Service
Code
Listed
Cash
Negotiated
Rates
Checks
NASH FIBRO TEST-MAYO
$1,065
$1,065
$858
29
clean
TPMT GENOTYPE-MAYO
$675
$675
$544
29
clean
CT CEREBRAL PERFUSION STUDY
$2,642
$2,642
$1,389
58
clean
0055T - PF ADDON COMPUTER-ASSISTED SURG ORTHO PROC W/CT/MRI IMAGES
$408
$408
$180
29
clean
0075T - PF TRANSCATHETER PLACEMENT EXTRACRANIAL VERTEBRAL ARTERY STENT INITIAL VESSEL
$2,987
$2,987
$2,257
203
clean
M-PROTEIN ISOTYPE MALDI-TOF MS-MAYO
$164
$164
$68
203
clean
0184T - PF EXCISION RECTAL TUMOR TRANSANAL ENDOSCOPIC APPROACH INCLUDES MUSCULARIS PROPRIA
$12,066
$12,066
$6,513
29
clean
VIRAL RESPIRATORY PNL W/ COVID-19-PCR
$605
$605
$487
29
clean
0232T - PRP INJECTION PACKAGE
$490
$490
$306
87
clean
0232T - PF INJECTION PLATELET RICH PLASMA ANY SITE INCLUDES IMAGE GUIDANCE/HARVEST/PREPARATION
$166
$166
$164
29
clean
TRANSLUMINAL PERIPHERAL ATHERECTOMY OPEN/PERC ILIAC ARTERY EACH VESSEL - CCL
$35,236
$35,236
$19,665
87
clean
AMBULATORY POC COVID/FLU/RSV PANEL
$221
$221
$135
87
clean
0266T - PF IMPLANT/REPLACE CAROTID SINUS BAROREFLEX ACTIVATION DEVICE
$3,494
$3,494
$11,400
58
clean
IMPLANT/REPLACE CAROTID SINUS BAROREFLEX PULSE GENERATOR ONLY ? CCL
$56,111
$56,111
$7,272
58
clean
0275T - PF PERC LAMINOTOMY/LAMINECTOMY W/INDIRECT IMAGE GUIDANCE LUMBAR
$3,551
$3,551
$1,287
29
clean
TRANSCATHETER RENAL SYMPATHETIC DENERVATION PERC BILATERAL - CCL
$16,505
$16,505
$4,408
58
clean
0421T - PF TRANSURETHRAL WATERJET ABLATION PROSTATE COMPLICATED
$2,273
$2,273
$824
29
clean
KLHL11-IGG CBA, S-MAYO
$103
$103
$62
29
clean
0437T - PF ADDON IMPLANTATION NON-BIOLOGIC/SYNTHETIC IMPLANT FOR FASCIAL REINFORCEMENT ABDOMINAL WAL
$400
$400
$145
29
clean
CT CRYONEUROLYSIS (IR)
$6,347
$6,347
$1,582
87
clean
0446T - PF CREATION SUBSTANCE POCKET W/INSERT IMPLANT INTERSTITIAL GLUCOSE SENSOR W/PATIENT TRAINING
$161
$161
$58
29
clean
0446T - CREATION SUBSTANCE POCKET W/INSERT IMPLANT INTERSTITIAL GLUCOSE SENSOR W/PATIENT TRAINING
$161
$161
$4,251
87
clean
0447T - PF REMOVE IMPLANTABLE INTERSTITIAL GLUCOSE SENSOR SUBQ POCKET VIA INCISION
$189
$189
$69
29
clean
0448T - PF REMOVE/INSERT IMPLANTABLE INTERSTITIAL GLUCOSE SENSOR DIFFERENT ANATOMIC SITE
$268
$268
$97
29
clean
0448T - REMOVE/INSERT IMPLANTABLE INTERSTITIAL GLUCOSE SENSOR DIFFERENT ANATOMIC SITE
$268
$268
$4,251
87
clean
IR TRANSCATHETER MITRAL VALVE IMPLANT/REPLACE W/PROSTHETIC VALVE PERC
$11,850
$11,850
$4,820
87
clean
0484T - PF TRANSCATHETER MITRAL VALVE IMPLANT/REPLACEMENT W/PROSTHETIC VALVE
$7,855
$7,855
$2,829
29
clean
IR ENDOVENOUS FEM-POP ARTERIAL REVASCULARIZATION W/TRANSCATHETER STENT PLACEMENT W/IMAGING
$22,610
$22,610
$17,055
87
clean
TRANSCATHETER TRICUSPID VALVE REPAIR PERC APPROACH INITIAL PROSTHESIS - CCL
$11,867
$11,867
$4,666
87
clean
IR ADDON TRANSCATHETER TRICUSPID VALVE REPAIR PERC EA ADDNL PROSTHESIS SAME SESSION
$5,996
$5,996
$2,923
87
clean
CT ABLATION BREAST CRYO - REPORT
$620
$620
$2,105
58
clean
0620T - PF ENDOVASCULAR VENOUS ARTERIALIZATION TIBIAL/PERONEAL VEIN
$5,500
$5,500
$9,630
58
clean
CTA CORONARY HEARTFLOW PLAQUE ANALYSIS
$1,548
$1,548
$929
29
clean
0627T - PF STELLATE GANGLION BLOCK INJECTION FIRST LEVEL
$281
$281
$102
116
clean
0628T - PF ADDON PERC INJ ALLOGENEIC CELLULAR/TISSUE BASED PRODUCT LUMBAR EA ADDNL LEVEL
$281
$281
$102
29
clean
IR REMOVAL TCAT/DEBULKING INTRACARDIAC MASS VIA SUCTION DEVICE PERC
$10,621
$10,621
$5,223
58
clean
IR TRANSCATHETER TRICUSPID VALVE IMPLANT/REPLACEMENT W/RIGHT HEART CATH/ANGIOGRAPH
$11,850
$11,850
$4,016
58
clean
TCAT INSERT PERMANENT DUAL-CHAMBER LEADLESS PACEMAKER COMPLETE SYSTEM - CCL
$38,764
$38,764
$5,624
58
clean
10004 - PF FINE NEEDLE ASPIRATION BX W/O IMAGING GUIDANCE EACH ADDITIONAL LESION
$148
$148
$55
29
clean
10004 - FINE NEEDLE ASPIRATION BX W/O IMAGING GUIDANCE EACH ADDITIONAL LESION
$148
$148
$144
58
clean
10005 - FINE NEEDLE ASPIRATION BX INCLUDES US FIRST LESION
$891
$891
$180
118
clean
US FINE NEEDLE ASPIRATION BX 1ST LESION
$790
$790
$425
207
clean
10006 - ADDON FINE NEEDLE ASPIRATION BX INCLUDES US EACH ADDITIONAL LESION
$184
$184
$133
59
clean
10006 - PF ADDON FINE NEEDLE ASPIRATION BX INCLUDES US EACH ADDITIONAL LESION
$184
$184
$111
118
clean
10007 - PF FINE NEEDLE ASPIRATION BX INCLUDES FLUORO FIRST LESION
$184
$184
$180
29
clean
10007 - FINE NEEDLE ASPIRATION BX INCLUDES FLUORO FIRST LESION
$891
$891
$191
58
clean
10009 - PF FINE NEEDLE ASPIRATION BX INCLUDES CT FIRST LESION
$184
$184
$193
87
clean
CT FINE NEEDLE ASPIRATION BX EACH ADDL
$485
$485
$184
87
clean
10011 - PF FINE NEEDLE ASPIRATION BX INCLUDES MRI FIRST LESION
$184
$184
$182
29
clean
10012 - PF ADDON FINE NEEDLE ASPIRATION BX INCLUDES MRI EACH ADDITIONAL LESION
$184
$184
$69
29
clean
PHY-FINE NEEDLE ASPIRATION BX W/O IMAGING GUIDANCE FIRST LESION
$264
$264
$241
118
clean
10021 - PF FINE NEEDLE ASPIRATION BX W/O IMAGING GUIDANCE FIRST LESION
$194
$194
$98
58
clean
PHY-IMAGE GUIDED FLUID COLLECTION DRAINAGE BY CATHETER SOFT TISSUE PERC
