| Ablation av node (93650) |
$17,949.10 |
$27,614 |
2.2× |
| Advance care planning first 30 mins (99497) |
$518.70 |
$798 |
4.9× |
| Aep hearing status deter broadband stimuli i&r (92651) |
$1,012.70 |
$1,558 |
4.5× |
| Aep neurodiagnostic interpretation and report (92653) |
$1,012.70 |
$1,558 |
4.5× |
| Aep Thrshld Est Mlt Freq I&R (92652) |
$1,012.70 |
$1,558 |
4.5× |
| Airway inhalation treatment (94640) |
$1,559.02 |
$2,398.50 |
6.8× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) |
$107.25 |
$165 |
2.8× |
| Allg tstg perq & ic venoms immed react w/ i&r (95017) |
$59.15 |
$91 |
2.0× |
| Ambulatory Bp Analysis (93788) |
$601.90 |
$926 |
4.3× |
| Ambulatory Bp Recording (93786) |
$601.90 |
$926 |
4.3× |
| Analyze neurostim complex (95972) |
$514.15 |
$791 |
5.2× |
| Analyze neurostim no prog (95970) |
$722.15 |
$1,111 |
5.2× |
| Analyze neurostim simple (95971) |
$514.15 |
$791 |
5.2× |
| Anogenital examination, magnified, in childhood for suspected trauma, including image recording when performed Facility (99170) |
$939.90 |
$1,446 |
4.5× |
| Anrct mano rct sensation&rct balo expulsion test (91125) |
$1,425.45 |
$2,193 |
3.7× |
| Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) |
$481.65 |
$741 |
3.5× |
| Ant Sgm Imaging W/Microscopy Endothelial Analy (92286) |
$481.65 |
$741 |
3.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) |
$141.70 |
$218 |
9.9× |
| Application Modality 1/> Areas Infrared (97026) |
$39 |
$60 |
5.8× |
| Application on-body injector (96377) |
$258.70 |
$398 |
5.3× |
| Art pressure waveform analys (93050) |
$114.40 |
$176 |
3.8× |
| Assessment of aphasia per hr (96105) |
$390 |
$600 |
4.0× |
| Assmt & care planning pt w/cognitive impairment (99483) |
$518.70 |
$798 |
4.9× |
| Auditory Function, 60 Min (92620) |
$507 |
$780 |
3.8× |
| Basic vestibular evaluation (92540) |
$508.95 |
$783 |
2.3× |
| Bedside Swallowing Eval (92610) |
$463.45 |
$713 |
5.5× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$442 |
$680 |
4.0× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) |
$217.10 |
$334 |
2.6× |
| Bfb training ea addl 15 min (90913) |
$217.10 |
$334 |
6.6× |
| Biofeedback training any modality (90901) |
$259.35 |
$399 |
6.3× |
| Brief Emotional/Behavioral Assessment (96127) |
$72.80 |
$112 |
1.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$1,163.50 |
$1,790 |
3.0× |
| Bundle of his recording (93600) |
$16,857.10 |
$25,934 |
2.1× |
| C motor evoked upr&lwr limbs (95939) |
$5,703.75 |
$8,775 |
6.4× |
| Canalith Repositioning Procedure (95992) |
$195 |
$300 |
4.8× |
| Car seat/bed test 60 min (94780) |
$146.90 |
$226 |
3.8× |
| Cardiac Stress Tst,Tracing Only (93017) |
$1,455.35 |
$2,239 |
6.5× |
| Cardiopulmonary exercise testing (94621) |
$1,163.50 |
$1,790 |
3.0× |
| Cardiopulmonary resuscitation (92950) |
$1,455.35 |
$2,239 |
6.5× |
| Cardioversion (92960) |
$3,057.60 |
$4,704 |
4.4× |
| Cardioversion elective internal (92961) |
$3,057.60 |
$4,704 |
4.4× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$720.85 |
$1,109 |
27.7× |
| Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) |
$27,508 |
$42,320 |
1.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$15,026.70 |
$23,118 |
4.4× |
| Cbt 1st hour (94644) |
$481.65 |
$741 |
3.5× |
| Cdp-sot 6 cond w/i&r mct&adt (92549) |
$481.65 |
$741 |
3.5× |
| Chemo Admin Peritoneal Cavity (96446) |
$1,859.65 |
$2,861 |
5.4× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$399.10 |
$614 |
5.3× |
| Chemo Ia Infuse Each Addl Hr (96423) |
$258.70 |
$398 |
5.3× |
| Chemo IV push addl drug (96411) |
$399.10 |
$614 |
5.3× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$1,859.65 |
$2,861 |
5.4× |
| Chemother, IV infusion, 1 hr (96413) |
$1,859.65 |
$2,861 |
5.4× |
| Chemother, IV infusion, ea add hr (96415) |
$399.10 |
$614 |
5.3× |
| Chemother,ia infusn tech,<1 hr (96422) |
$1,859.65 |
$2,861 |
5.4× |
| Chemother,Ia Push Technique (96420) |
$1,859.65 |
$2,861 |
5.4× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$399.10 |
$614 |
5.3× |
| Chemotherapy Administration Intralesional </7 (96405) |
$399.10 |
$614 |
5.3× |
