| Ablation av node (93650) |
$11,771.25 |
$11,771.25 |
1.5× |
| Aep threshold estimation mlt frequencies i&r (92652) |
$844 |
$844 |
4.0× |
| Airway inhalation treatment (94640) |
$407.50 |
$407.50 |
1.9× |
| Appl on-body injector for timed subq injection (96377) |
$441.50 |
$441.50 |
9.6× |
| Behav assmt w/score & docd/stand instrument (96127) |
$94.50 |
$94.50 |
2.6× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$696 |
$696 |
6.4× |
| Biofeedback training any modality (90901) |
$246.75 |
$246.75 |
6.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$787.75 |
$787.75 |
2.1× |
| C motor evoked upr&lwr limbs (95939) |
$1,525.25 |
$1,525.25 |
1.8× |
| Capsule endoscopy (91110) |
$2,382.25 |
$2,382.25 |
2.7× |
| Car seat/bed test 60 min (94780) |
$339.50 |
$339.50 |
9.2× |
| Cardiac Stress Tst,Tracing Only (93017) |
$782.25 |
$782.25 |
3.7× |
| Cardiopulmonary resuscitation (92950) |
$1,488.50 |
$1,488.50 |
7.0× |
| Cardioversion (92960) |
$675.50 |
$675.50 |
1.0× |
| Caregiver training 1st 30 min (97550) |
$119.75 |
$119.75 |
2.3× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$64.50 |
$64.50 |
2.5× |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
$19,100 |
$19,100 |
6.0× |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
$22,950 |
$22,950 |
7.2× |
| Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) |
$26,484.50 |
$26,484.50 |
1.5× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$25,650 |
$25,650 |
8.0× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$23,750 |
$23,750 |
7.4× |
| Cbt 1st hour (94644) |
$718.25 |
$718.25 |
5.5× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$252.50 |
$252.50 |
3.6× |
| Chemo inj subarach/intravent (96542) |
$702 |
$702 |
2.2× |
| Chemo IV push addl drug (96411) |
$420.50 |
$420.50 |
5.9× |
| Chemo Iv Push Sngl Drug (96409) |
$420.50 |
$420.50 |
1.3× |
| Chemo prolong 8+ hrs infuse w/pump (96416) |
$639 |
$639 |
2.0× |
| Chemother, IV infusion, 1 hr (96413) |
$825 |
$825 |
2.5× |
| Chemother, IV infusion, ea add hr (96415) |
$402 |
$402 |
5.7× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) |
$252.50 |
$252.50 |
3.6× |
| Chemotherapy, unspecified procedure (96549) |
$397.25 |
$397.25 |
8.6× |
| Chemotx Admn Cns Req Spinal Puncture (96450) |
$1,037.50 |
$1,037.50 |
3.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$402 |
$402 |
5.7× |
| Chronic care mgmt svcs staff 1st 20 min cal mo (99490) |
$269.50 |
$269.50 |
2.7× |
| Color/duplex Doppler, complete (93975) |
$1,338.25 |
$1,338.25 |
5.7× |
| Color/duplex Doppler, limited (93976) |
$791.25 |
$791.25 |
7.7× |
| Coronary artery angio s&i (93454) |
$17,450 |
$17,450 |
5.5× |
| Cortical mapping 1st hr (95961) |
$2,542 |
$2,542 |
3.0× |
| Cpap initiation and management (94660) |
$1,378.25 |
$1,378.25 |
6.4× |
| Cpt initial (94667) |
$147.25 |
$147.25 |
1.1× |
| Critical care (99291) |
$3,135.75 |
$3,135.75 |
3.9× |
| Ctr motor ep std transcrnl motor stimj lwr limbs (95929) |
$1,325.75 |
$1,325.75 |
3.6× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$316.50 |
$316.50 |
1.6× |
| Demo &/or eval,pt use,aerosol device (94664) |
$302.50 |
$302.50 |
1.4× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
$821 |
$821 |
2.0× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) |
$419.75 |
$419.75 |
4.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$1,300.50 |
$1,300.50 |
5.5× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$782.25 |
$782.25 |
7.6× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$1,300.50 |
$1,300.50 |
5.5× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$623.25 |
$623.25 |
6.1× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$1,505 |
$1,505 |
14.6× |
| Duplex hemodialysis access (93990) |
$555 |
$555 |