$387
$387
$377
58
clean
CT DRAIN SOFT TISSUE FLUID W/CATH PERC
$1,229
$1,229
$406
261
clean
10035 - PF PLACEMENT SOFT TISSUE LOCALIZATION DEVICE PERC INCLUDES IMAGING FIRST LESION
$252
$252
$249
29
clean
10040 - PF ACNE SURGERY
$482
$482
$107
29
clean
10060 - PF INCISION/DRAINAGE ABSCESS SIMPLE/SINGLE
$254
$254
$205
58
clean
10060 - INCISION/DRAINAGE ABSCESS SIMPLE OR SINGLE
$814
$814
$205
116
clean
10061 - INCISION/DRAINAGE ABSCESS COMPLICATED OR MULTIPLE
$475
$475
$415
116
clean
10061 - PF INCISION/DRAINAGE ABSCESS COMPLICATED/MULTIPLE
$393
$393
$218
29
clean
PHY-INCISION/DRAINAGE PILONIDAL CYST SIMPLE
$272
$272
$272
116
clean
10080 - PF INCISION/DRAINAGE PILONIDAL CYST SIMPLE
$272
$272
$243
29
clean
10081 - PF INCISION/DRAINAGE PILONIDAL CYST COMPLICATED
$456
$456
$350
29
clean
PHY-INCISION/DRAINAGE PILONIDAL CYST COMPLICATED
$929
$929
$456
116
clean
10120 - INCISION/REMOVAL FOREIGN BODY SUBCUTANEOUS TISSUES SIMPLE
$272
$272
$387
145
clean
10120 - PF INCISION/REMOVAL FOREIGN BODY SUBCUTANEOUS TISSUES SIMPLE
$272
$272
$149
29
clean
10121 - INCISION/REMOVAL FOREIGN BODY SUBCUTANEOUS TISSUES COMPLICATED
$2,718
$2,718
$489
116
clean
10121 - PF INCISION/REMOVAL FOREIGN BODY SUBCUTANEOUS TISSUES COMPLICATED
$502
$502
$1,046
58
clean
INCISION DRAINAGE HEMATOMA/SEROMA/FLUID COLLECTION - CCL
$8,601
$8,601
$1,702
87
clean
PHY-INCISION/DRAINAGE HEMATOMA SEROMA/FLUID COLLECTION
$313
$313
$305
116
clean
PHY-PUNCTURE ASPIRATION ABSCESS/HEMATOMA/BULLA/CYST
$516
$516
$250
116
clean
10160 - PF PUNCTURE ASPIRATION ABSCESS/HEMATOMA/BULLA/CYST
$256
$256
$250
116
clean
10180 - INCISION/DRAINAGE COMPLEX POSTOPERATIVE WOUND INFECTION
$3,518
$3,518
$471
58
clean
INCISION/DRAINAGE COMPLEX POSTOP WOUND INFECTION - CCL
$10,029
$10,029
$471
58
clean
PHY-DEBRIDEMENT EXTENSIVE ECZEMATOUS OR INFECTED SKIN UP TO TEN PERCENT BODY SURFACE
$83
$83
$82
116
clean
11000 - PF DEBRIDEMENT EXTENSIVE ECZEMATOUS OR INFECTED SKIN UP TO TEN PERCENT BODY SURFACE
$83
$83
$55
29
clean
PHY-DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION EXTERNAL GENITALIA AND PERINEUM
$1,641
$1,641
$453
58
clean
11004 - PF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION EXTERNAL GENITALIA AND PERINEUM
$1,641
$1,641
$668
29
clean
11005 - PF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION ABDOMINAL WALL W/WO FASCIAL CLOSURE
$2,251
$2,251
$918
29
clean
11006 - PF DEBRIDE SKIN/SUBQ TISSUE/MUSCLE/FASCIA NECROTIZING INFECTION GENITALIA/PERINEUM/ABDOMEN
$2,006
$2,006
$829
29
clean
11008 - PF ADDON REMOVAL OF PROSTHETIC MATERIAL/MESH ABDOMINAL WALL FOR INFECTION
$790
$790
$324
29
clean
11010 - DEBRIDEMENT W/REMOVAL FOREIGN MATERIAL FROM SKIN/TISSUE OPEN FX/DISLOCATION
$764
$764
$714
58
clean
11010 - PF DEBRIDEMENT SKIN/TISSUE INCLUDES REMOVAL FB OPEN FX/DISLOCATION SITE
$764
$764
$453
29
clean
11011 - PF DEBRIDEMENT SKIN/TISSUE/MUSCLE INCLUDES REMOVAL FB OPEN FX/DISLOCATION SITE
$834
$834
$506
29
clean
PHY-DEBRIDEMENT SKIN/SUBQ TISSUE/MUSCLE/BONE OPEN FRACTURE/DISLOCATION INCLUDES FOREIGN BODY
$1,189
$1,189
$1,159
58
clean
11012 - PF DEBRIDEMENT SKIN/SUBQ TISSUE/MUSCLE/BONE OPEN FX/DISLOCATION INCLUDES FOREIGN BODY
$1,189
$1,189
$670
29
clean
PHY-DEBRIDEMENT SUBCUTANEOUS TISSUE FIRST 20SQ CM OR LESS
$169
$169
$167
116
clean
IR DEBRIDEMENT SUBQ TISSUE FIRST 20SQ CM <
$748
$748
$167
58
clean
PHY-DEBRIDEMENT MUSCLE/FASCIA FIRST 20SQ CM OR LESS
$1,184
$1,184
$420
116
clean
11043 - PF DEBRIDEMENT MUSCLE/FASCIA FIRST 20SQ CM OR LESS
$431
$431
$755
87
clean
IR DEBRIDEMENT BONE, FIRST 20CM/<
$2,586
$2,586
$1,687
87
clean
11044 - DEBRIDEMENT BONE FIRST 20SQ CM OR LESS
$2,586
$2,586
$628
116
clean
11045 - ADDON DEBRIDEMENT SUBCUTANEOUS TISSUE EACH ADDITIONAL 20SQ CM
$1,507
$1,507
$75
116
clean
IR ADDON DEBRIDEMENT SUBCUTANEOUS TISSUE EACH ADDITIONAL 20SQ CM
$1,507
$1,507
$75
58
clean
11046 - ADDON DEBRIDEMENT MUSCLE/FASCIA EACH 20SQ CM
$162
$162
$157
58
clean
11046 - PF ADDON DEBRIDEMENT MUSCLE/FASCIA EACH 20SQ CM
$162
$162
$78
29
clean
11047 - PF ADDON DEBRIDEMENT BONE EACH ADDITIONAL 20SQ CM OR PART THEREOF
$285
$285
$132
29
clean
11047 - ADDON DEBRIDEMENT BONE EACH ADDITIONAL 20SQ CM
$1,813
$1,813
$276
58
clean
11055 - PARING/CUTTING BENIGN HYPERKERATOTIC SINGLE LESION
$47
$47
$49
58
clean
11055 - PF PARING/CUTTING BENIGN HYPERKERATOTIC SINGLE LESION
$47
$47
$46
29
clean
11056 - PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2 TO 4 LESIONS
$65
$65
$68
58
clean
11057 - PARING/CUTTING BENIGN HYPERKERATOTIC LESION OVER 4 LESIONS
$85
$85
$85
58
clean
11102 - PF TANGENTIAL SKIN BX SINGLE LESION
$136
$136
$87
29
clean
11102 - TANGENTIAL SKIN BX SINGLE LESION SHAVE/SCOOP/SAUCERIZE/CURETTE
$681
$681
$133
58
clean
11103 - ADDON TANGENITAL BX SKIN EA ADDNL LESION
$913
$913
$71
58
clean
11103 - PF ADDON TANGENITAL BX SKIN EACH ADDITIONAL LESION
$73
$73
$45
29
clean
11104 - PUNCH BX SKIN SINGLE LESION
$681
$681
$548
29
clean