| Chemotherapy into cns (96450) |
$1,859.65 |
$2,861 |
5.4× |
| Chemotherapy, unspecified procedure (96549) |
$88.40 |
$136 |
1.8× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) |
$1,859.65 |
$2,861 |
5.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$399.10 |
$614 |
5.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$1,859.65 |
$2,861 |
5.4× |
| Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) |
$1,859.65 |
$2,861 |
5.4× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) |
$1,859.65 |
$2,861 |
5.4× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) |
$61.75 |
$95 |
2.7× |
| Chiropractic manipulative treatment (CMT); spinal, 3-4 regions Facility (98941) |
$61.75 |
$95 |
2.7× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) |
$61.75 |
$95 |
2.7× |
| Chronic care management services 1st 20 min (99490) |
$518.70 |
$798 |
4.9× |
| Color Vision Examination (92283) |
$221.65 |
$341 |
3.6× |
| Color/duplex Doppler, complete (93975) |
$1,129.70 |
$1,738 |
4.5× |
| Color/duplex Doppler, limited (93976) |
$496.60 |
$764 |
4.5× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) |
$900.90 |
$1,386 |
4.9× |
| Comprehensive Hearing Test (92557) |
$508.95 |
$783 |
3.8× |
| Computerized dynamic posturography (92548) |
$481.65 |
$741 |
3.5× |
| Conditioning Play Audiometry (92582) |
$508.95 |
$783 |
3.8× |
| Cont Gluc Monitoring Patient Provided Equipment (95249) |
$193.70 |
$298 |
3.1× |
| Continuous Glucose Monitoring (95250) |
$418.60 |
$644 |
3.0× |
| Corneal hysteresis determination, by air impulse stimulation, unilateral or bilateral, with interpretation and report… (92145) |
$221.65 |
$341 |
3.6× |
| Corneal Topography (92025) |
$221.65 |
$341 |
3.6× |
| Coronary art/grft angio s&i (93455) |
$15,026.70 |
$23,118 |
4.4× |
| Coronary artery angio s&i (93454) |
$15,026.70 |
$23,118 |
4.4× |
| Cpap/bipap (94660) |
$760.50 |
$1,170 |
3.3× |
| Cpt initial (94667) |
$481.65 |
$741 |
3.5× |
| Cptrized oph dx img anterior segment uni/bi (92132) |
$221.65 |
$341 |
3.6× |
| Cptrized oph dx img pst segment uni/bi optic nrv (92133) |
$221.65 |
$341 |
3.6× |
| Cptrized oph dx img pst segment uni/bi retina (92134) |
$221.65 |
$341 |
3.6× |
| Cptrz oph img pst sg rta oct (92137) |
$1,163.50 |
$1,790 |
5.2× |
| Critical care (99291) |
$4,724.20 |
$7,268 |
5.5× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) |
$2,974.40 |
$4,576 |
7.6× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Upr Limbs (95928) |
$5,703.75 |
$8,775 |
6.4× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$742.95 |
$1,143 |
3.5× |
| Developmental tst admin phys/qhp 1st hour (96112) |
$877.50 |
$1,350 |
6.5× |
| Diagnostic dark adaptation examination with interpretation and report Non-Facility (92284) |
$1,491.75 |
$2,295 |
3.2× |
| Distort Product Evoked Otoacoustic Emisns Limitd (92587) |
$1,012.70 |
$1,558 |
4.5× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) |
$1,012.70 |
$1,558 |
2.6× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$1,129.70 |
$1,738 |
4.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$496.60 |
$764 |
4.5× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$496.60 |
$764 |
4.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$1,129.70 |
$1,738 |
4.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$496.60 |
$764 |
4.5× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$1,129.70 |
$1,738 |
4.5× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$496.60 |
$764 |
4.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$1,129.70 |
$1,738 |
4.5× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$496.60 |
$764 |
4.5× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$1,129.70 |
$1,738 |
4.5× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$496.60 |
$764 |
4.5× |
| Duplex scan extracranial art compl bi study (93880) |
$1,129.70 |
$1,738 |
4.5× |
| Duplex Scan Hemodialysis Access (93990) |
$496.60 |
$764 |
4.5× |
| Echo Heart Xthoracic,Limited (93308) |
$1,129.70 |
$1,738 |
4.5× |
| Echo transesophag montr cardiac pump functj (93318) |
$2,561.65 |
$3,941 |
4.5× |
| Echo transesophageal (93312) |
