Service
Code
Listed
Cash
Negotiated
Rates
Checks
INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE - HOSPITAL ER
$1,955
$1,955
$98
1
clean
INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
$8,687
$8,687
$434
1
clean
INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE
$3,275
$3,275
$400
1
clean
DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM OR LESS
$2,583
$2,583
$394
3
clean
PARING OR CUTTING OF BENIGN HYPERKERATOTIC LESION
$1,798
$1,798
$170
4
clean
PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4
$372
$372
$153
2
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT
$1,524
$1,524
$1,524
1
clean
AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1
$2,100
$2,100
$368
2
clean
EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE
$3,460
$3,460
$366
3
clean
BIOPSY NAIL UNIT SEPARATE PROCEDURE
$3,540
$3,540
$698
1
clean
WEDGE EXCISION SKIN NAIL FOLD
$746
$746
$224
3
clean
SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREMITIES (INCLUDING HANDS AND FEET); 2.5 CM OR LESS
$1,532
$1,532
$77
1
clean
SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 2.5 CM OR LESS
$1,500
$1,500
$788
2
clean
REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA
$120
$120
$22
1
clean
MASTOTOMY WITH EXPLORATION OR DRAINAGE OF ABSCESS,
$6,610
$6,610
$2,627
1
clean
US BREAST BIOPSY, FIRST LESION
$3,477
$3,477
$1,546
2
clean
BIOPSY OF BREAST; OPEN, INCISIONAL
$13,377
$13,377
$3,759
1
clean
INJECTION(S); SINGLE TENDON SHEATH, OR LIGAMENT, APONEUROSIS (EG, PLANTAR 'FASCIA')
$1,500
$1,500
$344
6
clean
INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S)
$2,340
$2,340
$292
4
clean
ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, SMALL JOINT
$1,200
$1,200
$276
2
clean
ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, INTERMEDIATE JOINT OR BURSA
$2,390
$2,390
$1,016
4
clean
ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US
$1,607
$1,607
$627
1
clean
ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR
$2,390
$2,390
$290
26
clean
ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT
$3,982
$3,982
$307
13
clean
DRAINAGE OF FINGER ABSCESS; SIMPLE
$1,610
$1,610
$81
1
clean
TENDON SHEATH INCISION (EG, FOR TRIGGER FINGER)
$6,745
$6,745
$1,577
1
clean
REMOVAL OF FOREIGN BODY, FOOT; SUBCUTANEOUS
$7,235
$7,235
$2,170
1
clean
APPLICATION, CAST; ELBOW TO FINGER (SHORT ARM)
$1,595
$1,595
$262
2
clean
APPLICATION OF LONG ARM SPLINT
$664
$664
$158
1
clean
ARTHROSCOPY, SHOULDER, SURGICAL; DEBRIDEMENT,
$12,971
$12,971
$5,641
2
clean
ARTHROSCOPY, SHOULDER, SURGICAL; WITH ROTATOR CUFF REPAIR
$27,490
$27,490
$7,041
1
clean
ARTHROSCOPY, KNEE, SURGICAL; WITH LATERAL RELEASE
$12,971
$12,971
$2,600
1
clean
ARTHROSCOPY, KNEE, SURGICAL; SYNOVECTOMY, MAJOR, 2 OR MORE COMPARTMENTS
$12,974
$12,974
$3,198
2
clean
ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOM
$12,971
$12,971
$5,356
3
clean
ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCUS REPAIR
$12,971
$12,971
$2,600
1
clean
LARYNGOSCOPY, FLEXIBLE; DIAGNOSTIC
$3,982
$3,982
$195
2
clean
VENOUS BLOOD COLLECTION
$350
$350
$11
16
clean
INSERTION OF TUNNELED CENTRALLY INSERTED CVC
$10,250
$10,250
$3,035
2
clean
INSERTION OF PERIPHERALLY INSERTED CENTRAL VENOUS CATH (PICC)
$3,982
$3,982
$1,125
2
clean
REMOVAL OF TUNNELED CENTRAL VENOUS CATHETER
$3,004
$3,004
$619
19
clean
COLLECTION OF BLOOD SPECIMEN USING ESTABLISHED CENTRAL OR PERIPHERAL CATHETER, VENOUS, NOT OTHERWISE SPECIFIED
$550
$550
$550
1
clean
INTRODUCTION OF NEEDLE(S) AND/OR CATHETER(
$20,000
$20,000
$5,597
17
clean
TRANSLUMINAL BALLOON ANGIOPLASTY
$32,000
$32,000
$5,655
6
clean
BIOPSY OR EXCISION OF LYMPH NODE(S); BY NEEDLE,
$6,610
$6,610
$1,638
2
clean
BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN,
$13,377
$13,377
$3,835
3
clean
PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC
$1,450
$1,450
$239
3
clean
BIOPSY OF LIVER, NEEDLE; PERCUTANEOU
$6,610
$6,610
$1,597
1
clean
ER PROCEDURE; INSERT GASTROSTOMY TUBE PERCUTANEOUS
$3,085
$3,085
$1,862
2
clean
REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS
$8,208
$8,208
$920
8
clean
INSERTION OF TEMPORARY INDWELLING BLADDER CATHETER (FOLEY)
$1,003
$1,003
$124
4
clean
MYELOGRAPHY VIA LUMBAR INJECTION, INCLUDING RADIOL
$3,337
$3,337
$783
1
clean
LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION
$27,490
$27,490
$7,951
2
clean
PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY, EPIDURAL
$8,208
$8,208
$6,442
7
clean
INJECTION, ANESTHETIC AGENT; GREATER OCCIPITAL
$1,500
$1,500
$274
10
clean
INJECTION AA&/STRD OTHER PERIPHERAL NERVE/BRANCH - HOSPITAL FEE
$1,400
$1,400
$682
1
clean
INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; PLANTAR COMMON DIGITAL NERVE(S) (EG, MORTON'S NEUROMA)
$3,400
$3,400
$296
1
clean
INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT); LUMBAR OR SACRAL, SINGLE LEVEL
$3,296
$3,296
$833
3
clean
INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT); LUMBAR OR SACRAL, EACH ADDITIONAL LEVEL
$1,648
$1,648
$465
5
clean
INJECTION(S), DIAGNOSTIC OR THERAPEUTIC AGENT
$3,296
$3,296
$876
10
clean
INJECTION(S), DIAGNOSTIC OR THERAPEUTIC AGENT EACH ADD
$1,648
$1,648
$304
3
clean
INJECTION(S), DIAGNOSTIC OR THERAPEUTIC AGENT, PARAVERTEBRAL FACET (ZYGAPOPHYSEAL) JOINT (OR NERVES INNERVATING THAT JOINT) WITH IMAGE GUIDANC
$3,296
$3,296
$669
17
clean
INJECTION(S), DIAGNOSTIC OR THERAPEUTIC AGENT, PARAVERTEBRAL FACET JOINT EACH ADDITIONAL
$1,648
$1,648
$116
5
clean
INJECTION(S), DIAGNOSTIC OR THERAPEUTIC AGENT, PAR
$1,648
$1,648
$69
2
clean
CHEMODENERVATION OF MUSCLE(S); MUSCLE(S) INNERVATE
$3,982
$3,982
$296
3
clean
DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT
$7,898
$7,898
$1,281
7
clean
DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET EACH ADD
$3,949
$3,949
$224
2
clean
DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL
$7,897
$7,897
$1,281
13
clean
DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE(S), WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT); LUMBAR OR SACRAL, EACH ADDITIONAL
$1,500
$1,500
$268
6
clean
NEUROPLASTY AND/OR TRANSPOSITION; ULNAR NERVE ELBOW
$7,898
$7,898
$1,924
1
clean
REMOVAL IMPACTED CERUMEN USING IRRIGATION/
$275
$275
$50
2
clean
XR JAW, COMPLETE, 4+ VWS
$1,763
$1,763
$102
1
clean
XR FACIAL BONES, <3 VIEWS
$822
$822
$88
1
clean
XR SINUSES, PARANASAL COMPLETE, 3+ VWS
$905
$905
$88
1
clean
XR SKULL, <4 VWS
$1,173
$1,173
$107
3
clean
XR SKULL 4+ VIEWS
$1,133
$1,133
$105
3
clean
XR NECK & SOFT TISSUE
$454
$454
$81
3
clean
CT HEAD/BRAIN; WO DYE
$4,979
$4,979
$107
19
clean
CT HEAD/BRAIN; WO & W DYE
$6,140
$6,140
$175
1
clean
CT ORBIT/SELLA/POST FOSSA/EAR WO DYE
$4,902
$4,902
$180
6
clean
CT FACE; WO DYE
$4,845
$4,845
$216
8
clean
CT FACE; W DYE
$4,853
$4,853
$335
2
clean
CT FACE; WO & W DYE
$4,837
$4,837
$2,418
2
clean
CT NECK, SOFT TISSUE; WO DYE
$5,380
$5,380
$324
4
clean
CT NECK, SOFT TISSUE; W DYE
$6,002
$6,002
$206
4
clean
CT NECK, SOFT TISSUE; WO & W DYE
$7,745
$7,745
$169
2
clean
CT ANGIOGRAPHY, HEAD; W/DYE/NONDYE
$6,510
$6,510
$233
7
clean
CT ANGIOGRAPHY, NECK; W/DYE/NONDYE
$6,557
$6,557
$415
3
clean
MRI ORBIT FACE & NECK; WO DYE
$4,291
$4,291
$516
1
clean
MRI ORBIT FACE & NECK; WO & W DYE
$3,707
$3,707
$3,707
1
clean
MRA HEAD W/O CONTRST MATERIAL
$6,159
$6,159
$530
2
clean
MRA HEAD WO & W DYE
$8,920
$8,920
$349
1
clean
MRA NECK WO DYE
$1,474
$1,474
$509
2
clean
MRI BRAIN BRAIN STEM WO DYE
$4,800
$4,800
$242
23
clean
MRI BRAIN BRAIN STEM W DYE
$4,648
$4,648
$358
2
clean
MRI BRAIN BRAIN STEM WO & W DYE
$5,141
$5,141
$358
26
clean
XR CHEST, SINGLE VIEW
$621
$621
$87
22
clean
XR CHEST, 2 VIEWS
$621
$621
$87
23
clean
XR RIBS, UNILAT, 2 VWS
$638
$638
$87
10
clean
XR RIBS, UNILAT W POSTEROANT CHEST, 3+ VWS
$777
$777
$107
3
clean
XR RIBS, BILAT W POSTEROANT CHEST, 4+ VWS
$788
$788
$139
2
clean
XR STERNUM 2+ VIEWS
$683
$683
$139
1
clean
CT THORAX WO DYE
$5,260
$5,260
$107
15
clean
CT THORAX W DYE
$7,164
$7,164
$176
9
clean
CT THORAX WO & W DYE
$5,305
$5,305
$175
3
clean
LOW DOSE CT SCAN (LDCT) FOR LUNG CANCER SCREENING
$6,817
$6,817
$105
16
clean
CT ANGIOGRAPHY, CHEST; W/DYE/NONDYE
$4,581
$4,581
$206
8
clean
MRI CHEST W/O DYE
$4,462
$4,462
$242
1
clean
MRI CHEST W/O & W/DYE
$7,164
$7,164
$358
1
clean
XR SPINE, CERVICAL NECK 2-3 VWS
$701
$701
$87
11
clean
XR SPINE, CERVICAL NECK 4-5 VWS
$1,022
$1,022
$76
8
clean
XR SPINE, THORACIX 2 VWS
$900
$900
$105
7
clean
XR SPINE, THORACIC 3 VWS
$942
$942
$106
4
clean
XR SPINE, THORACIC 4+ VWS
$942
$942
$102
1
clean
XR SPINE, ENTIRE W SKULL, 1 VW
$678
$678
$87
1
clean
XR SCOLIOSIS SPINE, ENTIRE W SKULL, 2-3 VWS
$980
$980
$75
2
clean
