Service
Code
Listed
Cash
Negotiated
Rates
Checks
FNA BX W/O IMG GDN EA ADDL
—
—
$4,758
13
clean
BCE Fine needle aspiration biopsy,ultrasound guidance; first lesion 10005
$3,530
$2,118
$2,252
56
clean
BCE US Fine Needle Aspiration Each Add 10006
$3,530
$2,118
$2,252
39
clean
FNA BX W/FLUOR GDN 1ST LES
—
—
$4,758
14
clean
FINE NEEDLE ASPIRATION BIOPSY; INCLUDING CT GUIDANCE; FIRST LESION 10009
$3,385
$2,031
$3,692
14
clean
FNA BX W/CT GDN EA ADDL
—
—
$4,265
13
clean
FNA BX W/MR GDN 1ST LES
—
—
$4,758
14
clean
FNA BX W/MR GDN EA ADDL
—
—
$4,758
13
clean
ED FINE NEEDLE ASPIRATION; WITHOUT IMAGING GUIDANCE
$1,549
$929
$2,252
28
clean
IMAGE GUIDED FLUID COLLECTION DRAINAGE BY CATHETER; SOFT TISSUE 10030
$2,961
$1,777
$2,252
14
clean
PLMT SFT TISS LOCLZJ DEV 1ST
—
—
$4,758
14
clean
PLMT SFT TISS LOCLZJ DEV EA
—
—
$4,758
13
clean
ACNE SURGERY
—
—
$4,758
14
clean
ED INCISION AND DRAINAGE SIMPLE 10060
$883
$530
$4,068
28
clean
ED INCISION AND DRAINAGE OF ABSCESS
$1,891
$1,135
$2,370
42
clean
ED INCISION AND DRAINAGE OF PILONIDAL CYST; COMPLICATED
$3,495
$2,097
$2,252
28
clean
INCISION AND DRAINAGE PILONIDAL CYST COMPLICATED 10081
$4,087
$2,452
$5,373
14
clean
ED INCISION AND REMOVAL OF FOREIGN BODY
$1,896
$1,138
$3,664
28
clean
INCISION AND DRAINAGE OF CYST 10121
$8,646
$5,188
$2,370
14
clean
ED INCISION AND DRAINAGE OF HEMATIOMA 10140
$4,500
$2,700
$4,068
28
clean
ED PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA, BULLA, OR CYST
$1,543
$926
$2,252
28
clean
ED INCISION AND DRAINAGE, COMPLEX, 10180
$8,646
$5,188
$3,692
28
clean
DEBRIDEMENT OF EXTENSIVE INFECTED SKIN FIRST 10% OF BODY SURFACE 11000
$2,979
$1,787
$2,252
28
clean
DBRDMT ECZ/INFCT SKN EA ADDL
—
—
$2,252
13
clean
DBRDMT SKIN XTRNL GENT&PER
—
—
$4,758
13
clean
DEBRIDEMENT ABDOMINAL WALL 11005
$5,570
$3,342
$8,176
13
clean
DBRDMT SKIN XTRNL GENT PER
—
—
$4,758
13
clean
REMOVAL OF PROSTHETIC MATERIAL OR MESH; ABDOMINAL WALL FOR INFECTION 11008
$2,335
$1,401
$4,486
13
clean
DEBRIDEMENT & REMOVAL OF FOREIGN BODY AT OPEN FRACTURE SITE 11010
$5,234
$3,140
$2,370
28
clean
DEBRIDE SKIN MUSC AT FX SITE
—
—
$2,370
14
clean
DEBRIDEMENT BONE/SKIN/MUSCLE 11012
$6,692
$4,015
$2,370
14
clean
DEBRIDEMENT SUBCUTANEOUS TISSUE FIRST 20CM OR LESS 11042
$1,896
$1,138
$2,370
14
clean
DEBRIDEMENT MUSCLE/FASCIA 20 SQ CM OR LESS 11043
$4,014
$2,408
$8,059
14
clean
DEBRIDEMENT BONE 20 SQ CM OR LESS 11044
$8,226
$4,936
$8,059
14
clean
DEBRIDEMENT SUBCUTANEOUS TISSUE EPI/DERMIS EA. ADD SEG. 20 SQ CM 11045
$1,801
$1,081
$4,265
13
clean
DEBRIDEMENT OF MUSCLE AND/OR FASCIA EPI/DERMIS EA. ADD. 20SQ CM 11046
$2,166
$1,300
$4,068
13
clean
DEBRIDEMENT BONE EA. ADD. 20SQ CM 11047
$3,846
$2,308
$8,059
13
clean
PARING OR CUTTING OF BENIGN SINGLE LESION 11055
$1,031
$619
$2,252
14
clean
PARING OR CUTTING OF BENIGN LESION 2-4 11056
$781
$469
$2,252
14
clean
PARING OR CUTTING OF BENIGN LESION 4+ 11057
$420
$252
$2,370
14
clean
TANGENTIAL BIOPSY OF SKIN SINGLE LESION 11102
$800
$480
$8,059
14
clean
TANGENTIAL BIOPSY OF SKIN EA. ADD. LESION 11103
$411
$247
$4,758
13
clean
PUNCH BIOPSY OF SKIN SINGLE LESION 11104
$1,505
$903
$3,664
14
clean
PUNCH BIOPSY OF SKIN EA. ADD. LESION 11105
$643
$386
$4,758
13
clean
INCISIONAL BIOPSY OF SKIN SINGLE LESION 11106
$2,281
$1,369
$5,373
14
clean
INCISIONAL BIOPSY OF SKIN EA. ADD. LESION 11107
$3,324
$1,994
$2,252
13
clean
REMOVAL OF SKIN TAGS MULTIPLE FIBROCUTANEOUS ANY AREA UP TO 15 LESIONS 11200
$1,422
$853
$2,252
14
clean
RMVL SKIN TAGS EA ADDL 10
—
—
$10,719
13
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$10,719
14
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$4,758
14
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$5,846
14
clean
SHAVE SKIN LESION >2.0 CM
—
—
$2,370
14
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$5,373
14
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$4,758
14