$2,561.65 |
$3,941 |
4.5× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$2,561.65 |
$3,941 |
4.5× |
| Echo Transthoracic - Congenital Tte Limited (93304) |
$2,561.65 |
$3,941 |
4.5× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) |
$2,561.65 |
$3,941 |
4.5× |
| Ecog implanted brain npgt w/rec i&r <30 days (95836) |
$208.65 |
$321 |
5.4× |
| EEG awake and asleep (95819) |
$1,745.90 |
$2,686 |
7.7× |
| EEG awake drowsy (95816) |
$1,745.90 |
$2,686 |
7.7× |
| EEG cerebral death evaluation (95824) |
$2,974.40 |
$4,576 |
7.6× |
| EEG coma or sleep only (95822) |
$1,745.90 |
$2,686 |
7.7× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$877.50 |
$1,350 |
3.9× |
| EEG greater than 1 hour (95813) |
$1,745.90 |
$2,686 |
7.7× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$1,745.90 |
$2,686 |
7.7× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$2,974.40 |
$4,576 |
7.6× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$1,745.90 |
$2,686 |
7.7× |
| EEG w/o video by tech 2-12hr continuous r-t mntr (95707) |
$1,745.90 |
$2,686 |
7.7× |
| EKG rhythm strip (93041) |
$278.20 |
$428 |
4.5× |
| Ekg Signal Averaging (93278) |
$278.20 |
$428 |
4.5× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) |
$514.15 |
$791 |
5.2× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$514.15 |
$791 |
5.2× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$208.65 |
$321 |
5.4× |
| Electrocardiogram Tracing (93005) |
$278.20 |
$428 |
4.5× |
| Electroconvulsive Therapy (90870) |
$1,293.50 |
$1,990 |
1.4× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$1,745.90 |
$2,686 |
7.7× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) |
$35,451 |
$54,540 |
4.4× |
| EMG four extremities (95864) |
$877.50 |
$1,350 |
6.5× |
| EMG one extremity (95860) |
$722.15 |
$1,111 |
5.2× |
| EMG three extremities (95863) |
$877.50 |
$1,350 |
6.5× |
| EMG two extremities (95861) |
$722.15 |
$1,111 |
5.2× |
| Endomyocardial biopsy (93505) |
$14,704.95 |
$22,623 |
4.5× |
| Ep & ablate supravent arrhyt (93653) |
$63,884.60 |
$98,284 |
2.3× |
| Ep & ablate ventric tachy (93654) |
$60,778.90 |
$93,506 |
2.2× |
| Ep Analyze Pacer Sys (93724) |
$1,400.75 |
$2,155 |
4.4× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
$35,451 |
$54,540 |
4.4× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
$35,451 |
$54,540 |
4.4× |
| Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) |
$5,671.25 |
$8,725 |
4.5× |
| Ep Esophageal Recording Atria+Pacing (93616) |
$5,671.25 |
$8,725 |
4.5× |
| Er level 1 (99281) |
$494 |
$760 |
5.6× |
| Er level ii (99282) |
$887.90 |
$1,366 |
5.5× |
| Er level iii (99283) |
$1,552.85 |
$2,389 |
5.4× |
| Er level IV (99284) |
$2,387.45 |
$3,673 |
5.5× |
| Er level v (99285) |
$3,437.20 |
$5,288 |
5.5× |
| Ergonovine provocation test (93024) |
$1,864.20 |
$2,868 |
4.0× |
| Esophageal recording (93615) |
$5,671.25 |
$8,725 |
4.5× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) |
$1,983.15 |
$3,051 |
5.1× |
| Eval speech sound production (92522) |
$465.40 |
$716 |
4.2× |
| Eval to use/fit voice prosth (92597) |
$516.75 |
$795 |
7.3× |
| Evaluate Pt Use Of Inhaler (94664) |
$760.50 |
$1,170 |
3.3× |
| Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) |
$1,153.75 |
$1,775 |
9.4× |
| Evaluation of speech fluency (92521) |
$481.65 |
$741 |
3.6× |
| Exercise tst brncspsm (94617) |
$481.65 |
$741 |
3.5× |
| External ECG rec>48hr<7d recording (93242) |
$183.95 |
$283 |
4.7× |
| External ECG rec>48hr<7d scanning alys w/report (93243) |
$601.90 |
$926 |
4.3× |
| External ECG rec>7d<15d recording (93246) |
$183.95 |
$283 |
4.7× |
| External ECG rec>7d<15d scanning alys w/report (93247) |
$601.90 |
$926 |
4.3× |
| External Ecg Scanning Analysis Report (93226) |
$278.20 |
$428 |
4.5× |
| Eye exam, new patient,comprehesv (92004) |
$481.65 |
$741 |
3.5× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$880.75 |
$1,355 |
4.4× |
| Fluorescein Angrph W/Multiframe I&R Uni/Bi (92235) |
$1,163.50 |
$1,790 |
5.2× |
| Fluorescein icg angrph w/multiframe i&r uni/bi (92242) |
$1,163.50 |
$1,790 |
5.2× |