11104 - PF PUNCH BX SKIN SINGLE LESION
$136
$136
$132
87
clean
11105 - PF ADDON PUNCH BX SKIN EACH ADDITIONAL LESION
$73
$73
$56
29
clean
11105 - ADDON PUNCH BX SKIN EACH ADDITIONAL SEPARATE LESION
$913
$913
$72
58
clean
11106 - INCISIONAL BX OF SKIN SINGLE LESION
$1,101
$1,101
$141
58
clean
11106 - PF INCISIONAL BX SKIN SINGLE LESION
$136
$136
$133
29
clean
11107 - ADDON INCISIONAL BX OF SKIN EA ADDNL LESION
$73
$73
$73
58
clean
11107 - PF ADDON INCISIONAL BX OF SKIN EACH ADDITIONAL LESION
$73
$73
$65
29
clean
11200 - REMOVAL SKIN TAG/MULTIPLE FIBROCUTANEOUS TAGS INCLUDES 15 LESIONS
$191
$191
$191
116
clean
11200 - PF REMOVAL SKIN TAG/MULTIPLE FIBROCUTANEOUS TAGS INCLUDES 15 LESIONS
$191
$191
$89
29
clean
11201 - ADDON REMOVAL SKIN TAG/MULTIPLE FIBROCUTANEOUS TAGS EACH ADDITIONAL 10 LESIONS
$991
$991
$48
58
clean
11201 - PF ADDON REMOVAL SKIN TAG/MULTIPLE FIBROCUTANEOUS TAGS EACH ADDITIONAL 10 LESIONS
$49
$49
$19
29
clean
11300 - SHAVE SINGLE SKIN LESION TRUNK/ARM/LEGS DIAMETER 0.5CM OR LESS
$516
$516
$99
58
clean
11300 - PF SHAVE SINGLE SKIN LESION TRUNK/ARM/LEGS DIAMETER 0.5CM OR LESS
$99
$99
$88
29
clean
11301 - PF SHAVE SINGLE SKIN LESION TRUNK/ARM/LEGS DIAMETER 0.6CM TO 1.0CM
$150
$150
$106
29
clean
11301 - SHAVE SINGLE SKIN LESION TRUNK/ARM/LEGS DIAMETER 0.6CM TO 1.0CM
$469
$469
$148
58
clean
11302 - SHAVE SINGLE SKIN LESION TRUNK/ARM/LEGS DIAMETER 1.1CM TO 2.0CM
$469
$469
$172
58
clean
11302 - PF SHAVE SINGLE SKIN LESION TRUNK/ARM/LEGS DIAMETER 1.1CM TO 2.0CM
$175
$175
$124
29
clean
11303 - SHAVE SINGLE SKIN LESION TRUNK/ARM/LEGS DIAMETER OVER 2.0CM
$208
$208
$204
58
clean
11305 - SHAVE SINGLE SKIN LESION SCALP/NECK/HANDS/FEET/GENITAL DIAMETER 0.5CM OR LESS
$111
$111
$111
58
clean
11305 - PF SHAVE SINGLE SKIN LESION SCALP/NECK/HANDS/FEET/GENITAL DIAMETER 0.5CM OR LESS
$111
$111
$93
29
clean
11306 - SHAVE EPIDERMAL/DERMAL SINGLE LESION SCALP/NECK/HAND/FEET/GENITALIA 0.6 - 1CM DIAMETER
$469
$469
$146
58
clean
11306 - PF SHAVE EPIDERMAL/DERMAL SINGLE LESION SCALP/NECK/HAND/FEET/GENITALIA 0.6 - 1CM DIAMETER
$147
$147
$108
29
clean
11307 - PF SHAVE SINGLE SKIN LESION SCALP/NECK/HANDS/FEET/GENITAL DIAMETER 1.1CM TO 2.0CM
$186
$186
$122
29
clean
11307 - SHAVE SINGLE SKIN LESION SCALP/NECK/HANDS/FEET/GENITAL DIAMETER 1.1CM TO 2.0CM
$186
$186
$183
58
clean
11308 - SHAVE SINGLE SKIN LESION SCALP/NECK/HANDS/FEET/GENITAL DIAMETER OVER 2.0CM
$205
$205
$201
58
clean
11308 - PF SHAVE SINGLE SKIN LESION SCALP/NECK/HANDS/FEET/GENITAL DIAMETER OVER 2.0CM
$205
$205
$74
29
clean
11310 - SHAVE SINGLE SKIN LESION FACE/EARS/EYELID/NOSE/LIPS/MUCOUS MEMBRANE 0.5CM OR LESS
$131
$131
$131
58
clean
11310 - PF SHAVE SINGLE SKIN LESION FACE/EARS/EYELID/NOSE/LIPS/MUCOUS MEMBRANE 0.5CM OR LESS
$131
$131
$102
29
clean
11311 - PF SHAVE SINGLE SKIN LESION FACE/EARS/EYELID/NOSE/LIPS/MUCOUS MEMBRANE 0.6CM TO 1.0CM
$184
$184
$122
29
clean
11311 - SHAVE SINGLE SKIN LESION FACE/EARS/EYELID/NOSE/LIPS/MUCOUS MEMBRANE 0.6CM TO 1.0 CM
$887
$887
$181
58
clean
11312 - SHAVE SINGLE SKIN LESION FACE/EARS/EYELID/NOSE/LIPS/MUCOUS MEMBRANE 1.1CM TO 2.0CM
$217
$217
$213
58
clean
11312 - PF SHAVE SINGLE SKIN LESION FACE/EARS/EYELID/NOSE/LIPS/MUCOUS MEMBRANE 1.1CM TO 2.0CM
$217
$217
$143
29
clean
11313 - SHAVE SINGLE SKIN LESION FACE/EARS/EYELID/NOSE/LIPS/MUCOUS MEMBRANE OVER 2.0CM
$278
$278
$271
58
clean
11313 - PF SHAVE SINGLE SKIN LESION FACE/EARS/EYELID/NOSE/LIPS/MUCOUS MEMBRANE OVER 2.0CM
$278
$278
$167
29
clean
11400 - PF EXCISION BENIGN LESION TRUNK/ARMS/LEGS 0.5CM OR LESS
$214
$214
$121
29
clean
PHY-LESION EXCISION, SIMPLE
$1,885
$1,885
$210
116
clean
11401 - PF EXCISION BENIGN LESION TRUNK/ARMS/LEGS 0.6-1CM
$276
$276
$147
29
clean
11401 - EXCISION BENIGN LESION TRUNK/ARMS/LEGS 0.6 - 1CM DIAMETER
$1,885
$1,885
$269
58
clean
11402 - EXCISION BENIGN LESION TRUNK/ARMS/LEGS 1.1-2CM
$1,885
$1,885
$297
58
clean
11402 - PF EXCISION BENIGN LESION TRUNK/ARMS/LEGS 1.1-2CM
$305
$305
$163
29
clean
11403 - EXCISION BENIGN LESION TRUNK/ARMS/LEGS 2.1-3CM
$393
$393
$383
58
clean
11403 - PF EXCISION BENIGN LESION TRUNK/ARMS/LEGS 2.1-3CM
$393
$393
$195
29
clean
11404 - PF EXCISION BENIGN LESION TRUNK/ARMS/LEGS 3.1-4CM
$435
$435
$227
29
clean
11404 - EXCISION BENIGN LESION TRUNK/ARMS/LEGS 3.1-4CM
$435
$435
$424
58
clean
11406 - EXCISION BENIGN LESION TRUNK/ARMS/LEGS GREATER THAN 4CM
$5,532
$5,532
$654
58
clean
11406 - PF EXCISION BENIGN LESION TRUNK/ARMS/LEGS GREATER THAN 4CM
$671
$671
$333
29
clean
11420 - EXC BENIGN LESION W/MARGINS SCALP/NECK/HANDS/FEET/GENITAL DIAMETER 0.5CM OR LESS
$3,719
$3,719
$207
116
clean
11420 - PF EXCISION BENIGN LESION W/MARGINS SCALP/NECK/HANDS/FEET/GENITAL DIAMETER 0.5CM OR LESS
$216
$216
$118
29
clean
11421 - PF EXCISION BENIGN LESION SCALP/NECK/HANDS/FEET/GENITALIA 0.6-1CM
$293
$293
$152
29
clean
11421 - EXCISION BENIGN LESION SCALP/NECK/HAND/FEET/GENITALIA 0.6 - 1CM DIAMETER
$293
$293
$286
58
clean