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$4,758
14
clean
SHAVE SKIN LESION >2.0 CM
—
—
$4,758
14
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$4,758
14
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$4,758
14
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$4,758
14
clean
SHAVE SKIN LESION >2.0 CM
—
—
$4,758
14
clean
EXCISION BENIGN LESIONTRUNK 0.5CM OR LESS 11400
$2,728
$1,637
$2,252
14
clean
EXCISION BENIGN LESION TRUNK 0.6CM -1.0CM 11401
$3,321
$1,993
$2,252
14
clean
EXCISION BENIGN LESION TRUNK 1.1CM -2.0CM 11402
$3,495
$2,097
$2,252
14
clean
EXCISION BENIGN LESION TRUNK 2.1CM -3.0CM 11403
$5,541
$3,325
$2,252
14
clean
EXCISION BENIGN LESION TRUNK 3.1CM -4.0CM 11404
$8,226
$4,936
$2,252
14
clean
EXCISION BENIGN LESION TRUNK 4.0CM OR MORE 11406
$8,226
$4,936
$2,370
14
clean
ED EXCISION BENIGN LESION W/MAR. HEAD/NECK/HAND/FT/GENI. 0.5CM OR LESS 11420
$6,583
$3,950
$3,692
28
clean
EXCISION BENIGN LESION W/MARGIN SCALP/NECK/HND/FT/GENT. 0.6 TO 1.0CM 11421
$3,495
$2,097
$2,252
14
clean
EXC. BENIGN LESION W/MARGINS 0.6CM TO 1.0CM 11422
$8,140
$4,884
$3,664
14
clean
EXCISION BENIGN LESION MARGINS EXCEPT SKIN TAG 2.1CM-3.0CM 11423
$5,552
$3,331
$3,692
14
clean
EXCISION BENIGN LESION W/MARGIN SCALP/NECK/HAND/FT/GENT. 3.1 TO 4.0CM 11424
$6,816
$4,090
$4,265
14
clean
EXC. BENIGN LESION W/MARGINS SCALP/NECK/FT/HD/GENT. OVER 4.0CM 11426
$8,834
$5,300
$4,068
14
clean
ED Excision Benign Lesion Facial 0.5cm or less 11440
$3,763
$2,258
$3,664
28
clean
EXCISION BENIGN LESION FACIAL 0.6CM -1.0CM 11441
$3,509
$2,105
$2,370
14
clean
EXCISION BENIGN LESION FACIAL 1.1CM -2.0CM 11442
$3,495
$2,097
$2,252
14
clean
EXCISION BENIGN LESION FACIAL 2.1CM -3.0CM 11443
$4,697
$2,818
$2,252
14
clean
EXC FACE-MM B9+MARG 3.1-4 CM
—
—
$2,252
14
clean
EXC FACE-MM B9+MARG >4 CM
—
—
$2,886
14
clean
ED Excision of skin and subcutaneous tissue for hidradenitis, axillary; 11450
$14,189
$8,513
$4,265
28
clean
EXCISION OF SKIN/TISSUE HIDRADENITIS COMPLEX 11451
$8,624
$5,174
$2,886
14
clean
EXC SKN HDRDNT ING SMPL/NTRM
—
—
$2,886
14
clean
EXC SKN HDRDNT ING COMPLEX
—
—
$2,886
14
clean
EXCISION OF SKIN/TISSUE HIDRADENITIS INTERMEDIATE 11470
$11,198
$6,719
$2,886
14
clean
EXC. OF SKIN AND SUBCU. TISSUE FOR HIDRADENITIS; PERIANAL/PERINEAL/UMBILICAL W/COMPLEX REPAIR 11471
$10,425
$6,255
$2,886
14
clean
EXC TR-EXT MAL+MARG 0.5 CM/<
—
—
$2,252
14
clean
EXC TR-EXT MAL+MARG 0.6-1 CM
—
—
$2,252
14
clean
EXC TR-EXT MAL+MARG 1.1-2 CM
—
—
$3,664
14
clean
EXC TR-EXT MAL+MARG 2.1-3 CM
—
—
$2,252
14
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
—
—
$2,370
14
clean
EXCISION OF MALIGNANT LESION TRUNK OVER 4.0 CM 11606
$8,226
$4,936
$2,252
14
clean
EXC H-F-NK-SP MAL+MARG 0.5/<
—
—
$4,265
14
clean
EXC S/N/H/F/G MAL+MRG 0.6-1
—
—
$2,252
14
clean
EXCISION OF MALIGNANT LESION SCALP 1.1CM TO 2.0CM 11622
$4,933
$2,960
$2,370
14
clean
EXC S/N/H/F/G MAL+MRG 2.1-3
—
—
$2,252
14
clean
EXC S/N/H/F/G MAL+MRG 3.1-4
—
—
$2,370
14
clean
EXCISION OF MALIGNANT LESION SCALP OVER 4.0 CM 11626
$8,331
$4,999
$3,664
14
clean
EXCISION MALIGNANT LESION FACIAL 0.5CM OR LESS 11640
$4,969
$2,981
$2,370
14
clean
EXC F/E/E/N/L MAL+MRG 0.6-1
—
—
$2,370
14
clean
EXCISION MALIGNANT LESION FACIAL 1.1CM -2.0CM 11642
$4,679
$2,807
$2,370
14
clean
EXCISION MALIGNANT LESION FACIAL 2.1CM -3.0CM 11643
$5,072
$3,043
$2,370
14
clean
EXC F/E/E/N/L MAL+MRG 3.1-4
—
—
$3,692
14
clean
EXC F/E/E/N/L MAL+MRG >4 CM
—
—
$2,886
14
clean
TRIMMING OF NONDYSTROPHIC NAILS; ANY NUMBER 11719
$241
$145
$2,252
14
clean
DEBRIDEMENT OF NAIL BY ANY METHOD 1 TO 5 11720
$248
$149
$2,252
28
clean
DEBRIDEMENT OF NAIL(S) BY ANY METHOD; 6 OR MORE 11721
$248
$149
$2,252
14
clean
AVULSION NAIL PLATE PARTIAL OR COMPLETE SIMPLE SINGLE 11730
$1,019
$611
$2,252
28
clean
AVULSION OF NAIL PLATE PARTIAL OR COMP. SIMPLE EA. ADD NAIL PLATE 11732
$952
$571
$2,252
26
clean
ED EVACUATION OF SUBUNGUAL HEMATOMA 11740
