| Abd paracentesis w/imaging (49083) |
$1,381.71 |
$4,187 |
1.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$691.68 |
$2,096 |
0.7× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure |
$4,482.39 |
$13,583 |
0.2× |
| Acne surgery (10040) |
$160.38 |
$486 |
0.8× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$1,223.97 |
$3,709 |
0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$1,580.04 |
$4,788 |
0.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$2,206.71 |
$6,687 |
0.6× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$498.63 |
$1,511 |
1.5× |
| Anoscopy diagnostic (46600) |
$197.67 |
$599 |
1.4× |
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 6 matching MRF lines |
$111.21–$754.38 |
$337–$2,286 |
varies |
| Application finger splint static (29130) |
$118.14 |
$358 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$103.95 |
$315 |
0.6× |
| Application Long Leg Splint (29505) |
$241.89 |
$733 |
1.4× |
| Application of rigid total contact leg cast (29445) |
$274.23 |
$831 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$98.67 |
$299 |
0.7× |
| Application short leg splint calf foot (29515) |
$241.89 |
$733 |
1.4× |
| Apply Multlay Comprs Lwr Leg (29581) |
$111.21 |
$337 |
0.6× |
| Arterial puncture (36600) |
$54.78 |
$166 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$473.55 |
$1,435 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$473.55 |
$1,435 |
0.6× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines |
$194.70–$513.48 |
$590–$1,556 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$513.48 |
$1,556 |
1.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$456.39 |
$1,383 |
1.4× |
| Aspirate pleura w/ imaging (32555) |
$1,441.11 |
$4,367 |
2.2× |
| Aspirate Pleura W/O Imaging (32554) |
$1,441.11 |
$4,367 |
2.2× |
| Aspiration and/or injection thyroid cyst (60300) |
$495 |
$1,500 |
0.7× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,007.72 |
$6,084 |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$362.34 |
$1,098 |
1.7× |
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)
unusually low: confirm this is the full procedure |
$2,646.27 |
$8,019 |
0.4× |
Biliary ndsc prq t-tube dilat strix w/stent (47556)
likely a partial charge, not the full procedure |
$3,011.91 |
$9,127 |
0.3× |
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
unusually low: confirm this is the full procedure |
$2,554.86 |
$7,742 |
0.4× |
| Biopsy Abdominal Mass (49180) |
$2,442.33 |
$7,401 |
1.4× |
| Biopsy bone trocar/needle deep (20225) |
$2,442.33 |
$7,401 |
1.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,442.33 |
$7,401 |
1.4× |
| Biopsy external ear (69100) |
$150.81 |
$457 |
0.6× |
| Biopsy muscle percutaneous needle (20206) |
$2,442.33 |
$7,401 |
1.4× |
| Biopsy nail unit (11755) |
$445.17 |
$1,349 |
0.6× |
| Biopsy of epididymis (54800) |
$312.51 |
$947 |
0.2× |
| Biopsy of lip (40490) |
$150.81 |
$457 |
0.6× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,746.26 |
$8,322 |
1.6× |
| Biopsy of penis (54100) |
$754.38 |
$2,286 |
0.4× |
| Biopsy Pleura Percutaneous Needle (32400) |
$2,442.33 |
$7,401 |
1.4× |
| Biopsy Salivary Gland Needle (42400) |
$1,064.25 |
$3,225 |
1.4× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$932.25 |
$2,825 |
0.5× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$317.46 |
$962 |
0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$453.09 |
$1,373 |
0.5× |
| Bladder instillation anticarcinogenic agent (51720) |
$204.27 |
$619 |
0.3× |
| Bladder Irrigation (51700) |
$480.15 |
$1,455 |
1.8× |
| Bladder Scan (51798) |
$42.24 |
$128 |
0.7× |
| Blepharotomy drainage abscess eyelid (67700) |
$210.21 |
$637 |
0.6× |
| Blood Transfusion Service (36430) |
$623.04 |
$1,888 |
1.3× |
| Bone Marrow Biopsy (38221) |
$732.60 |
$2,220 |
0.4× |
| Bone Marrow; Aspiration Only (38220) |
$1,465.20 |
$4,440 |
0.8× |
| Bx breast 1st lesion mr imag (19085) |
$2,370.72 |
$7,184 |
1.4× |
| Bx breast 1st lesion strtctc (19081) |
$1,754.94 |
$5,318 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,369.17 |
$4,149 |
0.8× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$766.26 |
$2,322 |
0.5× |
| Cessj Therapy Cath Removal (37214) |
$1,269.51 |
$3,847 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$426.36 |
$1,292 |
1.6× |
| Change of Windpipe Airway (31502) |
$155.10 |
$470 |
0.6× |
| Chemical Cautery Tissue (17250) |
$302.61 |
$917 |
1.4× |
| Chemical peel face dermal (15789) |
$467.94 |
$1,418 |
0.6× |
| Chemical peel, facial; epidermal (15788) |
$246.84 |
$748 |
0.6× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$1,001.22 |
$3,034 |
1.3× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,001.22 |
$3,034 |
1.3× |
| Chemodenerv Eccrine Glands (64650) |
$186.45 |
$565 |
0.6× |
| Chemodenerv Musc Migraine (64615) |
$513.15 |
$1,555 |
1.6× |
| Chemodenerv musc neck dyston (64616) |
$456.39 |
$1,383 |
1.4× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,001.22 |
$3,034 |
1.3× |
| Chemodenerv trunk musc 6/> (64647) |
$1,001.22 |
$3,034 |
1.3× |
| Chemodenervation eccrine glands oth area per day (64653) |
$186.45 |
$565 |
0.6× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$456.39 |
$1,383 |
1.4× |
| Chest tube placement (32551) |
$1,351.02 |
$4,094 |
0.8× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$695.31 |
$2,107 |
0.3× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$5,652.24 |
$17,128 |
1.5× |
| Circumcision w/clamp/oth dev w/block (54150) |
$207.90 |
$630 |
0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,002.54 |
$3,038 |
0.6× |
| Clear outer ear canal (69200) |
$236.61 |
$717 |
1.7× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$394.02 |
$1,194 |
1.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$204.93 |
$621 |