5.4× |
| Duplex scan extracranial art compl bi study (93880) |
$1,792.50 |
$1,792.50 |
7.6× |
| Echo Heart Xthoracic,Limited (93308) |
$1,685.50 |
$1,685.50 |
7.2× |
| Echo transesophageal (93312) |
$3,220 |
$3,220 |
6.0× |
| EEG awake asleep (95819) |
$1,977 |
$1,977 |
9.3× |
| EEG awake drowsy (95816) |
$1,840.50 |
$1,840.50 |
8.7× |
| EEG coma or sleep only (95822) |
$2,070 |
$2,070 |
9.7× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$793.25 |
$793.25 |
3.7× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$2,068 |
$2,068 |
9.7× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$793.25 |
$793.25 |
3.7× |
| EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) |
$1,522.50 |
$1,522.50 |
4.1× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$1,522.50 |
$1,522.50 |
4.1× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$793.25 |
$793.25 |
3.7× |
| EKG (93005) |
$208.25 |
$208.25 |
3.6× |
| EKG rhythm strip (93041) |
$358 |
$358 |
6.2× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$278.50 |
$278.50 |
3.0× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$120.25 |
$120.25 |
3.3× |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
$731.25 |
$731.25 |
7.8× |
| EMG one extremity (95860) |
$505 |
$505 |
3.9× |
| EMG three extremities (95863) |
$763.50 |
$763.50 |
6.0× |
| EMG two extremities (95861) |
$717 |
$717 |
5.5× |
| Endomyocardial biopsy (93505) |
$8,518.75 |
$8,518.75 |
2.7× |
| Ep & ablate supravent arrhyt (93653) |
$45,160.75 |
$45,160.75 |
1.8× |
| Ep & ablate ventric tachy (93654) |
$45,160.75 |
$45,160.75 |
1.8× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
$15,533.25 |
$15,533.25 |
2.0× |
| Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) |
$3,229.50 |
$3,229.50 |
2.7× |
| Er level 1 (99281) |
$383.25 |
$383.25 |
4.6× |
| Er level ii (99282) |
$635.25 |
$635.25 |
4.2× |
| Er level iii (99283) |
$1,128.75 |
$1,128.75 |
4.2× |
| Er level IV (99284) |
$1,296.75 |
$1,296.75 |
3.2× |
| Er level v (99285) |
$1,968.75 |
$1,968.75 |
3.4× |
| Evaluation of speech sound production (92522) |
$696 |
$696 |
6.2× |
| Evaluation of swallowing function (92610) |
$609.50 |
$609.50 |
7.2× |
| Exhaled Air Analysis (94690) |
$203.25 |
$203.25 |
3.5× |
| External Ecg Scanning Analysis Report (93226) |
$898 |
$898 |
15.5× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$624.25 |
$624.25 |
3.1× |
| Flow volume loop (94375) |
$479.25 |
$479.25 |
2.3× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$1,573.25 |
$1,573.25 |
4.3× |
| Group Therapeutic Procedures (97150) |
$93.50 |
$93.50 |
5.2× |
| Holter Monitor Recording (93225) |
$898 |
$898 |
6.9× |
| Icd Device Interrogate (93289) |
$114 |
$114 |
3.1× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$123.75 |
$123.75 |
3.1× |
| Immunization Admin (90471) |
$205.75 |
$205.75 |
2.9× |
| Ingestion challenge test initial 120 minutes (95076) |
$1,334 |
$1,334 |
3.6× |
| Ins swan ganz bedside (93503) |
$2,478.50 |
$2,478.50 |
1.6× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$81 |
$81 |
1.4× |
| IV infusion hydration each additional hour (96361) |
$203.50 |
$203.50 |
4.4× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$813.75 |
$813.75 |
3.9× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$472.50 |
$472.50 |
6.7× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$918.75 |
$918.75 |
4.4× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$229.75 |
$229.75 |
5.0× |
| IV push initial (96374) |
$630 |
$630 |
3.0× |
| Liver elastography w/o imag w/i&r (91200) |
$463.50 |
$463.50 |
3.7× |
| Maintenance of spinal canal or brain drug infusion pump (95990) |
$604 |
$604 |
1.9× |
| Manual therapy 15 min (97140) |
$157.75 |
$157.75 |
5.7× |
| Massage 15 min (97124) |