$259
$155
$2,252
14
clean
ED EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE, (EG, INGROWN OR DEFORMED NAIL) FOR PERMANE
$1,896
$1,138
$2,252
28
clean
BIOPSY NAIL UNIT
—
—
$2,252
14
clean
ED Repair of nail bed 11760
$2,254
$1,352
$2,252
28
clean
RECONSTRUCTION OF NAIL BED
—
—
$2,370
14
clean
ED WEDGE EXCISION OF SKIN OF NAIL FOLD (EG, FOR INGROWN TOENAIL)
$1,896
$1,138
$2,252
28
clean
EXCISION CYST PILONIDAL SIMPLE 11770
$9,353
$5,612
$2,807
14
clean
EXCISION CYST PILONIDAL EXTENSIVE 11771
$14,189
$8,513
$2,807
14
clean
EXCISION CYST PILONIDAL COMPLICATED 11772
$14,073
$8,444
$2,807
14
clean
INJECTION INTRALESIONAL UP TO 7 LESIONS 11900
$413
$248
$2,252
14
clean
INJECT SKIN LESIONS >7
—
—
$2,252
14
clean
CORRECT SKIN COLOR 6.0 CM/<
—
—
$2,252
14
clean
CORRECT SKN COLOR 6.1-20.0CM
—
—
$2,252
14
clean
CORRECT SKIN COLOR EA 20.0CM
—
—
$2,252
13
clean
TX CONTOUR DEFECTS 1.1-5.0CC
—
—
$4,758
14
clean
INSERT TISSUE EXPANDER(S)
—
—
$5,846
14
clean
REPLACEMENT OF TISSUE EXPANDER W/PERMANENT PROSTHESIS 11970
$15,962
$9,577
$5,651
14
clean
REMOVAL TISSUE EXPANDER(S) W/O INSERTION OF PROSTHESIS 11971
$9,849
$5,909
$4,265
14
clean
IMPLANT HORMONE PELLET(S)
—
—
$2,252
14
clean
INSERTION DRUG DELIVERY IMPLANT 11981
$3,876
$2,326
$10,719
14
clean
REMOVAL-NON BIODEGRADABLE DRUG DELIVERY IMPLANT 11982
$4,442
$2,665
$5,846
14
clean
REMOVE/INSERT DRUG IMPLANT
—
—
$10,719
14
clean
ED Simple repair, superficial; 2.5 cm or less 12001
$518
$311
$2,252
28
clean
ED SIMPLE REPAIR WOUNDS SCALP,NECK,AXILLAE,GEITALIA,TRUNK,EXT. 2.6CM-7.5CM 12002
$543
$326
$2,252
28
clean
ED SIMPLE REPAIR FOR SUPERFICIAL WOUNDS SCALP, 7.6 CM TO12.5 CM
$692
$415
$2,252
14
clean
ED SIMPLE REPAIR SUPERFICIAL WOUNDS SCALP-NECK-AXILLAE-GENITALIA-TRUNK-EXT. 12.6CM-20.0CM 12005
$623
$374
$2,370
14
clean
ED Simple repair of superficial wounds of scalp, neck, axillae 20.1cm to 30.0 cm 12006
$379
$227
$2,370
14
clean
ED Simple repair of superficial wounds ; over 30.0 cm 12007
$2,667
$1,600
$2,370
14
clean
ED SIMPLE REPAIR OF WOUNDS-FACIAL, EARS, MUCOUS MEMBRANES 2.5CM OR LESS
$544
$326
$2,252
28
clean
ED SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE; 2.6-5 cm 12013
$600
$360
$2,370
14
clean
ED Simple repair of superficial wounds of face, 5.1 cm to 7.5 cm 12014
$605
$363
$2,252
14
clean
ED SIMPLE REPAIR SUPERFICIAL WOUNDS FACE/EARS 7.6CM TO 12.5 CM 12015
$521
$313
$2,252
14
clean
ED Simple repair of superficial wounds of face, ears, eyelids, nose, lips 12016
$419
$251
$2,370
14
clean
ED Simple repair of superficial wounds of face, ears, eyelids, nose, lips 20.1 cm to 30.0 cm 12017
$936
$562
$2,370
14
clean
ED Simple repair of superficial wounds of face, ears, eyelids, nose, lips over 30.0 cm 12018
$783
$470
$2,370
14
clean
ED TREATMENT OF WOUND DEHISCENCE , SIMPLE CLOSURE
$2,125
$1,275
$2,252
14
clean
ED TREATMENT OF WOUND DEHISCENCE, WITH PACKING
$1,263
$758
$2,252
14
clean
ED REPAIR WOUND 2.5 CM OR LESS SCALP/AXILLAE, TRUNK/EXTREMITIES EXCLUDING HAND/FOOT 12031
$1,758
$1,055
$4,617
28
clean
ED REPAIR WOUND 2.6 CM TO 7.5 CM SCALP/AXILLAE 12032
$786
$472
$2,252
28
clean
ED Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities 12034
$1,890
$1,134
$2,252
28
clean
ED Repair, intermediate, wounds of scalp, axillae, trunk &/or extremities 12035
$456
$274
$2,370
14
clean
ED Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities 20.1 cm to 30.0 cm 12036
$2,997
$1,798
$4,068
14
clean
ED Repair, intermediate, wounds of scalp, axillae, trunk &/or extremities over30.0 cm 12037
$5,231
$3,139
$4,617
28
clean
ED REPAIR WOUND 2.5 CM OR LESS NECK/HANDS/FEET/EXTERNAL GENITALIA
$749
$449
$2,252
28
clean
ED LAYER CLOSURE OF WOUNDS, 2.6 CM TO 7.5 CM
$960
$576
$2,252
28
clean
ED Repair intermediate wounds of neck, hands, feet &/or external genitalia; 7.6 cm to 12.5 cm 12044
$465
$279
$2,370
14
clean
ED Repair, intermediate, wounds of neck, hands, feet12.6 cm-20.0 cm 12045