0.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$783.75 |
$2,375 |
3.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,490.28 |
$4,516 |
0.9× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$394.02 |
$1,194 |
1.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$138.93 |
$421 |
0.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,490.28 |
$4,516 |
0.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$443.52 |
$1,344 |
1.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$465.96 |
$1,412 |
0.3× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,403.39 |
$7,283 |
1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$420.75 |
$1,275 |
1.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$302.94 |
$918 |
1.2× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$352.77 |
$1,069 |
0.6× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$139.26 |
$422 |
0.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,704.02 |
$8,194 |
1.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$443.52 |
$1,344 |
1.7× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,403.39 |
$7,283 |
1.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$313.83 |
$951 |
0.2× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,463.55 |
$4,435 |
0.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$302.94 |
$918 |
1.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$394.02 |
$1,194 |
1.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$443.52 |
$1,344 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,631.85 |
$4,945 |
1.0× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$792.33 |
$2,401 |
0.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$394.02 |
$1,194 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$302.94 |
$918 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$443.52 |
$1,344 |
1.7× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$915.09 |
$2,773 |
0.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$443.52 |
$1,344 |
1.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$394.02 |
$1,194 |
1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$443.52 |
$1,344 |
1.7× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,459.26 |
$4,422 |
0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,554.63 |
$4,711 |
6.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$394.02 |
$1,194 |
1.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$443.52 |
$1,344 |
1.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$593.34 |
$1,798 |
0.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$215.16 |
$652 |
0.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$104.61 |
$317 |
0.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$581.46 |
$1,762 |
1.8× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$581.46 |
$1,762 |
1.8× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$321.09 |
$973 |
1.5× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$581.46 |
$1,762 |
1.8× |
| Complex drainage wound (10180) |
$1,794.87 |
$5,439 |
0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$197.67 |
$599 |
1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$197.67 |
$599 |
1.4× |
| Conversion ext bil drg cath (47535) |
$2,353.89 |
$7,133 |
0.6× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,635.38 |
$7,986 |
1.3× |
| Convert Nephrostomy Catheter (50434) |
$2,028.18 |
$6,146 |
0.9× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,442.33 |
$7,401 |
1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$197.67 |
$599 |
1.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$393.36 |
$1,192 |
1.6× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$1,288.65 |
$3,905 |
0.6× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,247.53 |
$9,841 |
1.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$578.16 |
$1,752 |
0.7× |
| Debride nail 1-5 (11720) |
$43.56 |
$132 |
0.7× |
| Debride nail 6 or more (11721) |
$43.56 |
$132 |
0.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$926.31 |
$2,807 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$476.85 |
$1,445 |
1.1× |
| Declot vascular device (36593) |
$305.91 |
$927 |
0.9× |
| Destroy cerv/thor facet jnt (64633) |
$3,472.92 |
$10,524 |
1.7× |
| Destroy lumb/sac facet jnt (64635) |
$1,572.12 |
$4,764 |
0.8× |
| Destruct B9 Lesion 1-14 (17110) |
$128.37 |
$389 |
0.6× |
| Destruction Benign Lesions 15/> (17111) |
$160.38 |
$486 |
0.8× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,419.33 |
$4,301 |
1.5× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
$811.14 |
$2,458 |
0.4× |
| Destruction by neurolytic agent; pudendal nerve (64630) |
$1,261.92 |
$3,824 |
1.3× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$246.84 |
$748 |
1.2× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$246.84 |
$748 |
1.2× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$246.84 |
$748 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$468.27 |
$1,419 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$280.83 |
$851 |
0.4× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$160.38 |
$486 |
0.8× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$160.38 |
$486 |
0.8× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$160.38 |
$486 |
0.8× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$246.84 |
$748 |
0.6× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$246.84 |
$748 |
0.6× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$160.38 |
$486 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$160.38 |
$486 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$160.38 |
$486 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$160.38 |
$486 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$246.84 |
$748 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$246.84 |