XR SPINE, LUMBOSACRAL 2-3 VIEWS
$1,156
$1,156
$105
24
clean
XR SPINE, LUMBOSACRAL, 4+ VWS
$1,156
$1,156
$107
5
clean
CT SPINE, CERVICAL; WO DYE
$6,817
$6,817
$173
16
clean
CT SPINE, THORACIC; WO DYE
$6,920
$6,920
$257
8
clean
CT SPINE, LUMBAR; WO DYE
$5,758
$5,758
$103
14
clean
MRI SPINAL CANAL, CERVICAL; WO DYE
$6,334
$6,334
$374
7
clean
MRI SPINAL CANAL, THOACIC WO DYE
$5,286
$5,286
$374
3
clean
MRI SPINAL CANAL, LUMBAR; WO DYE
$6,158
$6,158
$280
18
clean
MRI SPINAL CANAL, CERVICAL; WO & W DYE
$10,204
$10,204
$358
3
clean
MRI SPINAL CANAL, THORACIC WO & W DYE
$9,811
$9,811
$541
2
clean
MRI SPINAL CANAL, LUMBAR WO & W DYE
$9,930
$9,930
$336
5
clean
XR PELVIS 1-2 VIEWS
$638
$638
$137
2
clean
CT PELVIS; WO DYE
$4,589
$4,589
$163
2
clean
MRI PELVIS; WO DYE
$4,898
$4,898
$900
1
clean
MRI PELVIS; WO & W DYE
$4,497
$4,497
$335
5
clean
XR SI JOINTS, 3+ VWS
$911
$911
$22
1
clean
XR SACRUM/COCCYX 2+ VIEWS
$678
$678
$88
2
clean
XR CLAVICLE COMPLETE
$600
$600
$208
2
clean
XR SHOULDER, COMPLETE, 2+ VWS
$801
$801
$87
34
clean
XR HUMERUS, 2+ VWS
$595
$595
$85
6
clean
XR ELBOW COMPLETE MINIMUM 3 VIEWS
$709
$709
$114
12
clean
XR FOREARM, 2 VIEWS
$571
$571
$24
3
clean
XR WRIST, COMPLETE, 3+ VWS
$673
$673
$84
8
clean
XR HAND, 3+ VWS
$653
$653
$87
12
clean
XR FINGER(S) 2+ VIEWS
$485
$485
$88
7
clean
CT EXTREMITY, UPPER; WO DYE
$4,457
$4,457
$107
4
clean
CT EXTREMITY, UPPER; W DYE
$4,696
$4,696
$342
1
clean
CT EXTREMITY, UPPER; WO & W DYE
$4,045
$4,045
$178
1
clean
MRI EXTREMITY, UPPER, NO JOINT; WO DYE
$3,317
$3,317
$374
1
clean
MRI JOINT, ANY UPPER EXTREMITY; WO DYE
$7,911
$7,911
$280
10
clean
XR HIP, UNILATERAL, W PELVIS WHEN PERFORMED; 2-3 VIEWS
$482
$482
$87
24
clean
XR HIPS, BILATATERAL, W PELVIS WHEN PERFORMED; 3-4 VIEWS
$906
$906
$107
5
clean
XR HIPS, BILATERAL, W PELVIS; MIN 5 VIEWS
$906
$906
$107
1
clean
XR FEMUR; MINIMUM 2 VIEWS
$906
$906
$84
6
clean
XR KNEE; 1-2 VWS
$564
$564
$65
8
clean
XR KNEE; 3 VWS
$615
$615
$88
15
clean
XR KNEE, COMPLETE, 4+ VWS
$758
$758
$106
4
clean
XR KNEE; BILAT, STANDING, ANTEROPOST
$707
$707
$88
1
clean
XR TIBIA & FIBULA; 2 VWS
$784
$784
$87
12
clean
XR ANKLE, COMPLETE, 3+ VWS
$765
$765
$84
22
clean
XR FOOT, COMPLETE; 3+ VWS
$758
$758
$87
28
clean
XR CALCANEUS; 2+ VWS
$536
$536
$44
1
clean
XR TOE(S); 2+ VWS
$506
$506
$88
2
clean
CT EXTREMITY, LOWER; WO DYE
$3,975
$3,975
$105
10
clean
CT EXTREMITY, LOWER; W DYE
$4,564
$4,564
$178
3
clean
CT EXTREMITY, LOWER; W & WO DYE
$6,932
$6,932
$166
1
clean
CT ANGIOGRAPHY, EXTREMITY, LOWER; W/DYE/NONDYE
$3,685
$3,685
$210
2
clean
MRI EXTREMITY, LOWER, NO JOINT; WO DYE
$6,705
$6,705
$304
6
clean
MRI JOINT, ANY LOWER EXTREM; WO DYE
$6,923
$6,923
$312
11
clean
MRI JOINT, ANY LOWER EXTREM; W DYE
$3,227
$3,227
$900
1
clean
XR, ABDOMEN; 1 VIEW
$621
$621
$86
12
clean
XR, ABDOMEN; 2 VIEWS
$1,187
$1,187
$138
4
clean
XR ABDOMEN; COMP ACUTE SERIES; SUPINE, ERECT &/OR DECUBI VIEWS, W 1 CHEST VW
$741
$741
$40
3
clean
CT ANGIOGRAPHY, ABDOMEN AORTA & BILAT ILIOFEM LEXT; W/DYE/NONDYE
$5,643
$5,643
$402
2
clean
CT ABDOMEN & PELVIS; W/O DYE
$10,701
$10,701
$242
19
clean
CT ABDOMEN & PELVIS; W DYE
$11,642
$11,642
$358
19
clean
CT ABDOMEN & PELVIS WO & W CONTRST 1/> BODY REGIONS
$9,374
$9,374
$357
12
clean
MRI ABDOMEN W/O CONTRAST MATERIAL
$5,000
$5,000
$242
1
clean
MRI ABDOMEN W&W/OUT CONTRAST
$4,400
$4,400
$405
4
clean
RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY (BARIUM)
$1,283
$1,283
$88
1
clean
XR BARIUM SWALLOW W CINE/VIDEO
$1,227
$1,227
$172
1
clean
COMPUTED TOMOGRAPHIC ANGIOGRAPHY, HEART, CORONARY ARTERIES AND BYPASS GRAFTS
$4,800
$4,800
$399
6
clean
CT ABDOMEN AORTA ANGIOGRAPHY & BILAT ILIOFEMORAL W DYE
$7,187
$7,187
$166
2
clean
VENOGRAPHY, EXTREMITY, BILATERAL, RADIOLOGICAL SUP
$2,500
$2,500
$50
1
clean
FL (SEPARATE PDX), UP TO 1 HOUR PHYSICIAN/PROFESSIONAL TIME
$2,278
$2,278
$237
27
clean
US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM
$1,384
$1,384
$107
11
clean
ULTRASOUND, CHEST (INCLUDES MEDIASTINUM), REAL TIM
$1,384
$1,384
$102
1
clean
US BREAST, UNILATERAL, COMPLETE
$736
$736
$79
4
clean
US BREAST, UNILATERAL, LIMITED
$561
$561
$86
11
clean
US ABDOMINAL REAL TIME W/IMAGE COMPLETE
$1,895
$1,895
$106
28
clean
US ABDOMINAL REAL TIME W/IMAGE LIMITED
$1,406
$1,406
$104
17
clean
US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA
$565
$565
$105
5
clean
US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE
$1,754
$1,754
$103
10
clean
US RETROPERITONEAL REAL TIME W/IMAGE LIMITED
$1,764
$1,764
$105
14
clean
US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT
$1,212
$1,212
$107
1
clean
US PREGNANT UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION
$2,046
$2,046
$84
2
clean
US PREGNANT UTERUS LIMITED 1/> FETUSES
$713
$713
$65
2
clean
US PREGNANT UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG
$987
$987
$90
4
clean
US TRANSVAGINAL
$1,192
$1,192
$102
14
clean
US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE
$1,599
$1,599
$103
12
clean
ULTRASOUND, PELVIC (NONOBSTETRIC), REAL TIME
$1,120
$1,120
$107
10
clean
US SCROTUM AND CONTENTS
$1,405
$1,405
$107
3
clean
US TRANSRECTAL
$1,778
$1,778
$103
4
clean
US AXILLA, UNILATERAL, COMPLETE
$725
$725
$107
2
clean
US EXTREMITY NON-VASC REAL-TIME IMG LMTD
$1,566
$1,566
$106
4
clean
Showing the first 200 of 535 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 29881/b
warn
mrf_negotiated_above_gross
highest negotiated rate $19,021 exceeds the gross charge $12,971
CPT 36902/b
warn
mrf_negotiated_above_gross
highest negotiated rate $20,242 exceeds the gross charge $20,000
CPT 37280/b
warn
mrf_negotiated_above_gross
highest negotiated rate $35,963 exceeds the gross charge $35,383
CPT 64635/b
warn
mrf_negotiated_above_gross
highest negotiated rate $8,208 exceeds the gross charge $7,897
CPT G0008/b
warn
mrf_negotiated_above_gross
highest negotiated rate $129 exceeds the gross charge $85
CPT G0378/b
warn
mrf_negotiated_above_gross
highest negotiated rate $830 exceeds the gross charge $83
MS-DRG 180/i
warn
mrf_negotiated_above_gross
highest negotiated rate $75,549 exceeds the gross charge $49,278
MS-DRG 307/i
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
MS-DRG 310/i
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
MS-DRG 312/i
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
MS-DRG 313/i
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
MS-DRG 314/i
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
MS-DRG 316/i
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
MS-DRG 379/i
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
MS-DRG 392/i
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 395/i
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
MS-DRG 437/i
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
MS-DRG 442/i
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
MS-DRG 443/i
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
MS-DRG 446/i
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
MS-DRG 451/i
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
MS-DRG 473/i
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
MS-DRG 517/i
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
MS-DRG 538/i
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
MS-DRG 552/i
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
MS-DRG 554/i
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
MS-DRG 556/i
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
MS-DRG 558/i
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
MS-DRG 561/i
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
MS-DRG 563/i
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
MS-DRG 566/i
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
MS-DRG 594/i
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
MS-DRG 596/i
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
MS-DRG 601/i
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
MS-DRG 603/i
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
MS-DRG 605/i
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
MS-DRG 607/i
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
MS-DRG 637/i
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
MS-DRG 638/i
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
MS-DRG 639/i
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
MS-DRG 641/i
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
MS-DRG 642/i
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
MS-DRG 645/i
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
MS-DRG 674/i
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
MS-DRG 682/i