$1,981
$1,189
$2,370
28
clean
ED Repair, intermediate, wounds of neck, hands, feet, genitalia; 20.1 cm-30.0 cm 12046
$2,437
$1,462
$2,370
14
clean
ED Repair, intermediate, wounds of neck, hands, feet genitalia; over 30.0 cm 12047
$2,532
$1,519
$2,370
14
clean
ED LAYER CLOSURE OF WOUNDS OF FACE,EARS, ETC
$578
$347
$2,252
14
clean
ED LAYERED CLSOURE FACE WOUND, 2.6-5.0 CM 12052
$592
$355
$4,617
14
clean
ED Repair, intermediate, wounds of face,ears,eyelids,nose,lips&/or mucous mem. 5.1 cm to 7.5 cm12053
$503
$302
$2,252
14
clean
ED Repair, intermediate,wounds of face; 7.6cmto 12.5cm 12054
$256
$154
$2,370
14
clean
ED Repair, intermediate, wounds of face, ears, eyelids, nose, lips mucous mem; 12.6 cm-20.0 cm 12055
$1,347
$808
$2,370
14
clean
ED Repair, intermediate, wounds of face, ears, eyelids, nose, lips; 20.1 cm-30.0 cm 12056
$1,256
$754
$2,370
14
clean
ED Repair, intermediate, wounds of face, ears, eyelids, nose, lips mucous memb. over 30.0 cm 12057
$506
$304
$2,370
14
clean
ED REPAIR COMPLEX, TRUNK ; 1.1 CM TO 2.5 CM
$2,547
$1,528
$2,370
28
clean
ED REPAIR COMPLEX TRUNK 2.6CM-7.5CM
$2,455
$1,473
$3,664
28
clean
ED REPAIR, COMPLEX, TRUNK; EACH ADDITIONAL 5CM OR LESS
$2,419
$1,451
$2,252
13
clean
ED REPAIR COMPLEX, SCALP, ARMS, AND/OR LEGS 1.1CM TO 2.5CM
$1,354
$812
$2,370
14
clean
ED REPAIR COMPLEX SCP ARM LEG 2.6CM-7.5CM
$1,481
$889
$4,068
14
clean
ED REPAIR COMPLEX, SCALP, ARMS, LEGS, EACH ADD 5 CM
$627
$376
$4,617
13
clean
ED REPAIR, COMPLEX, FOREHEAD,CHEEK,CHIN,MOUTH,NECK,AXILLAE,GENITALIA
$773
$464
$2,370
14
clean
ED REPAIR COMX FH CK CHN MO AX GNTL HND FT 2.6-7.5CM
$2,133
$1,280
$3,664
28
clean
ED REP COMPLEX, FOREHEAD CHEEKS CHIN MOUTH EA ADD 5 CM
$345
$207
$4,068
26
clean
ED REPAIR, COMPLEX EYELID, NOSE, EARS 1.1 TO 2.5CM (13151
$1,515
$909
$3,664
28
clean
ED REPAIR COMX EYELID NOSE EAR LIP 2.6-7.5CM
$1,496
$898
$3,664
28
clean
ED REP COMPLEX EYELIDS, NOSE, EARS LIPS EACH ADD 5 CM
$2,187
$1,312
$3,664
26
clean
SECONDARY CLOSURE OF WOUND OR DEHISCENCE-EXTENSIVE OR COMPLICATED 13160
$9,407
$5,644
$5,846
14
clean
ADJACENT TISSUE TRANSFER TRUNK 10 SQ CM OR LESS 14000
$7,463
$4,478
$2,370
14
clean
ADJACENT TISSUE TRANSFER TRUNK 10.1-30.0 SQ CM 14001
$9,525
$5,715
$3,664
14
clean
TIS TRNFR S/A/L 10 SQ CM/<
—
—
$3,692
14
clean
TIS TRNFR S/A/L 10.1-30 SQCM
—
—
$4,068
14
clean
ADJACENT TISSUE TRANSFER FACE 10 SQ CM OR LESS GENITALIA/HANDS/FEET 14040
$9,572
$5,743
$2,370
14
clean
ADJACENT TISSUE TRANSFER FACE DEFECT 10.1 SQ CM TO 30.0 SQ CM GENITALIA/HANDS/FEET 14041
$9,323
$5,594
$4,265
14
clean
ADJACENT TISSUE TRANSFER FACIAL 10SQ CM OR LESS EYELIDS/NOSE/EARS/LIPS 14060
$9,242
$5,545
$4,068
14
clean
TIS TRNFR E/N/E/L10.1-30SQCM
—
—
$3,664
14
clean
ADJACENT TISSUE TRANSFER 30.1-60.0 SQ CM 14301
$9,356
$5,614
$4,376
28
clean
TIS TRNFR ADDL 30 SQ CM
—
—
$5,846
13
clean
FILLETED FINGER/TOE FLAP
—
—
$3,664
14
clean
SURGICAL PREP/CREATION RECIPIENT SITE BY EXCISION/INCISION 1ST 100SQ CM TRUNK-ARMS-LEGS 15002
$6,265
$3,759
$2,370
14
clean
WOUND PREP ADDL 100 CM
—
—
$2,252
13
clean
SURG. PREP/CREATION RECIP. SITE BY EXC./INC. 1ST 100SQ CM FACE-NECK-EARS-GENITALIA-HANDS-FEET 15004
$5,114
$3,068
$4,068
14
clean
WND PREP F/N/HF/G ADDL CM
—
—
$2,252
13
clean
HARVEST CULTURED SKIN GRAFT
—
—
$2,370
14
clean
PINCH GRAFT UP TO 2 CM DIAM
—
—
$2,370
14
clean
SPLIT THICKNESS AUTOGRAFT TRUNK-ARMS -LEGS 1ST 100 SQ CM OR LESS/ 1% BODY AREA INF./CHILDREN 15100
$5,580
$3,348
$3,974
14
clean
SKIN SPLT GRFT T/A/L ADD-ON
—
—
$3,692
13
clean
EPIDRM AUTOGRFT TRNK/ARM/LEG
—
—
$2,370
14
clean
EPIDRM AUTOGRFT T/A/L ADD-ON
—
—
$2,252
13
clean
EPIDRM A-GRFT FACE/NCK/HF/G
—
—
$2,370
14
clean
EPIDRM A-GRFT F/N/HF/G ADDL
—
—
$2,252
13
clean
SPLIT THICKNESS AUTOGRAFT FACE-NECK-EARS-GENITALIA-HANDS-FEET-1ST 100 SQ CM 15120
$9,279
$5,567
$5,373
14
clean
Showing the first 200 of 10,721 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