| Full field electroretinography w/i&r (92273) |
$1,163.50 |
$1,790 |
5.2× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
$5,703.75 |
$8,775 |
6.4× |
| Fundus photography w/interpretation & report (92250) |
$481.65 |
$741 |
3.5× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) |
$1,163.50 |
$1,790 |
5.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$1,983.15 |
$3,051 |
2.2× |
| Gonioscopy (92020) |
$481.65 |
$741 |
3.5× |
| Group Therapeutic Procedures (97150) |
$190.45 |
$293 |
10.6× |
| Hemodialysis (90935) |
$3,922.75 |
$6,035 |
5.5× |
| Holter Monitor (93225) |
$601.90 |
$926 |
4.3× |
| Ilr Device Eval Progr (93285) |
$174.20 |
$268 |
4.5× |
| Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or… (92229) |
$221.65 |
$341 |
3.6× |
| Imm admn sarscov2 vaccine single dose (90480) |
$232.70 |
$358 |
5.5× |
| Immunization Admin (90471) |
$174.20 |
$268 |
2.3× |
| Indocyanine-Green Angrph W/Multiframe I&R Uni/Bi (92240) |
$1,163.50 |
$1,790 |
5.2× |
| Induction of arrhythmia by electrical pacing (93618) |
$5,671.25 |
$8,725 |
4.5× |
| Inhalation bronchial challenge testing (95070) |
$1,293.50 |
$1,990 |
3.3× |
| Injection intra arterial (96373) |
$1,181.70 |
$1,818 |
5.3× |
| Ins swan ganz bedside (93503) |
$7,257.25 |
$11,165 |
4.4× |
| Interrog Crtd Sins Bat IP W/ (93146) |
$737.10 |
$1,134 |
5.5× |
| Interrog Crtd Sins Bat IP WO (93145) |
$737.10 |
$1,134 |
5.5× |
| Interrog dev eval icpms phys/qhp in person (93290) |
$174.20 |
$268 |
4.5× |
| Interrog dev eval scrms phys/qhp in person (93291) |
$114.40 |
$176 |
3.8× |
| Interrog device eval heart (93289) |
$174.20 |
$268 |
4.5× |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) |
$514.15 |
$791 |
5.2× |
| Interrog&prgrmg ipnss during polysomnography (93152) |
$1,680.90 |
$2,586 |
5.2× |
| Interrogate subq defib (93261) |
$174.20 |
$268 |
4.5× |
| Interrogation eval in person wr defibrillator (93292) |
$174.20 |
$268 |
4.5× |
| Interrogation vad in person (93750) |
$429 |
$660 |
4.3× |
| Interrogation without programming ipnss (93153) |
$514.15 |
$791 |
5.2× |
| Intra Atrial Recording (93602) |
$35,451 |
$54,540 |
4.4× |
| Intra-atrial pacing (93610) |
$35,451 |
$54,540 |
4.4× |
| Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and… (95024) |
$105.95 |
$163 |
1.7× |
| Intralesional Chemo Admin,8+ Lesn (96406) |
$1,181.70 |
$1,818 |
5.3× |
| Intrapulmonary Surfactant Administj Phys/Qhp (94610) |
$331.50 |
$510 |
1.4× |
| Intraventricular pacing (93612) |
$35,451 |
$54,540 |
4.4× |
| Iontophoresis 15 min (97033) |
$153.40 |
$236 |
8.1× |
| Irrig drug delivery device (96523) |
$333.45 |
$513 |
5.4× |
| IV infusion hydration each additional hour (96361) |
$258.70 |
$398 |
5.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$1,181.70 |
$1,818 |
5.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$399.10 |
$614 |
5.3× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$1,181.70 |
$1,818 |
5.3× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$258.70 |
$398 |
5.3× |
| IV push ea addl new drug (96375) |
$258.70 |
$398 |
5.3× |
| IV push initial (96374) |
$1,181.70 |
$1,818 |
5.3× |
| L hrt art/grft angio (93459) |
$15,026.70 |
$23,118 |
4.4× |
| L hrt cath chd nm/abn nt cnj (93595) |
$15,026.70 |
$23,118 |
4.4× |
| Laryngeal Function Studies (92520) |
$419.25 |
$645 |
3.0× |
| Liver Elastography W/O Imag W/I&R (91200) |
$585 |
$900 |
4.4× |
| Low frequency non-thermal us (97610) |
$742.95 |
$1,143 |
3.5× |
| Manual therapy 15 min (97140) |
$195.65 |
$301 |
7.1× |
| Massage 15 min (97124) |
$164.45 |
$253 |
5.5× |
| Maximum voluntary ventilation (94200) |
$221.65 |
$341 |
3.6× |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) |
$8,131.50 |
$12,510 |
5.5× |
| Mechanical chest wall oscillation (94669) |
$760.50 |
$1,170 |
3.3× |
| Mechanical traction (97012) |
$157.95 |
$243 |
11.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$117 |
$180 |
3.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$137.80 |
$212 |
3.8× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) |
$65 |
$100 |
3.8× |
| Methacholine challenge (94070) |
$1,163.50 |