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
MS-DRG 683/i
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
MS-DRG 684/i
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
MS-DRG 690/i
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
MS-DRG 694/i
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
MS-DRG 696/i
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
MS-DRG 700/i
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
MS-DRG 726/i
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
MS-DRG 728/i
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
MS-DRG 759/i
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
MS-DRG 761/i
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
MS-DRG 778/i
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
MS-DRG 812/i
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
MS-DRG 816/i
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
MS-DRG 833/i
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
MS-DRG 866/i
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
MS-DRG 871/i
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
MS-DRG 880/i
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
MS-DRG 884/i
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
MS-DRG 887/i
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
MS-DRG 894/i
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
MS-DRG 897/i
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
MS-DRG 914/i
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
MS-DRG 916/i
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
MS-DRG 918/i
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 919/i
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
MS-DRG 921/i
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
MS-DRG 923/i
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
MS-DRG 948/i
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
MS-DRG 950/i
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
MS-DRG 951/i
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11730/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 20600/b
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 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 29075/b
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 29876/b
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 36415/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 51702/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64405/b
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 70551/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 70552/b
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 70553/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 71100/b
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 72050/b
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 72100/b
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 72220/b
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 73030/b
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 73060/b
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 73080/b
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 73130/b
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 73502/b
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 73552/b
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 73560/b
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 73590/b
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 73610/b
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 73630/b
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 73660/b
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 74018/b
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 74019/b
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 76000/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 76700/b
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 76775/b
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 76805/b
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 76815/b
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 76817/b
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 76830/b
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 76857/b
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 76881/b