11422 - EXCISION BENIGN LESION SCALP/NECK/HANDS/FEET/GENITALIA 1.1-2.0CM
$3,683
$3,683
$350
58
clean
11422 - PF EXCISION BENIGN LESION SCALP/NECK/HANDS/FEET/GENITALIA 1.1-2.0CM
$359
$359
$176
29
clean
11423 - EXCISION BENIGN LESION SCALP/NECK/HANDS/FEET/GENITALIA 2.1-3.0CM
$3,683
$3,683
$2,966
29
clean
11423 - PF EXCISION BENIGN LESION SCALP/NECK/HANDS/FEET/GENITALIA 2.1-3.0CM
$418
$418
$205
58
clean
11424 - PF EXCISION BENIGN LESION SCALP/NECK/HANDS/FEET/GENITALIA 3.1-4.0CM
$484
$484
$241
58
clean
11424 - EXCISION BENIGN LESION SCALP/NECK/HANDS/FEET/GENITALIA 3.1-4.0CM
$5,532
$5,532
$3,375
29
clean
11426 - EXCISION BENIGN LESION SCALP/NECK/HANDS/FEET/GENITALIA GREATER THAN 4CM
$751
$751
$732
58
clean
11426 - PF EXCISION BENIGN LESION SCALP/NECK/HANDS/FEET/GENITALIA GREATER THAN 4CM
$751
$751
$341
29
clean
11440 - EXCISION BENIGN LESION FACE/EARS/EYELIDS/NOSE/LIPS/MUCOUS MEMBRANESTHESIA 0.5CM OR LESS
$268
$268
$261
116
clean
11440 - PF EXCISION BENIGN LESION FACE/EARS/EYELIDS/NOSE/LIPS/MUCOUS MEMBRANESTHESIA 0.5CM OR LESS
$268
$268
$136
29
clean
11441 - PF EXCISION BENIGN LESION FACE/EARS/EYELIDS/NOSE/LIPS/MUCOUS MEMBRANESTHESIA 0.6-1CM
$346
$346
$169
29
clean
11441 - EXCISION BENIGN LESION FACE/EARS/EYELIDS/NOSE/LIPS/MUCOUS MEMBRANES 0.6-1CM
$1,885
$1,885
$337
58
clean
11442 - EXCISION BENIGN LESION FACE/EARS/EYELIDS/NOSE/LIPS/MUCOUS MEMBRANES 1.1-2CM
$3,683
$3,683
$376
58
clean
11442 - PF EXCISION BENIGN LESION FACE/EARS/EYELIDS/NOSE/LIPS/MUCOUS MEMBRANESTHESIA 1.1-2CM
$386
$386
$189
29
clean
11443 - EXCISION BENIGN LESION FACE/EARS/EYELIDS/NOSE/LIPS/MUCOUS MEMBRANES 2.1-3CM
$3,683
$3,683
$464
58
clean
11443 - PF EXCISION BENIGN LESION FACE/EARS/EYELIDS/NOSE/LIPS/MUCOUS MEMBRANESTHESIA 2.1-3CM
$476
$476
$226
29
clean
11444 - PF EXCISION BENIGN LESION FACE/EARS/EYELIDS/NOSE/LIPS/MUCOUS MEMBRANESTHESIA 3.1-4CM
$611
$611
$286
29
clean
11444 - EXCISION BENIGN LESION FACE/EARS/EYELIDS/NOSE/LIPS/MUCOUS MEMBRANESTHESIA 3.1-4CM
$611
$611
$596
58
clean
11446 - PF EXCISION BENIGN LESION FACE/EARS/EYELIDS/NOSE/LIPS/MUCOUS MEMBRANESTHESIA GREATER THAN 4CM
$882
$882
$398
29
clean
11446 - EXCISION BENIGN LESION FACE/EARS/EYELIDS/NOSE/LIPS/MUCOUS MEMBRANES GREATER THAN 4CM
$5,532
$5,532
$860
58
clean
11450 - PF EXCISION SKIN/TISSUE HIDRADENITIS AXILLARY W/SIMPLE OR INTERMEDIATE REPAIR
$681
$681
$428
29
clean
11451 - PF EXCISION SKIN/TISSUE HIDRADENITIS AXILLARY W/COMPLEX REPAIR
$883
$883
$537
29
clean
11462 - PF EXCISION SKIN/TISSUE HIDRADENITIS INGUINAL W/SIMPLE OR INTERMEDIATE REPAIR
$786
$786
$428
29
clean
11463 - PF EXCISION SKIN/TISSUE HIDRADENITIS INGUINAL W/COMPLEX REPAIR
$890
$890
$534
29
clean
11470 - PF EXCISION SKIN/TISSUE HIDRADENITIS PERIANUAL/PERINEAL/UMBILICAL SIMPLE/INTERMEDIATE REPAIR
$765
$765
$466
29
clean
11471 - PF EXCISION SKIN/TISSUE HIDRADENITIS PERIANAL/PERINEAL/UMBILICAL W/COMPLEX REPAIR
$946
$946
$563
29
clean
11600 - PF EXCISION MALIGNANT LESION TRUNK/ARMS/LEGS 0.5CM OR LESS
$342
$342
$189
29
clean
11601 - EXC MALIGNANT LESION TRUNK/ARMS/LEGS DIAMETER 0.6CM TO 1.0CM
$1,885
$1,885
$390
58
clean
11601 - PF EXCISION MALIGNANT LESION TRUNK/ARMS/LEGS DIAMETER 0.6CM TO 1.0CM
$400
$400
$217
29
clean
11602 - EXCISION MALIGNANT LESION INCLUDES MARGINS/TRUNK/ARMS/LEGS 1.1-2CM
$439
$439
$415
58
clean
11602 - PF EXCISION MALIGNANT LESION INCLUDES MARGINS/TRUNK/ARMS/LEGS 1.1-2CM
$439
$439
$229
29
clean
11603 - PF EXCISION MALIGNANT LESION INCLUDES MARGINS/TRUNK/ARMS/LEGS 2.1-3CM
$530
$530
$268
29
clean
11603 - EXCISION MALIGNANT LESION INCLUDES MARGINS/TRUNK/ARMS/LEGS 2.1-3CM
$530
$530
$517
58
clean
11604 - EXCISION MALIGNANT LESION TRUNK/ARMS/LEGS 3.1-4.0CM
$1,476
$1,476
$571
58
clean
11604 - PF EXCISION MALIGNANT LESION INCLUDES MARGINS/TRUNK/ARMS/LEGS 3.1-4CM
$586
$586
$300
29
clean
11606 - EXCISION MALIGNANT LESION INCLUDES MARGINS/TRUNK/ARMS/LEGS OVER 4CM
$5,532
$5,532
$860
58
clean
11606 - PF EXCISION MALIGNANT LESION INCLUDES MARGINS/TRUNK/ARMS/LEGS OVER 4CM
$882
$882
$453
29
clean
11620 - PF EXCISION MALIGNANT LESION SCALP/NECK/HANDS/FEET/GENITALIA DIAMETER 0.5CM OR LESS
$325
$325
$189
29
clean
11620 - EXC MALIGNANT LESION SCALP/NECK/HANDS/FEET/GENITALIA DIAMETER 0.5CM OR LESS
$325
$325
$317
58
clean
11621 - EXCISION MALIGNANT LESION INCLUDES MARGINS/SCALP/NECK/HANDS/FEET/GENITALIA 0.6-1CM
$3,683
$3,683
$395
58
clean
11621 - PF EXCISION MALIGNANT LESION INCLUDES MARGINS/SCALP/NECK/HANDS/FEET/GENITALIA 0.6-1CM
$405
$405
$218
29
clean
11622 - EXCISION MALIGNANT LESION INCLUDES MARGINS/SCALP/NECK/HANDS/FEET/GENITALIA 1.1-2CM
$3,683
$3,683
$451
58
clean
11622 - PF EXCISION MALIGNANT LESION INCLUDES MARGINS/SCALP/NECK/HANDS/FEET/GENITALIA 1.1-2CM
$463
$463
$239
29
clean
Showing the first 200 of 10,039 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 43270/b
warn
mrf_negotiated_above_gross
highest negotiated rate $702 exceeds the gross charge $669
CPT 43290/b
warn
mrf_negotiated_above_gross