$1,790 |
3.0× |
| Microvolt T-wave alternans for assessment of ventricular arrhythmias Non-Facility (93025) |
$731.25 |
$1,125 |
5.4× |
| Motility study esophagus (91010) |
$1,983.15 |
$3,051 |
5.1× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$673.40 |
$1,036 |
7.4× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) |
$2,236.65 |
$3,441 |
4.8× |
| Multiple Sleep Latency Test (95805) |
$2,974.40 |
$4,576 |
3.3× |
| Nasopharyngoscopy (92511) |
$631.15 |
$971 |
3.0× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) |
$1,745.90 |
$2,686 |
7.7× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) |
$1,745.90 |
$2,686 |
7.7× |
| Needle electromyography larynx (95865) |
$722.15 |
$1,111 |
5.2× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$722.15 |
$1,111 |
5.2× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) |
$1,745.90 |
$2,686 |
7.7× |
| Neg press wound tx >50 cm (97608) |
$1,493.70 |
$2,298 |
3.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$1,493.70 |
$2,298 |
3.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$742.95 |
$1,143 |
3.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$1,493.70 |
$2,298 |
3.5× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$2,974.40 |
$4,576 |
7.6× |
| Nerve conduction studies 13/> studies (95913) |
$2,974.40 |
$4,576 |
7.6× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$1,745.90 |
$2,686 |
7.7× |
| Nerve Conduction Studies 5-6 Studies (95909) |
$1,745.90 |
$2,686 |
7.7× |
| Nerve Conduction Studies 7-8 Studies (95910) |
$1,745.90 |
$2,686 |
4.5× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$2,974.40 |
$4,576 |
7.6× |
| Nerve conduction studies; 1-2 studies (95907) |
$877.50 |
$1,350 |
3.9× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$877.50 |
$1,350 |
6.5× |
| Newborn resuscitation (99465) |
$3,668.60 |
$5,644 |
5.3× |
| Nitric oxide expired gas determination (95012) |
$96.20 |
$148 |
2.5× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$601.90 |
$926 |
4.3× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$585 |
$900 |
4.4× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$169 |
$260 |
6.7× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$254.15 |
$391 |
7.3× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$83.20 |
$128 |
6.1× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$1,293.50 |
$1,990 |
3.3× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
$1,163.50 |
$1,790 |
3.0× |
| Oph Bmtry Prtl Coher Intrfrmtry Io Lens Pwr Cal (92136) |
$481.65 |
$741 |
3.5× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) |
$481.65 |
$741 |
3.5× |
| Ophth medical xm&eval intermediate estab pt (92012) |
$481.65 |
$741 |
3.5× |
| Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92002) |
$481.65 |
$741 |
3.5× |
| Orbicularis Oculi Reflx Electrodiagnostic Test (95933) |
$333.45 |
$513 |
5.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$239.85 |
$369 |
5.2× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) |
$61.75 |
$95 |
2.7× |
| Osteopathic manipulative tx 3-4 body regions (98926) |
$61.75 |
$95 |
2.7× |
| Osteopathic manipulative tx 5-6 body regions (98927) |
$61.75 |
$95 |
2.7× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$143 |
$220 |
4.5× |
| Ot Contrast Bath Ea 15 Min (97034) |
$102.70 |
$158 |
7.3× |
| Ot eval high complex 60 min (97167) |
$547.95 |
$843 |
5.5× |
| Ot eval low complex 30 min (97165) |
$547.95 |
$843 |
5.5× |
| Ot eval mod complex 45 min (97166) |
$547.95 |
$843 |
5.5× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$260 |
$400 |
5.2× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$219.70 |
$338 |
5.4× |
| Ot Range Motion Measure,Each Extrem (95851) |
$54.60 |
$84 |
2.1× |
| Ot re-evaluation (97168) |
$311.35 |
$479 |
4.5× |
| Ot therapeutic activity 15 min (97530) |
$222.95 |
$343 |
6.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$588.25 |
$905 |
4.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$588.25 |
$905 |
4.4× |
| Paraffin bath pt (97018) |
$135.20 |
$208 |
22.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$760.50 |
$1,170 |
3.3× |