608 of 2,472 comparable items (25%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $5,511 exceeds the gross charge $3,385
warn
mrf_rate_without_estimate
68 of 68 percentage/algorithm rates across 7 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 58340/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 C9250/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 G0257/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 G0259/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 10140/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 G0260/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 10160/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 29125/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 62270/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 G0277/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 62284/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 G0416/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 62304/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 62305/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 62328/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 P9010/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 P9012/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 P9016/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 differ, so no cross-line comparison was made for this item
CPT P9017/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 P9019/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 P9021/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 P9035/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 P9037/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 P9040/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 11720/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 P9054/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 P9057/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 64445/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 31500/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 31502/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 64483/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 31720/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 32550/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 69210/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 12042/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 74248/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 75825/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 75827/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 76856/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 76870/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 13132/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 76983/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 13133/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 76998/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 77002/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 36430/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 16020/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 36556/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 80047/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 80200/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 36569/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 80320/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 81003/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 36581/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 81025/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 19081/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 36590/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 81240/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 19082/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82043/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 19283/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 36600/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 82247/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 36680/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 82270/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 36907/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 37187/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 82565/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 82803/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 82947/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 20552/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 37221/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 82948/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 83497/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 37248/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 83520/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 20605/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 83605/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 20610/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 37253/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 84154/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 37607/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 84484/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 84702/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 84703/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 85018/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 85060/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 85347/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 86003/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 86148/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 86235/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 86255/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 86256/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 86403/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 86635/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 86689/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 86735/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 43752/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 23350/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 86777/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 86788/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 86789/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86900/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86902/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 86905/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 86920/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 87081/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 87385/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 87493/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 87522/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 46221/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 46600/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 87635/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 47490/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 87798/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 88377/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 89050/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 89055/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 89220/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 90935/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 49083/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 49180/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 92950/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 