highest negotiated rate $553 exceeds the gross charge $527
CPT 43659/b
warn
mrf_negotiated_above_gross
highest negotiated rate $10,376 exceeds the gross charge $4,634
CPT 69706/b
warn
mrf_negotiated_above_gross
highest negotiated rate $735 exceeds the gross charge $700
CPT 12056/b
warn
mrf_negotiated_above_gross
highest negotiated rate $261 exceeds the gross charge $249
CPT 43762/b
warn
mrf_negotiated_above_gross
highest negotiated rate $142 exceeds the gross charge $135
CPT 43763/b
warn
mrf_negotiated_above_gross
highest negotiated rate $142 exceeds the gross charge $135
CPT 81415/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,433 exceeds the gross charge $4,222
CPT 81416/b
warn
mrf_negotiated_above_gross
highest negotiated rate $11,159 exceeds the gross charge $10,628
CPT 44238/b
warn
mrf_negotiated_above_gross
highest negotiated rate $10,376 exceeds the gross charge $2,414
CPT 44382/b
warn
mrf_negotiated_above_gross
highest negotiated rate $234 exceeds the gross charge $223
CPT 44386/b
warn
mrf_negotiated_above_gross
highest negotiated rate $314 exceeds the gross charge $299
CPT 58340/b
warn
mrf_negotiated_above_gross
highest negotiated rate $165 exceeds the gross charge $157
CPT 31626/b
warn
mrf_negotiated_above_gross
highest negotiated rate $708 exceeds the gross charge $674
CPT 44979/b
warn
mrf_negotiated_above_gross
highest negotiated rate $9,882 exceeds the gross charge $2,110
CPT 31627/b
warn
mrf_negotiated_above_gross
highest negotiated rate $377 exceeds the gross charge $359
CPT 36465/b
warn
mrf_negotiated_above_gross
highest negotiated rate $366 exceeds the gross charge $349
CPT 31652/b
warn
mrf_negotiated_above_gross
highest negotiated rate $853 exceeds the gross charge $812
CPT 36466/b
warn
mrf_negotiated_above_gross
highest negotiated rate $475 exceeds the gross charge $452
CPT 31653/b
warn
mrf_negotiated_above_gross
highest negotiated rate $944 exceeds the gross charge $899
CPT 58563/b
warn
mrf_negotiated_above_gross
highest negotiated rate $936 exceeds the gross charge $891
CPT 81515/b
warn
mrf_negotiated_above_gross
highest negotiated rate $225 exceeds the gross charge $214
CPT A9600/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,786 exceeds the gross charge $3,606
CPT P9044/b
warn
mrf_negotiated_above_gross
highest negotiated rate $127 exceeds the gross charge $121
CPT 45330/b
warn
mrf_negotiated_above_gross
highest negotiated rate $163 exceeds the gross charge $155
CPT 58565/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,218 exceeds the gross charge $1,160
CPT 45334/b
warn
mrf_negotiated_above_gross
highest negotiated rate $414 exceeds the gross charge $394
CPT 45335/b
warn
mrf_negotiated_above_gross
highest negotiated rate $265 exceeds the gross charge $252
CPT 58999/b
warn
mrf_negotiated_above_gross
highest negotiated rate $330 exceeds the gross charge $249
CPT 45340/b
warn
mrf_negotiated_above_gross
highest negotiated rate $337 exceeds the gross charge $321
CPT 45346/b
warn
mrf_negotiated_above_gross
highest negotiated rate $843 exceeds the gross charge $803
CPT 45388/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,377 exceeds the gross charge $1,311
CPT 45499/b
warn
mrf_negotiated_above_gross
highest negotiated rate $9,882 exceeds the gross charge $1,577
CPT 36514/b
warn
mrf_negotiated_above_gross
highest negotiated rate $290 exceeds the gross charge $276
CPT 32560/b
warn
mrf_negotiated_above_gross
highest negotiated rate $234 exceeds the gross charge $223
CPT 45999/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,520 exceeds the gross charge $412
CPT 36557/b
warn
mrf_negotiated_above_gross
highest negotiated rate $957 exceeds the gross charge $911
CPT 36560/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,147 exceeds the gross charge $1,092
CPT 36563/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,118 exceeds the gross charge $1,085
CPT 46604/b
warn
mrf_negotiated_above_gross
highest negotiated rate $251 exceeds the gross charge $239
CPT 94640/o
warn
mrf_negotiated_above_gross
highest negotiated rate $143 exceeds the gross charge $136
CPT 36566/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,137 exceeds the gross charge $1,083
CPT 46606/b
warn
mrf_negotiated_above_gross
highest negotiated rate $226 exceeds the gross charge $215
CPT 46611/b
warn
mrf_negotiated_above_gross
highest negotiated rate $230 exceeds the gross charge $227
CPT 46917/b
warn
mrf_negotiated_above_gross
highest negotiated rate $386 exceeds the gross charge $368
CPT 46999/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,520 exceeds the gross charge $1,147
CPT 47379/b
warn
mrf_negotiated_above_gross
highest negotiated rate $10,376 exceeds the gross charge $1,436
CPT 94728/b
warn
mrf_negotiated_above_gross
highest negotiated rate $36 exceeds the gross charge $34
CPT 95805/b
warn
mrf_negotiated_above_gross
highest negotiated rate $167 exceeds the gross charge $159
CPT 27086/b
warn