| Percutaneous tests w/allergenic extracts (95004) |
$109.85 |
$169 |
0.1× |
| Peripheral arterial disease rehab per session (93668) |
$278.20 |
$428 |
4.5× |
| Peritoneal Dialysis (90945) |
$2,387.45 |
$3,673 |
5.5× |
| Perq Transcath Cls Mitral (93590) |
$49,873.85 |
$76,729 |
2.6× |
| Perq transcath cls paravalvr leak 1 aortic valve (93591) |
$53,061.45 |
$81,633 |
2.8× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$26,637 |
$40,980 |
4.5× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) |
$31,153.20 |
$47,928 |
2.6× |
| Phlebotomy therapeutic (99195) |
$722.15 |
$1,111 |
5.2× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) |
$221.65 |
$341 |
3.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) |
$221.65 |
$341 |
3.6× |
| Plethysmography (94726) |
$1,163.50 |
$1,790 |
3.0× |
| Pm device eval in person (93288) |
$174.20 |
$268 |
4.5× |
| Pm device progr eval dual (93280) |
$174.20 |
$268 |
4.5× |
| Pm device progr eval multi (93281) |
$174.20 |
$268 |
4.5× |
| Pm device progr eval sngl (93279) |
$174.20 |
$268 |
4.5× |
| Pm/Icd Remote Tech Serv (93296) |
$174.20 |
$268 |
4.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$5,703.75 |
$8,775 |
6.4× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$5,703.75 |
$8,775 |
6.4× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$5,703.75 |
$8,775 |
6.4× |
| Positional Nystagmus Test (92542) |
$419.25 |
$645 |
3.0× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) |
$80.60 |
$124 |
1.6× |
| Prepj& antigen allergen immunotherapy 1 insect (95145) |
$112.45 |
$173 |
2.3× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) |
$174.20 |
$268 |
4.5× |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
$174.20 |
$268 |
4.5× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) |
$518.70 |
$798 |
4.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) |
$112.45 |
$173 |
2.3× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) |
$128.70 |
$198 |
2.6× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95149) |
$174.20 |
$268 |
2.3× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95147) |
$174.20 |
$268 |
2.3× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95146) |
$112.45 |
$173 |
2.3× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) |
$174.20 |
$268 |
2.3× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) |
$174.20 |
$268 |
4.5× |
| Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) |
$174.20 |
$268 |
4.5× |
| Prq balloon valvuloplasty aortic valve (92986) |
$17,029.35 |
$26,199 |
2.9× |
| Prq Balloon Valvuloplasty Mitral Valve (92987) |
$29,262.35 |
$45,019 |
2.4× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$34,353.15 |
$52,851 |
2.8× |
| Prq Card Stent/Ath/Angio (92933) |
$36,736.70 |
$56,518 |
1.9× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$36,297.95 |
$55,843 |
3.0× |
| Prq tcat plmt ntrac st 2+les (92930) |
$104,997.75 |
$161,535 |
5.5× |
| Prq trl rvs ch occ ant&rtrgr (92945) |
$66,121.25 |
$101,725 |
5.5× |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$24,540.75 |
$37,755 |
2.0× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) |
$52,981.50 |
$81,510 |
4.4× |
| Psych diag eval w/med srvcs (90792) |
$391.95 |
$603 |
2.1× |
| Psycl/nrpsyc tech 1st (96138) |
$972.40 |
$1,496 |
2.1× |
| Psycl/nrpsyc tst phy/qhp 1st (96136) |
$314.60 |
$484 |
2.3× |
| Pt Aquatic Therapy/Exercises (97113) |
$265.20 |
$408 |
7.2× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) |
$240.50 |
$370 |
6.4× |
| Pt Electrical Stimulation (97032) |
$194.35 |
$299 |
13.2× |
| Pt eval high complex 45 min (97163) |
$491.40 |
$756 |
5.0× |
| Pt eval low complex 20 min (97161) |
$491.40 |
$756 |
5.0× |
| Pt eval mod complex 30 min (97162) |
$491.40 |
$756 |
5.0× |
| Pt gait training 15 min (97116) |
$185.25 |
$285 |
6.4× |
| Pt group caregiver training (97552) |
$720.85 |
$1,109 |
32.7× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$211.90 |
$326 |
6.5× |
| Pt Physical Performance Test (97750) |
$221 |
$340 |
6.6× |
| Pt re-evaluation (97164) |
$311.35 |
$479 |
4.6× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$222.95 |