$748 |
0.6× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$160.38 |
$486 |
0.8× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,419.33 |
$4,301 |
0.7× |
| Destruction of skin lesions (17106) |
$246.84 |
$748 |
0.6× |
| Destruction Premalignant Lesion 15/> (17004) |
$246.84 |
$748 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$160.38 |
$486 |
0.8× |
| Dilate Urethra Stricture (53600) |
$217.47 |
$659 |
0.8× |
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines |
$457.05–$1,001.22 |
$1,385–$3,034 |
varies |
| Drain/inj small joint/bursa w/us (20604) |
$456.39 |
$1,383 |
1.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$198.33 |
$601 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$2,930.07 |
$8,879 |
1.7× |
| Drainage Mouth Roof Lesion (42000) |
$349.47 |
$1,059 |
1.4× |
| Drainage of finger abscess simple (26010) |
$322.74 |
$978 |
1.5× |
| Drainage of gum lesion (41800) |
$197.67 |
$599 |
1.4× |
| Drainage of hematoma/fluid (10140) |
$2,746.26 |
$8,322 |
1.6× |
| Drainage of scrotal wall abscess (55100) |
$2,442.33 |
$7,401 |
1.4× |
| Drainage of scrotum (54700) |
$3,247.53 |
$9,841 |
1.5× |
| Draw Blood Off Venous Device (36591) |
$136.95 |
$415 |
1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$588.39 |
$1,783 |
0.8× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$499.29 |
$1,513 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$616.11 |
$1,867 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$362.34 |
$1,098 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$322.74 |
$978 |
1.5× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$467.94 |
$1,418 |
0.6× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$1,223.97 |
$3,709 |
0.6× |
| Dstrj lesion anus simple cryosurgery (46916) |
$97.68 |
$296 |
0.5× |
| Dstrj lesion anus simple surg excision (46922) |
$1,060.62 |
$3,214 |
0.4× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$160.38 |
$486 |
0.8× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$246.84 |
$748 |
0.6× |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) |
$811.14 |
$2,458 |
0.4× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,419.33 |
$4,301 |
1.5× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$1,419.33 |
$4,301 |
1.5× |
| Dx Bone Marrow Bx & Aspir (38222) |
$1,465.20 |
$4,440 |
0.5× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,507.34 |
$7,598 |
1.3× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,127.28 |
$3,416 |
1.5× |
| Egd place gastrostomy tube (43246) |
$945.12 |
$2,864 |
0.5× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$561.33 |
$1,701 |
1.7× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$561.33 |
$1,701 |
1.7× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$140.25 |
$425 |
0.4× |
| Endometrial Biopsy (58100) |
$321.09 |
$973 |
1.5× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$4,660.92 |
$14,124 |
1.4× |
| Epidural Blood Patch (62273) |
$1,201.86 |
$3,642 |
1.6× |
| Evacuation of subungual hematoma (11740) |
$129.36 |
$392 |
0.9× |
| Exc arm/elbow les sc < 3 cm (24075) |
$754.38 |
$2,286 |
0.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$337.26 |
$1,022 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$754.38 |
$2,286 |
0.4× |
| Exc Back Les Sc < 3 Cm (21930) |
$1,039.50 |
$3,150 |
0.6× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$333.63 |
$1,011 |
0.4× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$333.63 |
$1,011 |
0.4× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$754.38 |
$2,286 |
0.4× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$829.95 |
$2,515 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$337.26 |
$1,022 |
0.5× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$333.63 |
$1,011 |
0.4× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$333.63 |
$1,011 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$766.59 |
$2,323 |
0.4× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$754.38 |
$2,286 |
0.4× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$752.40 |
$2,280 |
0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$754.38 |
$2,286 |
0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$610.83 |
$1,851 |
0.8× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$729.96 |
$2,212 |
0.4× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$1,694.88 |
$5,136 |
0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$333.63 |
$1,011 |
0.4× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$754.38 |
$2,286 |
0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,271.16 |
$3,852 |
0.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$754.38 |
$2,286 |
0.4× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$754.38 |
$2,286 |
0.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,271.16 |
$3,852 |
0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$791.01 |
$2,397 |
0.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,386.99 |
$4,203 |
0.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$369.27 |
$1,119 |
0.9× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$427.68 |
$1,296 |
0.6× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$754.38 |
$2,286 |
0.4× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$1,386.99 |
$4,203 |
0.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$754.38 |
$2,286 |
0.4× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$1,466.19 |
$4,443 |
0.5× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$5,652.24 |
$17,128 |
1.5× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$1,084.71 |
$3,287 |
0.5× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$2,635.38 |
$7,986 |
1.3× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$333.63 |
$1,011 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$333.63 |