mrf_negotiated_above_gross
highest negotiated rate $215 exceeds the gross charge $205
CPT 90473/b
warn
mrf_negotiated_above_gross
highest negotiated rate $58 exceeds the gross charge $55
CPT 90473/o
warn
mrf_negotiated_above_gross
highest negotiated rate $58 exceeds the gross charge $55
CPT 27095/b
warn
mrf_negotiated_above_gross
highest negotiated rate $244 exceeds the gross charge $232
CPT 15824/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,541 exceeds the gross charge $3,226
CPT 95819/o
warn
mrf_negotiated_above_gross
highest negotiated rate $165 exceeds the gross charge $157
CPT 0232T/b
warn
mrf_negotiated_above_gross
highest negotiated rate $730 exceeds the gross charge $166
CPT 15876/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,793 exceeds the gross charge $3,999
CPT 15877/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6,082 exceeds the gross charge $5,348
CPT 47579/b
warn
mrf_negotiated_above_gross
highest negotiated rate $9,882 exceeds the gross charge $1,648
CPT 62365/b
warn
mrf_negotiated_above_gross
highest negotiated rate $259 exceeds the gross charge $247
CPT 15953/b
warn
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $328
CPT 90868/b
warn
mrf_negotiated_above_gross
highest negotiated rate $84 exceeds the gross charge $80
CPT 90869/b
warn
mrf_negotiated_above_gross
highest negotiated rate $84 exceeds the gross charge $80
CPT 0335T/b
warn
mrf_negotiated_above_gross
highest negotiated rate $11,861 exceeds the gross charge $7,753
CPT 63650/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,255 exceeds the gross charge $1,195
CPT 76873/b
warn
mrf_negotiated_above_gross
highest negotiated rate $165 exceeds the gross charge $157
CPT 0511T/b
warn
mrf_negotiated_above_gross
highest negotiated rate $11,861 exceeds the gross charge $7,753
CPT 49329/b
warn
mrf_negotiated_above_gross
highest negotiated rate $9,882 exceeds the gross charge $3,085
CPT 91037/b
warn
mrf_negotiated_above_gross
highest negotiated rate $151 exceeds the gross charge $144
CPT 91111/b
warn
mrf_negotiated_above_gross
highest negotiated rate $182 exceeds the gross charge $173
CPT 91200/b
warn
mrf_negotiated_above_gross
highest negotiated rate $32 exceeds the gross charge $31
CPT 10007/b
warn
mrf_negotiated_above_gross
highest negotiated rate $193 exceeds the gross charge $184
CPT 49659/b
warn
mrf_negotiated_above_gross
highest negotiated rate $9,882 exceeds the gross charge $1,896
CPT 92242/b
warn
mrf_negotiated_above_gross
highest negotiated rate $185 exceeds the gross charge $176
CPT 49900/b
warn
mrf_negotiated_above_gross
highest negotiated rate $470 exceeds the gross charge $448
CPT 10011/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,158 exceeds the gross charge $184
CPT 95926/b
warn
mrf_negotiated_above_gross
highest negotiated rate $96 exceeds the gross charge $91
CPT 95927/b
warn
mrf_negotiated_above_gross
highest negotiated rate $88 exceeds the gross charge $84
CPT 19286/b
warn
mrf_negotiated_above_gross
highest negotiated rate $129 exceeds the gross charge $123
CPT 19296/b
warn
mrf_negotiated_above_gross
highest negotiated rate $633 exceeds the gross charge $603
CPT 19499/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6,400 exceeds the gross charge $4,204
CPT 10035/b
warn
mrf_negotiated_above_gross
highest negotiated rate $265 exceeds the gross charge $252
CPT 20101/b
warn
mrf_negotiated_above_gross
highest negotiated rate $603 exceeds the gross charge $587
CPT 64555/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,301 exceeds the gross charge $1,239
MS-DRG 148/i
warn
mrf_negotiated_above_gross
highest negotiated rate $5,688 exceeds the gross charge $5,557
CPT 50549/b
warn
mrf_negotiated_above_gross
highest negotiated rate $10,376 exceeds the gross charge $3,789
CPT 64634/b
warn
mrf_negotiated_above_gross
highest negotiated rate $227 exceeds the gross charge $216
CPT 27880/b
warn
mrf_negotiated_above_gross
highest negotiated rate $762 exceeds the gross charge $726
CPT 50949/b
warn
mrf_negotiated_above_gross
highest negotiated rate $10,376 exceeds the gross charge $3,789
CPT 27899/b
warn
mrf_negotiated_above_gross
highest negotiated rate $403 exceeds the gross charge $295
CPT 96138/o
warn
mrf_negotiated_above_gross
highest negotiated rate $38 exceeds the gross charge $36
CPT 51101/b
warn
mrf_negotiated_above_gross
highest negotiated rate $149 exceeds the gross charge $146
CPT 92612/b
warn
mrf_negotiated_above_gross
highest negotiated rate $112 exceeds the gross charge $107
CPT 11055/b
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $47
CPT 20950/b
warn
mrf_negotiated_above_gross
highest negotiated rate $262 exceeds the gross charge $250
CPT 92700/b
warn
mrf_negotiated_above_gross
highest negotiated rate $28 exceeds the gross charge $27
CPT D0150/b
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $125
CPT D0270/b
warn
mrf_negotiated_above_gross