$343 |
6.9× |
| Pt Whirlpool Therapy (97022) |
$145.60 |
$224 |
9.3× |
| Pt-focused hlth risk assmt (96160) |
$72.15 |
$111 |
1.8× |
| Pulm Funct Test Oscillometry (94728) |
$585 |
$900 |
4.4× |
| Pulm function test by gas (94727) |
$585 |
$900 |
2.6× |
| Pulmonary Service/Procedure (94799) |
$334.75 |
$515 |
2.5× |
| Pulmonary stress test simple (94618) |
$481.65 |
$741 |
3.5× |
| Pure Tone Audiometry Air & Bone (92553) |
$508.95 |
$783 |
3.8× |
| Pure Tone Audiometry Air Only (92552) |
$419.25 |
$645 |
3.0× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
$15,026.70 |
$23,118 |
4.4× |
| R hrt art/grft angio (93457) |
$15,026.70 |
$23,118 |
4.4× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) |
$15,026.70 |
$23,118 |
4.4× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) |
$15,026.70 |
$23,118 |
4.4× |
| R hrt coronary artery angio (93456) |
$15,026.70 |
$23,118 |
4.4× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$15,026.70 |
$23,118 |
4.4× |
| R&l hrt art/ventricle angio (93460) |
$15,026.70 |
$23,118 |
4.4× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) |
$15,026.70 |
$23,118 |
4.4× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) |
$15,026.70 |
$23,118 |
4.4× |
| Rapid Desensitization Procedure Each Hour (95180) |
$972.40 |
$1,496 |
2.1× |
| Rectal sensation tone&compliance study (91124) |
$1,236.95 |
$1,903 |
5.5× |
| Refill/Maint Portable Pump (96521) |
$1,181.70 |
$1,818 |
5.3× |
| Refill/Maint Pump/Resvr Syst (96522) |
$1,181.70 |
$1,818 |
5.3× |
| Rem interrog icpms <30 d phys/qhp (93297) |
$174.20 |
$268 |
4.5× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) |
$174.20 |
$268 |
4.5× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$174.20 |
$268 |
4.5× |
| Remote Monitoring Of Physiologic Parameter(s) (Eg, Weight, Blood Pressure, Pulse Oximetry, Respiratory Flow Rate);… (99445) |
$213.85 |
$329 |
5.5× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$481.65 |
$741 |
3.5× |
| Remote therapeutic monitoring (eg, therapy adherence, therapy response); device(s) supply with scheduled (eg, daily)… (98977) |
$139.75 |
$215 |
3.6× |
| Remote Therapeutic Monitoring (Eg, Therapy Adherence, Therapy Response, Digital Therapeutic Intervention); Device(s)… (98985) |
$213.85 |
$329 |
5.5× |
| Remote Therapeutic Monitoring (Eg, Therapy Adherence, Therapy Response, Digital Therapeutic Intervention); Device(s)… (98986) |
$213.85 |
$329 |
5.5× |
| Remote Therapeutic Monitoring (Eg, Therapy Adherence, Therapy Response, Digital Therapeutic Intervention); Device(s)… (98984) |
$213.85 |
$329 |
5.5× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) |
$58.50 |
$90 |
1.4× |
| Remote Therapeutic Monitoring Treatment Management Services, Physician Or Other Qualified Health Care Professional Time… (98979) |
$310.70 |
$478 |
11.8× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) |
$58.50 |
$90 |
1.1× |
| Right heart cath (93451) |
$15,026.70 |
$23,118 |
4.4× |
| Right ventricular recording (93603) |
$5,671.25 |
$8,725 |
4.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$742.95 |
$1,143 |
3.5× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$481.65 |
$741 |
3.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$139.75 |
$215 |
2.9× |
| Select Picture Audiometry (92583) |
$193.70 |
$298 |
3.1× |
| Self-measured blood pressure using a device validated for clinical accuracy; patient education/training and device… (99473) |
$137.15 |
$211 |
4.5× |
| Sensory Integration Ea 15 Min (97533) |
$152.75 |
$235 |
2.5× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
$1,745.90 |
$2,686 |
7.7× |
| Short-latency somatosens ep std upr limbs (95925) |
$1,745.90 |
$2,686 |
7.7× |
| Sinusoidal Vertical Axis Rotational Testing (92546) |
$585 |
$900 |
4.4× |
| Sleep study attended (95807) |
$2,974.40 |
$4,576 |
7.6× |
| Sleep study unattended (95806) |
$877.50 |
$1,350 |
3.9× |
| Slp caregiver training 1st 30 min (97550) |
$720.85 |
$1,109 |
13.7× |
| Smoking cessation > 10 min (99407) |
$72.15 |
$111 |
1.8× |
| Somatosensory testing (95938) |
$2,974.40 |
$4,576 |
3.3× |