$1,011 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$333.63 |
$1,011 |
0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$185.13 |
$561 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$343.53 |
$1,041 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$333.63 |
$1,011 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$754.38 |
$2,286 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$1,271.16 |
$3,852 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$754.38 |
$2,286 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$333.63 |
$1,011 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$333.63 |
$1,011 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$754.38 |
$2,286 |
0.4× |
| Excision of single external papilla or tag, anus (46220) |
$768.24 |
$2,328 |
0.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$752.40 |
$2,280 |
0.4× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$1,106.49 |
$3,353 |
0.6× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$1,466.19 |
$4,443 |
0.5× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$316.47 |
$959 |
0.2× |
| Explo/Drain Breast Abscess (19020) |
$2,245.98 |
$6,806 |
1.3× |
| Exploration penetrating wound spx extremity (20103) |
$1,383.69 |
$4,193 |
0.8× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$1,998.15 |
$6,055 |
0.6× |
| Fetal non-stress test (59025) |
$300.63 |
$911 |
1.4× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,665.18 |
$5,046 |
2.2× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$2,583.24 |
$7,828 |
3.4× |
| Fluoro exam of g/colon tube (49465) |
$446.49 |
$1,353 |
1.8× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$1,197.90 |
$3,630 |
1.6× |
| Fna bx w/us gdn 1st les (10005) |
$1,356.63 |
$4,111 |
1.8× |
| Foreskin manipulation (54450) |
$165.99 |
$503 |
0.6× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$1,223.97 |
$3,709 |
0.6× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,223.97 |
$3,709 |
0.6× |
| Guide Cathet Fluid Drainage (10030) |
$1,064.25 |
$3,225 |
1.4× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,276.11 |
$3,867 |
1.3× |
| I&d abscess peritonsillar (42700) |
$173.25 |
$525 |
0.7× |
| I&d abscess simple (10060) |
$302.61 |
$917 |
1.4× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$781.77 |
$2,369 |
0.5× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,820.61 |
$5,517 |
0.6× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,502.16 |
$4,552 |
0.4× |
| I&d perianal abscess superficial (46050) |
$1,318.68 |
$3,996 |
1.3× |
| I&d pilonidal cyst complicated (10081) |
$1,064.25 |
$3,225 |
1.4× |
| I&d pilonidal cyst simple (10080) |
$1,276.77 |
$3,869 |
1.7× |
| I&d thyroglossal duct cyst infected (60000) |
$933.24 |
$2,828 |
0.6× |
| Icd Pocket Revision (33223) |
$1,722.93 |
$5,221 |
0.8× |
| Image Cath Fluid Colxn Visc (49405) |
$2,116.62 |
$6,414 |
1.2× |
| Image Cath Fluid Peri/Retro (49406) |
$2,116.62 |
$6,414 |
1.2× |
| Implant neuroelectrodes (63650) |
$6,142.62 |
$18,614 |
0.9× |
| Incise external hemorrhoid (46083) |
$426.36 |
$1,292 |
1.6× |
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines |
$263.67–$577.83 |
$799–$1,751 |
varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,821.93 |
$5,521 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,604.69 |
$7,893 |
1.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$616.11 |
$1,867 |
1.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$300.63 |
$911 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$544.83 |
$1,651 |
1.7× |
| Incision bone cortex foot (28005) |
$1,551 |
$4,700 |
0.4× |
| Incision of lingual frenum (frenotomy) (41010) |
$633.93 |
$1,921 |
0.4× |
| Incision of rectal abscess (46040) |
$1,732.83 |
$5,251 |
1.4× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$187.11 |
$567 |
0.6× |
| Incisional biopsy skin single lesion (11106) |
$843.81 |
$2,557 |
1.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$309.54 |
$938 |
1.5× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,419.33 |
$4,301 |
1.5× |
| Inj W/Fluor Eval Cv Device (36598) |
$355.08 |
$1,076 |
1.6× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,261.92 |
$3,824 |
1.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,419.33 |
$4,301 |
1.5× |
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines |
$201.63–$245.19 |
$611–$743 |
varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$861.30 |
$2,610 |
0.9× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$189.42 |
$574 |
0.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,127.28 |
$3,416 |
1.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$783.75 |
$2,375 |
0.8× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,127.28 |
$3,416 |
1.5× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,001.22 |
$3,034 |
1.3× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$219.78 |
$666 |
0.7× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,261.92 |
$3,824 |
1.3× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,001.22 |
$3,034 |
1.3× |
| Injection for identification of sentinel node (38792) |
$739.53 |
$2,241 |
1.7× |
| Injection single tendon origin/insertion (20551) |
$456.39 |
$1,383 |
1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$513.15 |
$1,555 |
1.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$513.15 |
$1,555 |
1.6× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
$252.12 |
$764 |
0.2× |
| Injection therapeutic carpal tunnel (20526) |
$160.71 |
$487 |
0.5× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$861.30 |
$2,610 |
0.9× |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines |
$754.71–$781.11 |
$2,287–$2,367 |
varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,127.28 |
$3,416 |
