o
info
mrf_item_fields_vary
this code and setting cover at least 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 96376/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 99281/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 99282/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 99283/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 99284/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 99285/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 99291/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 99292/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 A0428/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 A4570/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 A4649/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 E0114/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 10061/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 10120/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 11042/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 11200/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 11721/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 11730/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 11901/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 12001/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 12002/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 12004/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 12005/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 12006/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 12011/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 12013/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 12014/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 12015/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