$163 |
$163 |
5.5× |
| Mechanical chest wall oscillation (94669) |
$153.75 |
$153.75 |
0.7× |
| Mechanical traction (97012) |
$157.75 |
$157.75 |
11.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$69.50 |
$69.50 |
2.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$69.50 |
$69.50 |
1.9× |
| Mnt Group Ea 30 Min (97804) |
$86.25 |
$86.25 |
5.1× |
| Motility study esophagus (91010) |
$1,573.25 |
$1,573.25 |
4.3× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$1,039.75 |
$1,039.75 |
11.4× |
| Multiple Family Group Psychotherapy (90849) |
$293.50 |
$293.50 |
1.7× |
| Multiple sleep latency test (95805) |
$2,271 |
$2,271 |
2.7× |
| Nasopharyngoscopy (92511) |
$293.50 |
$293.50 |
1.5× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$483.12 |
$483.12 |
3.7× |
| Neg press wound tx >50 cm (97608) |
$508.50 |
$508.50 |
1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$619 |
$619 |
3.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$1,125.75 |
$1,125.75 |
2.8× |
| Nerve conduction studies 13/> studies (95913) |
$4,805.75 |
$4,805.75 |
13.1× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$1,246.25 |
$1,246.25 |
5.9× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$3,383.75 |
$3,383.75 |
9.2× |
| Nerve conduction studies; 5-6 studies (95909) |
$1,957.75 |
$1,957.75 |
9.2× |
| Nerve conduction studies; 7-8 studies (95910) |
$2,670 |
$2,670 |
7.3× |
| Neuromuscular junction test (95937) |
$382.50 |
$382.50 |
3.0× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$499.50 |
$499.50 |
3.8× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$1,657.50 |
$1,657.50 |
7.8× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$120 |
$120 |
0.9× |
| Nrpsyc tst eval phys/qhp 1st (96132) |
$1,348 |
$1,348 |
3.7× |
| O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) |
$755.50 |
$755.50 |
2.1× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) |
$172.75 |
$172.75 |
3.0× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) |
$172.75 |
$172.75 |
3.0× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$157.75 |
$157.75 |
3.4× |
| Ot eval high complex 60 min (97167) |
$836.50 |
$836.50 |
8.3× |
| Ot eval low complex 30 min (97165) |
$536.75 |
$536.75 |
5.3× |
| Ot eval mod complex 45 min (97166) |
$625 |
$625 |
6.2× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$157.75 |
$157.75 |
3.1× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$157.75 |
$157.75 |
3.9× |
| Ot re-eval est plan care (97168) |
$369.50 |
$369.50 |
5.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$328.50 |
$328.50 |
2.6× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$246.75 |
$246.75 |
1.9× |
| Paraffin bath (97018) |
$155.50 |
$155.50 |
25.9× |
| Peripheral arterial disease rehab per session (93668) |
$204.75 |
$204.75 |
3.5× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$165.75 |
$165.75 |
2.9× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$165.75 |
$165.75 |
2.9× |
| Plethysmography (94726) |
$783.75 |
$783.75 |
2.1× |
| Pm device eval in person (93288) |
$114 |
$114 |
3.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$4,541.75 |
$4,541.75 |
5.4× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$6,196.50 |
$6,196.50 |
7.3× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$6,196.50 |
$6,196.50 |
7.3× |
| Programming of dual lead implantable defibrillator system (93283) |
$158.50 |
$158.50 |
4.3× |
| Prq balloon valvuloplasty aortic valve (92986) |
$14,245.25 |
$14,245.25 |
2.5× |
| Prq Balloon Valvuloplasty Mitral Valve (92987) |
$28,334.75 |
$28,334.75 |
2.5× |
| Prq card revasc chronic 1vsl (92943) |
$31,031.75 |
$31,031.75 |
2.7× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$26,843.75 |
$26,843.75 |
2.4× |
| Prq Card Stent/Ath/Angio (92933) |