1.5× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$160.38 |
$486 |
0.8× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$188.76 |
$572 |
0.9× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,315.71 |
$3,987 |
1.4× |
| Ins cath ren art 1st bilat (36252) |
$3,071.64 |
$9,308 |
0.9× |
| Ins cath ren art 1st unilat (36251) |
$2,848.23 |
$8,631 |
0.9× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,203.64 |
$9,708 |
1.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$3,133.35 |
$9,495 |
0.5× |
| Ins endovas vena cava filtr (37191) |
$4,388.01 |
$13,297 |
0.7× |
| Ins Vag Brachytx Device (57156) |
$640.86 |
$1,942 |
2.0× |
| Ins/Rep Subq Defibrillator (33270) |
$21,190.95 |
$64,215 |
0.6× |
Insert 1 Electrode Pm-Defib (33216)
unusually low: confirm this is the full procedure |
$4,049.10 |
$12,270 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$227.37 |
$689 |
1.7× |
| Insert cath pleura w/ image (32557) |
$1,170.84 |
$3,548 |
0.7× |
| Insert cath pleura w/o image (32556) |
$625.35 |
$1,895 |
0.3× |
| Insert Drug Implant Device (11981) |
$109.23 |
$331 |
0.8× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$840.84 |
$2,548 |
0.4× |
| Insert Heart Pm Atrial (33206) |
$7,742.46 |
$23,462 |
0.7× |
| Insert Heart Pm Ventricular (33207) |
$7,580.76 |
$22,972 |
0.7× |
| Insert hepatic shunt (tips) (37182) |
$11,061.60 |
$33,520 |
0.6× |
| Insert non-tunnel cv cath (36556) |
$1,351.02 |
$4,094 |
0.4× |
| Insert Pacing Lead & Connect (33224) |
$6,406.29 |
$19,413 |
0.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,351.02 |
$4,094 |
0.8× |
| Insert pulse gen dual leads (33213) |
$6,822.75 |
$20,675 |
0.6× |
Insert pulse gen mult leads (33221)
unusually low: confirm this is the full procedure |
$8,301.48 |
$25,156 |
0.4× |
| Insert Pulse Gen Sngl Lead (33212) |
$6,417.51 |
$19,447 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$210.54 |
$638 |
1.5× |
| Insert tun ip cath perc (49418) |
$5,652.24 |
$17,128 |
1.5× |
| Insert tunneled cv cath (36561) |
$4,660.92 |
$14,124 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$210.54 |
$638 |
1.5× |
| Insertion indwelling tunneled pleural catheter (32550) |
$5,652.24 |
$17,128 |
1.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,543.41 |
$4,677 |
0.9× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$5,387.91 |
$16,327 |
0.6× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$5,652.24 |
$17,128 |
1.5× |
Insertion Uterine Tandem&/Vaginal Ovoids (57155)
likely a partial charge, not the full procedure |
$1,568.82 |
$4,754 |
0.3× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$4,442.79 |
$13,463 |
0.5× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$1,351.02 |
$4,094 |
0.4× |
| Insj Picc Rs&I <5 Yr (36572) |
$1,453.32 |
$4,404 |
2.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,441.11 |
$4,367 |
0.9× |
Insj Subq Impltbl Dfb Elctrd (33271)
likely a partial charge, not the full procedure |
$1,436.82 |
$4,354 |
0.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,660.92 |
$14,124 |
1.4× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$20,928.93 |
$63,421 |
0.6× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure |
$3,954.72 |
$11,984 |
0.5× |
| Insrt heart pm atrial & vent (33208) |
$8,209.41 |
$24,877 |
0.7× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$26,544.21 |
$80,437 |
1.1× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$16,609.23 |
$50,331 |
0.5× |
Insrt Pulse Gen W/Singl Lead (33240)
unusually low: confirm this is the full procedure |
$7,829.91 |
$23,727 |
0.3× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$237.93 |
$721 |
0.9× |
| Interdental fixation (21110) |
$750.09 |
$2,273 |
0.5× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$196.68 |
$596 |
0.5× |
| Intro cath dialysis circuit (36901) |
$1,351.02 |
$4,094 |
0.8× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$8,335.47 |
$25,259 |
0.7× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$7,897.23 |
$23,931 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$372.57 |
$1,129 |
1.5× |
| Irrigation of corpora cavernosa for priapism (54220) |
$127.71 |
$387 |
0.5× |
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines |
$313.83–$324.72 |
$951–$984 |
varies |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$346.83 |
$1,051 |
0.8× |
| Late closure of wound (13160) |
$1,265.55 |
$3,835 |
0.3× |
| Lyse chest fibrin init day (32561) |
$492.36 |
$1,492 |
0.7× |
| Lyse Chest Fibrin Subq Day (32562) |
$492.36 |
$1,492 |
0.7× |
| Myelography Lumbar Injection (62305) |
$834.90 |
$2,530 |
1.0× |
| Myelography Lumbar Injection (62304) |
$769.56 |
$2,332 |
0.9× |
| Myelography via lumbar injection rs&i cervical (62302) |
$832.59 |
$2,523 |
1.0× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$769.56 |
$2,332 |
0.9× |
| N Block Inj Celiac Pelus (64530) |
$1,419.33 |
$4,301 |
1.5× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$660.66 |
$2,002 |
0.9× |
| N block inj intercost sng (64420) |
$1,001.22 |
$3,034 |
1.3× |
| N Block Inj Plantar Digit (64455) |
$151.47 |
$459 |
0.5× |
| N Block Inj Pudendal (64430) |
$1,419.33 |
$4,301 |
1.5× |
| N Block Lumbar/Thoracic (64520) |
$1,261.92 |
$3,824 |
1.3× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$314.82 |
$954 |
0.7× |
| Needle Biopsy Lymph Nodes (38505) |
$1,491.93 |
$4,521 |
0.9× |
| Needle Biopsy Pancreas (48102) |
$1,369.17 |
$4,149 |
0.8× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,419.33 |
$4,301 |
1.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$235.95 |
$715 |
0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$456.39 |
$1,383 |
0.1× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$2,738.34 |
$8,298 |
0.7× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines |
$630.63–$760.32 |