| Speech Audiometry Complete (92556) |
$193.70 |
$298 |
3.1× |
| Speech audiometry threshold (92555) |
$193.70 |
$298 |
3.1× |
| Speech sound lang comprehen (92523) |
$814.45 |
$1,253 |
3.6× |
| Spirometry (94010) |
$585 |
$900 |
2.6× |
| Spontaneous nystagmus test (92541) |
$419.25 |
$645 |
3.0× |
| Ssep lower limbs (95926) |
$1,745.90 |
$2,686 |
7.7× |
| Standardized Cognitive Performance Testing (96125) |
$538.20 |
$828 |
5.2× |
| Stenger Test, Pure Tone (92565) |
$193.70 |
$298 |
3.1× |
| Stress echo (93350) |
$2,561.65 |
$3,941 |
4.5× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) |
$496.60 |
$764 |
4.5× |
| Temp transcutaneous pacing (92953) |
$3,057.60 |
$4,704 |
4.4× |
| Tensilon test (95857) |
$1,745.90 |
$2,686 |
7.7× |
| Ther activation impl phrenic nrv stimulator sys (93150) |
$514.15 |
$791 |
5.2× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$166.40 |
$256 |
7.4× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$166.40 |
$256 |
7.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$510.90 |
$786 |
5.0× |
| Therapeutic prophylactic/dx injection subq/im (96372) |
$399.10 |
$614 |
5.3× |
| Tilt table evaluation (93660) |
$2,479.10 |
$3,814 |
6.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$72.15 |
$111 |
1.8× |
| Trans Care Mgmt 14 Day Disch (99495) |
$722.15 |
$1,111 |
5.2× |
| Trans Care Mgmt 7 Day Disch (99496) |
$722.15 |
$1,111 |
5.2× |
| Transcran Doppler Intracran Art - Transcranial Doppler (93886) |
$1,129.70 |
$1,738 |
4.5× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) |
$496.60 |
$764 |
4.5× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$496.60 |
$764 |
4.5× |
| Transtelephonic rhythm strip pacemaker eval (93293) |
$174.20 |
$268 |
4.5× |
| Tte w/doppler, complete (93306) |
$2,561.65 |
$3,941 |
4.5× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$1,129.70 |
$1,738 |
4.5× |
| Tx atrial fib pulm vein isol (93656) |
$56,572.75 |
$87,035 |
2.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$384.15 |
$591 |
5.0× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) |
$230.10 |
$354 |
9.6× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$539.50 |
$830 |
6.4× |
| Tympanometry (92567) |
$127.40 |
$196 |
3.3× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$930.80 |
$1,432 |
6.9× |
| Unlisted noninvasive vascular diagnostic study (93998) |
$1,025.05 |
$1,577 |
33.9× |
| Upr/lxtr art stdy 3+ lvls (93923) |
$731.25 |
$1,125 |
3.2× |
| Valvuloplasty pulmonary valve (92990) |
$52,981.50 |
$81,510 |
4.4× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$496.60 |
$764 |
4.5× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$731.25 |
$1,125 |
3.2× |
| Vasopneumatic device (97016) |
$165.10 |
$254 |
13.7× |
| Veeg 2-12 hr unmonitored (95711) |
$1,745.90 |
$2,686 |
7.7× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$1,745.90 |
$2,686 |
4.5× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$5,703.75 |
$8,775 |
6.4× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$2,974.40 |
$4,576 |
7.6× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$2,974.40 |
$4,576 |
7.6× |
| Vent mgmt inpat init day (94002) |
$2,470.65 |
$3,801 |
3.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$2,470.65 |
$3,801 |
3.8× |
| Visual Evoked Potential Test (95930) |
$1,745.90 |
$2,686 |
7.7× |
| Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann… (92083) |
$481.65 |
$741 |
3.5× |
| Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at… (92082) |
$221.65 |
$341 |
3.6× |
| Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent… (92081) |
$221.65 |
$341 |
3.6× |
| Visual reinforcement audiometry (vra) (92579) |
$508.95 |
$783 |
2.3× |
| Vital capacity, total (94150) |
$585 |
$900 |
4.4× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
$5,703.75 |
$8,775 |
6.4× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$206.70 |
$318 |
6.7× |
| Xtrnl mobile cv telemetry w/technical support (93229) |
$1,455.35 |
$2,239 |
3.7× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) |
$146.90 |
$226 |
3.8× |
| Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) |
$429 |
$660 |
4.3× |