highest negotiated rate $45 exceeds the gross charge $27
CPT D0272/b
warn
mrf_negotiated_above_gross
highest negotiated rate $69 exceeds the gross charge $43
CPT 11106/b
warn
mrf_negotiated_above_gross
highest negotiated rate $143 exceeds the gross charge $136
CPT D0274/b
warn
mrf_negotiated_above_gross
highest negotiated rate $98 exceeds the gross charge $61
CPT D4273/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,488 exceeds the gross charge $930
CPT D4355/b
warn
mrf_negotiated_above_gross
highest negotiated rate $366 exceeds the gross charge $229
CPT 21215/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,569 exceeds the gross charge $2,447
CPT D7140/b
warn
mrf_negotiated_above_gross
highest negotiated rate $353 exceeds the gross charge $210
CPT D7210/b
warn
mrf_negotiated_above_gross
highest negotiated rate $581 exceeds the gross charge $346
CPT D7220/b
warn
mrf_negotiated_above_gross
highest negotiated rate $712 exceeds the gross charge $424
CPT 21268/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,597 exceeds the gross charge $1,521
CPT 51726/b
warn
mrf_negotiated_above_gross
highest negotiated rate $249 exceeds the gross charge $237
CPT D7230/b
warn
mrf_negotiated_above_gross
highest negotiated rate $912 exceeds the gross charge $543
CPT D7240/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,062 exceeds the gross charge $632
CPT D7241/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,057 exceeds the gross charge $684
CPT 51728/b
warn
mrf_negotiated_above_gross
highest negotiated rate $304 exceeds the gross charge $290
CPT D7250/b
warn
mrf_negotiated_above_gross
highest negotiated rate $689 exceeds the gross charge $410
CPT D7261/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,057 exceeds the gross charge $890
CPT 38589/b
warn
mrf_negotiated_above_gross
highest negotiated rate $9,882 exceeds the gross charge $3,646
CPT D9930/b
warn
mrf_negotiated_above_gross
highest negotiated rate $155 exceeds the gross charge $97
CPT 78226/b
warn
mrf_negotiated_above_gross
highest negotiated rate $104 exceeds the gross charge $99
CPT 96446/b
warn
mrf_negotiated_above_gross
highest negotiated rate $230 exceeds the gross charge $219
CPT D9944/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,043 exceeds the gross charge $652
CPT D9950/b
warn
mrf_negotiated_above_gross
highest negotiated rate $466 exceeds the gross charge $291
CPT 51797/b
warn
mrf_negotiated_above_gross
highest negotiated rate $119 exceeds the gross charge $113
CPT 65778/b
warn
mrf_negotiated_above_gross
highest negotiated rate $164 exceeds the gross charge $156
CPT 51999/b
warn
mrf_negotiated_above_gross
highest negotiated rate $10,376 exceeds the gross charge $3,789
CPT 21743/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,349 exceeds the gross charge $4,090
CPT 52214/b
warn
mrf_negotiated_above_gross
highest negotiated rate $517 exceeds the gross charge $492
CPT 52224/b
warn
mrf_negotiated_above_gross
highest negotiated rate $597 exceeds the gross charge $569
CPT 22310/b
warn
mrf_negotiated_above_gross
highest negotiated rate $92 exceeds the gross charge $88
CPT 40806/b
warn
mrf_negotiated_above_gross
highest negotiated rate $91 exceeds the gross charge $87
CPT 22510/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,310 exceeds the gross charge $1,248
CPT 22512/b
warn
mrf_negotiated_above_gross
highest negotiated rate $634 exceeds the gross charge $604
CPT 22513/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,580 exceeds the gross charge $1,505
CPT 22514/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,937 exceeds the gross charge $1,845
CPT 22515/b
warn
mrf_negotiated_above_gross
highest negotiated rate $670 exceeds the gross charge $638
CPT 52441/b
warn
mrf_negotiated_above_gross
highest negotiated rate $626 exceeds the gross charge $596
CPT 22850/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,274 exceeds the gross charge $2,166
CPT 52442/b
warn
mrf_negotiated_above_gross
highest negotiated rate $152 exceeds the gross charge $145
CPT 67700/b
warn
mrf_negotiated_above_gross
highest negotiated rate $261 exceeds the gross charge $249
CPT 40899/b
warn
mrf_negotiated_above_gross
highest negotiated rate $387 exceeds the gross charge $225
CPT 23200/b
warn
mrf_negotiated_above_gross
highest negotiated rate $82 exceeds the gross charge $78
CPT 78761/b
warn
mrf_negotiated_above_gross
highest negotiated rate $102 exceeds the gross charge $97
CPT 53854/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,421 exceeds the gross charge $1,353
CPT 74190/b
warn
mrf_negotiated_above_gross
highest negotiated rate $68 exceeds the gross charge $65
CPT 41130/b
warn
mrf_negotiated_above_gross
highest negotiated rate $598 exceeds the gross charge $570
CPT 97607/b
warn
mrf_negotiated_above_gross
highest negotiated rate $108 exceeds the gross charge $103
CPT 29581/b
warn
mrf_negotiated_above_gross