$1,911–$2,304 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,261.92 |
$3,824 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,127.28 |
$3,416 |
1.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,127.28 |
$3,416 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$1,261.92 |
$3,824 |
1.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,127.28 |
$3,416 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,261.92 |
$3,824 |
1.3× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$702.57 |
$2,129 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$568.59 |
$1,723 |
0.8× |
Occipital Nerve Block (64405)
range across 4 matching MRF lines |
$194.70–$252.78 |
$590–$766 |
varies |
| Open/Perq Place Stent 1St (37236) |
$11,767.47 |
$35,659 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$8,535.12 |
$25,864 |
0.7× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$2,068.11 |
$6,267 |
0.6× |
| Perc Cryo Ablate Renal Tum (50593) |
$8,337.78 |
$25,266 |
0.7× |
| Perc Rf Ablate Renal Tumor (50592) |
$8,290.59 |
$25,123 |
1.3× |
| Percut Ablate Liver Rf (47382) |
$3,570.60 |
$10,820 |
0.6× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$11,360.58 |
$34,426 |
0.9× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,064.25 |
$3,225 |
1.4× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$2,632.74 |
$7,978 |
0.8× |
| Pericardiocentesis W/Imaging (33016) |
$825.33 |
$2,501 |
0.5× |
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure |
$2,749.89 |
$8,333 |
0.1× |
Perq av fistula creation uxtr sep access sites (36837)
likely a partial charge, not the full procedure |
$5,695.47 |
$17,259 |
0.3× |
Perq av fistula creation uxtr single access (36836)
likely a partial charge, not the full procedure |
$5,695.47 |
$17,259 |
0.3× |
| Perq Cervicothoracic Inject (22510) |
$4,172.85 |
$12,645 |
1.2× |
| Perq dev breast 1st us imag (19285) |
$1,032.90 |
$3,130 |
1.4× |
| Perq device breast 1st imag (19281) |
$1,032.90 |
$3,130 |
0.6× |
| Perq dilation xst trc endourologic px w/img (50436) |
$2,098.80 |
$6,360 |
0.6× |
| Perq Lumbosacral Injection (22511) |
$4,172.85 |
$12,645 |
1.2× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$922.35 |
$2,795 |
1.2× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$8,335.47 |
$25,259 |
0.7× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$4,388.01 |
$13,297 |
0.7× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$8,935.41 |
$27,077 |
1.2× |
| Perq Vertebral Augmentation (22513) |
$8,935.41 |
$27,077 |
1.2× |
| Place Cath Subclavian Art (36225) |
$3,012.57 |
$9,129 |
0.9× |
| Place Cath Thoracic Aorta (36221) |
$3,203.64 |
$9,708 |
1.0× |
| Place Cath Vertebral Art (36226) |
$5,008.08 |
$15,176 |
0.9× |
| Place Duod/Jej Tube Perc (49441) |
$2,635.38 |
$7,986 |
1.3× |
Placement Needle Pelvic Organ Radioelement Appl (55920)
unusually low: confirm this is the full procedure |
$1,724.91 |
$5,227 |
0.3× |
| Placement of needle for intraosseous infusion (36680) |
$263.34 |
$798 |
0.6× |
Plmt Bile Duct Stent Prq Existing Access (47538)
unusually low: confirm this is the full procedure |
$2,193.84 |
$6,648 |
0.3× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$3,247.53 |
$9,841 |
1.5× |
| Plmt Nephroureteral Catheter (50433) |
$3,247.53 |
$9,841 |
0.9× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$5,019.96 |
$15,212 |
1.3× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$5,019.96 |
$15,212 |
1.3× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$5,019.96 |
$15,212 |
1.3× |
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure |
$3,999.27 |
$12,119 |
0.2× |
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267)
range across 2 matching MRF lines |
$464.31–$601.92 |
$1,407–$1,824 |
varies |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$4,635.51 |
$14,047 |
0.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,513.51 |
$10,647 |
0.9× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,285.81 |
$9,957 |
0.9× |
| Pseudoaneurysm Injection Trt (36002) |
$332.31 |
$1,007 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$577.83 |
$1,751 |
1.3× |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines |
$259.38–$577.83 |
$786–$1,751 |
varies |
| Puncture Aspiration Cyst Breast (19000) |
$355.41 |
$1,077 |
0.5× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$660.66 |
$2,002 |
0.9× |
| Push Transfusion Blood 2 Yr/Under (36440) |
$295.68 |
$896 |
0.6× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$478.17 |
$1,449 |
0.6× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,419.33 |
$4,301 |
0.7× |
| Redo Endovas Vena Cava Filtr (37192) |
$2,848.23 |
$8,631 |
0.9× |
| Relocation Pocket Pacemaker (33222) |
$1,722.93 |
$5,221 |
0.8× |
| Rem Endovas Vena Cava Filter (37193) |
$3,751.44 |
$11,368 |
1.1× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$534.27 |
$1,619 |
0.6× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$450.78 |
$1,366 |
0.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$114.84 |
$348 |
1.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$114.84 |
$348 |
1.8× |
| Removal implantable contraceptive capsules (11976) |
$618.09 |
$1,873 |
0.8× |
| Removal of nail bed (11750) |
$616.11 |
$1,867 |
1.4× |
| Removal of tunneled intraperitoneal catheter (49422) |
$1,973.73 |
$5,981 |
0.6× |
| Removal Pacemaker Electrode (33235) |
$2,700.39 |
$8,183 |
0.7× |
Removal ppm generator only (33233)
likely a partial charge, not the full procedure |
$2,110.35 |
$6,395 |
0.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$162.36 |
$492 |
0.8× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$650.43 |
$1,971 |
0.9× |
| Removal, under anesthesia, of external fixation system (20694) |
$795.63 |
$2,411 |
0.5× |
| Remove drug implant device (11982) |
$165 |
$500 |
0.3× |