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 76882/b
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 80053/b
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 80061/b
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 80305/b
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 80307/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 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, max differ, so no cross-line comparison was made for this item
CPT 85025/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85610/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85652/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85730/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90471/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 90662/b
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 90715/b
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 93306/b
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 93925/b
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 93926/b
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 94760/b
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 95913/b
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 97110/b
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 97530/b
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 99283/b
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 C1713/b
info
mrf_item_fields_vary
this code and setting cover at least 1369 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1760/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 C1762/b
info
mrf_item_fields_vary
this code and setting cover at least 49 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C1778/b
info
mrf_item_fields_vary
this code and setting cover at least 24 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1781/b
info
mrf_item_fields_vary
this code and setting cover at least 31 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1820/b
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT G0101/b
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 G0444/b
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 G0463/b
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 J0666/b
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 L8679/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
MS-DRG 057/i
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
MS-DRG 066/i
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
MS-DRG 069/i
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
MS-DRG 074/i
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
MS-DRG 090/i
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
MS-DRG 093/i
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
MS-DRG 101/i
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
MS-DRG 103/i
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
MS-DRG 123/i
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
MS-DRG 125/i
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
MS-DRG 149/i
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
MS-DRG 153/i
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
MS-DRG 156/i
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
MS-DRG 159/i
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
MS-DRG 177/i
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
MS-DRG 192/i
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
MS-DRG 193/i
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
MS-DRG 195/i
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
MS-DRG 203/i
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
MS-DRG 204/i
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
MS-DRG 206/i
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
MS-DRG 252/i
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
MS-DRG 254/i
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
MS-DRG 264/i
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
MS-DRG 291/i
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
MS-DRG 300/i
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
MS-DRG 301/i
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
MS-DRG 303/i
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
MS-DRG 305/i
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