highest negotiated rate $39 exceeds the gross charge $37
CPT 93321/b
warn
mrf_negotiated_above_gross
highest negotiated rate $22 exceeds the gross charge $21
CPT G2082/b
warn
mrf_negotiated_above_gross
highest negotiated rate $101 exceeds the gross charge $96
CPT G2083/b
warn
mrf_negotiated_above_gross
highest negotiated rate $101 exceeds the gross charge $96
CPT 41820/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,420 exceeds the gross charge $2,763
CPT 41899/b
warn
mrf_negotiated_above_gross
highest negotiated rate $387 exceeds the gross charge $236
CPT 35631/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,308 exceeds the gross charge $1,246
CPT 55873/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,200 exceeds the gross charge $2,095
CPT 86923/b
warn
mrf_negotiated_above_gross
highest negotiated rate $155 exceeds the gross charge $148
CPT 35633/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,510 exceeds the gross charge $1,438
CPT 55874/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,327 exceeds the gross charge $1,264
CPT 86927/b
warn
mrf_negotiated_above_gross
highest negotiated rate $86 exceeds the gross charge $82
CPT L0120/b
warn
mrf_negotiated_above_gross
highest negotiated rate $28 exceeds the gross charge $27
CPT 68399/b
warn
mrf_negotiated_above_gross
highest negotiated rate $519 exceeds the gross charge $306
CPT 30468/b
warn
mrf_negotiated_above_gross
highest negotiated rate $510 exceeds the gross charge $486
CPT 86985/b
warn
mrf_negotiated_above_gross
highest negotiated rate $182 exceeds the gross charge $173
CPT 75600/b
warn
mrf_negotiated_above_gross
highest negotiated rate $76 exceeds the gross charge $72
CPT 30903/b
warn
mrf_negotiated_above_gross
highest negotiated rate $239 exceeds the gross charge $228
CPT 30905/b
warn
mrf_negotiated_above_gross
highest negotiated rate $317 exceeds the gross charge $302
CPT 31000/b
warn
mrf_negotiated_above_gross
highest negotiated rate $35 exceeds the gross charge $33
CPT 43200/b
warn
mrf_negotiated_above_gross
highest negotiated rate $272 exceeds the gross charge $262
CPT 43202/b
warn
mrf_negotiated_above_gross
highest negotiated rate $364 exceeds the gross charge $347
CPT 43220/b
warn
mrf_negotiated_above_gross
highest negotiated rate $418 exceeds the gross charge $398
CPT 81220/b
warn
mrf_negotiated_above_gross
highest negotiated rate $285 exceeds the gross charge $271
CPT 93594/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,299 exceeds the gross charge $1,150
CPT L3763/b
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $225
CPT 31231/b
warn
mrf_negotiated_above_gross
highest negotiated rate $185 exceeds the gross charge $182
CPT 43226/b
warn
mrf_negotiated_above_gross
highest negotiated rate $396 exceeds the gross charge $386
CPT 43227/b
warn
mrf_negotiated_above_gross
highest negotiated rate $505 exceeds the gross charge $481
CPT 93597/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,299 exceeds the gross charge $1,150
CPT 43229/b
warn
mrf_negotiated_above_gross
highest negotiated rate $700 exceeds the gross charge $667
CPT L3901/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,311 exceeds the gross charge $1,249
CPT 99489/b
warn
mrf_negotiated_above_gross
highest negotiated rate $77 exceeds the gross charge $74
CPT 75807/b
warn
mrf_negotiated_above_gross
highest negotiated rate $195 exceeds the gross charge $186
CPT 31255/b
warn
mrf_negotiated_above_gross
highest negotiated rate $163 exceeds the gross charge $155
CPT 31295/b
warn
mrf_negotiated_above_gross
highest negotiated rate $475 exceeds the gross charge $452
CPT 43245/b
warn
mrf_negotiated_above_gross
highest negotiated rate $536 exceeds the gross charge $510
CPT 43249/b
warn
mrf_negotiated_above_gross
highest negotiated rate $468 exceeds the gross charge $446
CPT 81324/b
warn
mrf_negotiated_above_gross
highest negotiated rate $715 exceeds the gross charge $681
CPT 43255/b
warn
mrf_negotiated_above_gross
highest negotiated rate $607 exceeds the gross charge $578
CPT 12053/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 25535/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 31502/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 36224/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 57460/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 69620/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 75833/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 81342/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 87529/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 93622/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 A4300/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0696/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L4386/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 12054/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 25560/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item