| Remove Elctrd Transvenously (33244) |
$2,135.10 |
$6,470 |
0.5× |
| Remove foreign body from eye (65205) |
$197.67 |
$599 |
1.4× |
| Remove Intrauterine Device (58301) |
$544.83 |
$1,651 |
1.7× |
| Remove intrvas foreign body (37197) |
$2,848.23 |
$8,631 |
0.9× |
| Remove lung catheter (32552) |
$1,351.02 |
$4,094 |
2.0× |
| Remove Nasal Foreign Body (30300) |
$222.09 |
$673 |
1.6× |
| Remove Pulse Generator (33241) |
$2,313.63 |
$7,011 |
0.6× |
| Remove renal tube w/fluoro (50389) |
$570.24 |
$1,728 |
0.8× |
| Remove ureter stent percut (50384) |
$1,068.21 |
$3,237 |
0.5× |
| Remove&replace pm gen singl (33227) |
$8,417.64 |
$25,508 |
1.0× |
| Remove/Insert Drug Implant (11983) |
$165 |
$500 |
0.3× |
| Remv&replc cvd gen dual lead (33263) |
$23,309.88 |
$70,636 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$23,479.50 |
$71,150 |
0.7× |
| Remv&replc cvd gen sing lead (33262) |
$22,557.15 |
$68,355 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$8,787.24 |
$26,628 |
0.8× |
Remv&replc pm gen mult leads (33229)
unusually low: confirm this is the full procedure |
$8,787.24 |
$26,628 |
0.4× |
| Renal Biopsy Perq (50200) |
$2,746.26 |
$8,322 |
1.6× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,531.20 |
$4,640 |
0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,006.50 |
$3,050 |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,073.82 |
$3,254 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$616.11 |
$1,867 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,073.82 |
$3,254 |
2.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$374.22 |
$1,134 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$953.70 |
$2,890 |
2.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$936.54 |
$2,838 |
1.2× |
| Repair Eyelid Wound (67935) |
$1,170.84 |
$3,548 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$322.74 |
$978 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$616.11 |
$1,867 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$577.83 |
$1,751 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$577.83 |
$1,751 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$693.33 |
$2,101 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$616.11 |
$1,867 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$616.11 |
$1,867 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$693.33 |
$2,101 |
0.9× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,207.14 |
$3,658 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$616.11 |
$1,867 |
1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$616.11 |
$1,867 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$616.11 |
$1,867 |
1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$953.70 |
$2,890 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$693.33 |
$2,101 |
1.6× |
| Repair lead pace-defib dual (33220) |
$2,516.91 |
$7,627 |
0.6× |
| Repair Lead Pace-Defib One (33218) |
$2,547.60 |
$7,720 |
0.6× |
| Repair of nail bed (11760) |
$1,073.82 |
$3,254 |
1.4× |
| Repair tongue laceration (41252) |
$122.76 |
$372 |
0.5× |
| Repair tongue laceration (41250) |
$194.04 |
$588 |
0.4× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,381.71 |
$4,187 |
1.4× |
| Replace G-J Tube Perc (49452) |
$1,554.63 |
$4,711 |
1.6× |
| Replace g/c tube perc (49450) |
$648.12 |
$1,964 |
0.7× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$3,088.14 |
$9,358 |
0.8× |
| Reposition Gastrostomy Tube (43761) |
$426.36 |
$1,292 |
1.6× |
| Reposition L Ventric Lead (33226) |
$2,013 |
$6,100 |
0.6× |
| Reposition Pacing-Defib Lead (33215) |
$2,205.72 |
$6,684 |
0.7× |
| Reposition Venous Catheter (36597) |
$684.09 |
$2,073 |
0.4× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$5,842.32 |
$17,704 |
1.0× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$1,068.21 |
$3,237 |
0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$585.75 |
$1,775 |
1.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$222.09 |
$673 |
1.6× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$585.75 |
$1,775 |
1.2× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$755.70 |
$2,290 |
0.6× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$1,888.92 |
$5,724 |
0.6× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$3,088.14 |
$9,358 |
0.8× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$2,358.84 |
$7,148 |
0.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,519.32 |
$4,604 |
0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,351.02 |
$4,094 |
2.0× |
| Rplc Gtube No Revj Trc (43762) |
$426.36 |
$1,292 |
1.6× |
| Rplc gtube revj gstrst trc (43763) |
$639.54 |
$1,938 |
2.4× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,519.32 |
$4,604 |
0.9× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,453.32 |
$4,404 |
0.9× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,069.43 |
$6,271 |
0.6× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,848.23 |
$8,631 |
0.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$362.34 |
$1,098 |
1.7× |
| Sclerotx Fluid Collection (49185) |
$379.83 |
$1,151 |
0.2× |
| Shave skin lesion 0.5 cm/< (11300) |
$168.96 |
$512 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$160.38 |
$486 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$246.84 |
$748 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$160.38 |
$486 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$168.96 |
$512 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$160.38 |
$486 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$246.84 |
$748 |
0.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$160.38 |
$486 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$246.84 |
$748 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$168.96 |