92977/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 93005/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 93303/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 93312/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 93350/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 27093/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 27096/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 93641/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 93724/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 93880/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 93923/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 93926/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 93970/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 93971/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 94002/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 94003/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 94010/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 27369/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 94060/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 94640/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 differ, so no cross-line comparison was made for this item
CPT 94644/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 94660/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 94664/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 94667/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 94668/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 94762/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 51798/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 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 differ, so no cross-line comparison was made for this item
CPT 96360/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 96361/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96365/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 96366/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 96367/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 96372/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 96373/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 96374/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 96375/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 96379/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 C1849/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 differ, so no cross-line comparison was made for this item
CPT 10005/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 10006/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 10009/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,511 exceeds the gross charge $3,385 — part of a file-wide pattern, counted once at the file level
CPT 28600/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $857 — part of a file-wide pattern, counted once at the file level
CPT 58301/b
info
mrf_negotiated_above_gross
highest negotiated rate $7,101 exceeds the gross charge $981 — part of a file-wide pattern, counted once at the file level
CPT C5275/b
info
mrf_negotiated_above_gross
highest negotiated rate $12,028 exceeds the gross charge $4,744 — part of a file-wide pattern, counted once at the file level
CPT 10021/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $1,549 — part of a file-wide pattern, counted once at the file level
CPT 28630/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $703 — part of a file-wide pattern, counted once at the file level
CPT C5277/b
info
mrf_negotiated_above_gross
highest negotiated rate $7,101 exceeds the gross charge $2,281 — part of a file-wide pattern, counted once at the file level
CPT 10030/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $2,961 — part of a file-wide pattern, counted once at the file level