$512 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$246.84 |
$748 |
0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$129.03 |
$391 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$362.34 |
$1,098 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$339.57 |
$1,029 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$302.61 |
$917 |
1.4× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$362.34 |
$1,098 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$322.74 |
$978 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$339.57 |
$1,029 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$322.74 |
$978 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$322.74 |
$978 |
1.5× |
| Skin Full Grft Face/Genit/Hf (15240) |
$1,223.97 |
$3,709 |
0.6× |
| Skin Pinch Graft (15050) |
$306.57 |
$929 |
0.4× |
| Skin sub graft face/nk/hf/g (15275) |
$2,461.47 |
$7,459 |
3.1× |
| Skin sub graft trnk/arm/leg (15271) |
$2,272.05 |
$6,885 |
2.9× |
| Skin sub grft t/arm/lg child (15273) |
$2,650.89 |
$8,033 |
1.2× |
| Skin Tissue Procedure (17999) |
$259.38 |
$786 |
1.2× |
| Skn sub grft f/n/hf/g child (15277) |
$1,199.22 |
$3,634 |
0.5× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$5,008.08 |
$15,176 |
0.9× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$3,012.57 |
$9,129 |
0.9× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$5,008.08 |
$15,176 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$339.57 |
$1,029 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$616.11 |
$1,867 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$616.11 |
$1,867 |
1.4× |
| Spinal puncture lumbar diagnostic (62270) |
$1,127.28 |
$3,416 |
1.5× |
| Strapping ankle (29540) |
$269.94 |
$818 |
1.6× |
| Strapping elbow or wrist (29260) |
$86.46 |
$262 |
1.4× |
| Strapping hand/finger (29280) |
$73.92 |
$224 |
1.2× |
| Strapping shoulder (29240) |
$118.14 |
$358 |
0.8× |
Strapping Unna Boot (29580)
range across 16 matching MRF lines |
$51.81–$103.95 |
$157–$315 |
varies |
| Tangential biopsy skin single lesion (11102) |
$421.74 |
$1,278 |
1.0× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
$15,609.66 |
$47,302 |
0.5× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$18,042.75 |
$54,675 |
0.9× |
| Tenolysis flexor foot single tendon (28220) |
$780.78 |
$2,366 |
0.5× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,018.71 |
$3,087 |
0.6× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$996.60 |
$3,020 |
0.6× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$1,127.28 |
$3,416 |
1.5× |
| Therapeutic Apheresis White Blood Cells (36511) |
$1,928.19 |
$5,843 |
1.2× |
| Therapeutic plasma exchange (36514) |
$1,928.19 |
$5,843 |
1.2× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$12,723.81 |
$38,557 |
0.7× |
| Thromblytic art/ven therapy (37213) |
$2,588.19 |
$7,843 |
0.8× |
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure |
$2,281.62 |
$6,914 |
0.4× |
| Thrombolytic Therapy Stroke (37195) |
$263.34 |
$798 |
0.8× |
| Thrombolytic Venous Therapy (37212) |
$2,281.62 |
$6,914 |
0.7× |
| Thyroid biopsy (60100) |
$1,064.25 |
$3,225 |
1.4× |
| Tooth extraction (41899) |
$915.09 |
$2,773 |
3.7× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$255.42 |
$774 |
0.4× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$874.50 |
$2,650 |
3.5× |
Transcatheter biopsy (37200)
unusually low: confirm this is the full procedure |
$2,700.06 |
$8,182 |
0.5× |
| Treat Dental Ridge Fracture (21440) |
$1,975.71 |
$5,987 |
0.6× |
| Treat Humerus Fracture (24505) |
$1,490.28 |
$4,516 |
0.9× |
| Treat Knuckle Dislocation (26700) |
$151.47 |
$459 |
0.6× |
| Treat toe dislocation (28630) |
$164.01 |
$497 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$443.52 |
$1,344 |
1.7× |
| Treatment of foot infection (28003) |
$1,500.84 |
$4,548 |
0.4× |
| Trim skin lesion (11055) |
$302.61 |
$917 |
1.4× |
| Trim skin lesions 2 to 4 (11056) |
$353.10 |
$1,070 |
1.7× |
| Trim skin lesions over 4 (11057) |
$125.40 |
$380 |
0.6× |
| Trluml Balo Angiop 1St Art (37246) |
$5,821.86 |
$17,642 |
1.0× |
| Trluml Balo Angiop 1St Vein (37248) |
$5,821.86 |
$17,642 |
1.0× |
| Tx Gastro Intub W/Asp (43753) |
$458.37 |
$1,389 |
2.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$996.60 |
$3,020 |
0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$947.10 |
$2,870 |
1.2× |
Unlisted Cardiac Surgery (33999)
range across 2 matching MRF lines |
$5,487.90–$27,378.45 |
$16,630–$82,965 |
varies |
| Unlisted procedure breast (19499) |
$153.78 |
$466 |
0.0× |
| Unlisted procedure lungs and pleura (32999) |
$408.21 |
$1,237 |
0.6× |
Unlisted procedure nervous system (64999)
range across 17 matching MRF lines |
$126.72–$3,472.92 |
$384–$10,524 |
varies |
| Unlisted procedure spine (22899) |
$464.97 |
$1,409 |
1.8× |
| Unlisted procedure stomach (43999) |
$86.13 |
$261 |
0.1× |
| Unlisted Procedure Vascular Surgery (37799) |
$5,123.25 |
$15,525 |
7.7× |
| Unlisted Procedure, Urinary System (53899) |
$3,786.09 |
$11,473 |
14.3× |
| Upgrade of pacemaker system (33214) |
$8,729.82 |
$26,454 |
0.8× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$1,204.50 |
$3,650 |
0.4× |
| Vaginal delivery only (59409) |
$1,246.74 |
$3,778 |
0.4× |
| Vasc embolize/occlude artery (37242) |
$11,767.47 |
$35,659 |
0.6× |
| Vasc Embolize/Occlude Bleed (37244) |
$10,529.97 |
$31,909 |
0.9× |
| Vasc Embolize/Occlude Organ (37243) |
$11,767.47 |
$35,659 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$9,478.26 |
$28,722 |
0.8× |
Venous Mech Thrombectomy (37187)
unusually low: confirm this is the full procedure |
$3,786.09 |
$11,473 |
0.3× |
| Wedge excision skin nail fold (11765) |
$272.91 |
$827 |
0.6× |
| Wound Prep F/N/Hf/G (15004) |
$402.60 |
$1,220 |
0.9× |
| Wound Prep Trk/Arm/Leg (15002) |
$1,169.19 |
$3,543 |
1.5× |