CPT 28660/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $817 — part of a file-wide pattern, counted once at the file level
CPT 58350/b
info
mrf_negotiated_above_gross
highest negotiated rate $8,726 exceeds the gross charge $5,885 — part of a file-wide pattern, counted once at the file level
CPT C5278/b
info
mrf_negotiated_above_gross
highest negotiated rate $7,101 exceeds the gross charge $1,111 — part of a file-wide pattern, counted once at the file level
CPT 10060/b
info
mrf_negotiated_above_gross
highest negotiated rate $6,071 exceeds the gross charge $883 — part of a file-wide pattern, counted once at the file level
CPT 28665/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $1,416 — part of a file-wide pattern, counted once at the file level
CPT 58400/b
info
mrf_negotiated_above_gross
highest negotiated rate $6,071 exceeds the gross charge $5,570 — part of a file-wide pattern, counted once at the file level
CPT 10061/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,538 exceeds the gross charge $1,891 — part of a file-wide pattern, counted once at the file level
CPT 28705/b
info
mrf_negotiated_above_gross
highest negotiated rate $16,979 exceeds the gross charge $13,469 — part of a file-wide pattern, counted once at the file level
CPT 58700/b
info
mrf_negotiated_above_gross
highest negotiated rate $6,071 exceeds the gross charge $5,570 — part of a file-wide pattern, counted once at the file level
CPT C9772/b
info
mrf_negotiated_above_gross
highest negotiated rate $13,934 exceeds the gross charge $10,901 — part of a file-wide pattern, counted once at the file level
CPT 10081/b
info
mrf_negotiated_above_gross
highest negotiated rate $8,020 exceeds the gross charge $4,087 — part of a file-wide pattern, counted once at the file level
CPT 28735/b
info
mrf_negotiated_above_gross
highest negotiated rate $11,991 exceeds the gross charge $8,479 — part of a file-wide pattern, counted once at the file level
CPT 58740/b
info
mrf_negotiated_above_gross
highest negotiated rate $6,071 exceeds the gross charge $5,570 — part of a file-wide pattern, counted once at the file level
CPT 10120/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,469 exceeds the gross charge $1,896 — part of a file-wide pattern, counted once at the file level
CPT 28825/b
info
mrf_negotiated_above_gross
highest negotiated rate $12,028 exceeds the gross charge $8,239 — part of a file-wide pattern, counted once at the file level
CPT 60100/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $1,563 — part of a file-wide pattern, counted once at the file level
CPT 28899/b
info
mrf_negotiated_above_gross
highest negotiated rate $12,028 exceeds the gross charge $7,798 — part of a file-wide pattern, counted once at the file level
CPT 61050/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $1,488 — part of a file-wide pattern, counted once at the file level
CPT 29105/b
info
mrf_negotiated_above_gross
highest negotiated rate $8,020 exceeds the gross charge $645 — part of a file-wide pattern, counted once at the file level
CPT 61055/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $1,295 — part of a file-wide pattern, counted once at the file level
CPT G0269/b
info
mrf_negotiated_above_gross
highest negotiated rate $12,028 exceeds the gross charge $1,362 — part of a file-wide pattern, counted once at the file level
CPT 11000/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $2,979 — part of a file-wide pattern, counted once at the file level
CPT 11005/b
info
mrf_negotiated_above_gross
highest negotiated rate $12,203 exceeds the gross charge $5,570 — part of a file-wide pattern, counted once at the file level
CPT 29126/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $641 — part of a file-wide pattern, counted once at the file level
CPT 62272/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $3,316 — part of a file-wide pattern, counted once at the file level