$18,790.50 |
$18,790.50 |
1.0× |
| Prq revasc byp graft 1 vsl (92937) |
$26,843.75 |
$26,843.75 |
2.4× |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$27,050 |
$27,050 |
2.4× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$20,250 |
$20,250 |
3.6× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) |
$1,052.75 |
$1,052.75 |
2.4× |
| Pt Aquatic Therapy/Exercises (97113) |
$157.75 |
$157.75 |
4.3× |
| Pt Electric Current Therapy (97033) |
$268.25 |
$268.25 |
14.1× |
| Pt Electrical Stimulation (97032) |
$180.50 |
$180.50 |
12.3× |
| Pt eval high complex 45 min (97163) |
$894.75 |
$894.75 |
9.1× |
| Pt eval low complex 20 min (97161) |
$536.75 |
$536.75 |
5.5× |
| Pt Gait Training Therapy (97116) |
$157.75 |
$157.75 |
5.4× |
| Pt group caregiver training (97552) |
$28 |
$28 |
1.3× |
| Pt Infrared Therapy (97026) |
$46 |
$46 |
6.9× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$157.75 |
$157.75 |
4.8× |
| Pt Physical Performance Test (97750) |
$113.25 |
$113.25 |
3.4× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$716 |
$716 |
7.3× |
| Pt re-evaluation (97164) |
$357.25 |
$357.25 |
5.3× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$160.50 |
$160.50 |
5.0× |
| Pt Ultrasound Therapy (97035) |
$157.75 |
$157.75 |
11.0× |
| Pt Whirlpool Therapy (97022) |
$305.62 |
$305.62 |
19.5× |
| Pulm function test by gas (94727) |
$265.25 |
$265.25 |
1.2× |
| Pulmonary stress testing (94618) |
$643.25 |
$643.25 |
4.9× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
$18,596 |
$18,596 |
5.8× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$26,900 |
$26,900 |
8.4× |
| R hrt art/grft angio (93457) |
$23,750 |
$23,750 |
7.4× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$27,900 |
$27,900 |
8.8× |
| Refill/maint, portable pump (96521) |
$409.75 |
$409.75 |
2.0× |
| Right heart cath (93451) |
$10,446.75 |
$10,446.75 |
3.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$420.25 |
$420.25 |
2.1× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$130 |
$130 |
1.0× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) |
$318 |
$318 |
6.7× |
| Short-latency somatosens ep std lwr limbs (95926) |
$457.75 |
$457.75 |
2.2× |
| Sleep study attended (95807) |
$669.75 |
$669.75 |
1.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$388.75 |
$388.75 |
1.8× |
| Smoking cessation > 10 min (99407) |
$111.50 |
$111.50 |
3.0× |
| Somatosensory testing (95938) |
$916.25 |
$916.25 |
1.1× |
| Speech sound lang comprehen (92523) |
$869.75 |
$869.75 |
3.8× |
| Spirometry (94010) |
$479.25 |
$479.25 |
2.3× |
| Stress echo (93350) |
$3,310.75 |
$3,310.75 |
6.2× |
| Surfactant Admin Thru Tube (94610) |
$715.25 |
$715.25 |
3.3× |
| Test for allergy using combination of methods with drug or biological (95018) |
$111 |
$111 |
3.0× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$80 |
$80 |
3.6× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$76.25 |
$76.25 |
3.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$441.50 |
$441.50 |
6.2× |
| Therapeutic Activities (97530) |
$178 |
$178 |
5.1× |
| Therapeutic phlebotomy (99195) |
$336.25 |
$336.25 |
2.6× |
| Tilt Table Eval (93660) |
$1,707.25 |
$1,707.25 |
4.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$111.50 |
$111.50 |
3.0× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$3,030.50 |
$3,030.50 |
5.6× |
| Tx atrial fib pulm vein isol (93656) |
$50,200 |
$50,200 |
2.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$541.75 |
$541.75 |
7.1× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$396.75 |
$396.75 |
4.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$220.50 |
$220.50 |
4.8× |
| Ultrasound of heart with probe in esophagus to assess heart pump function (93318) |
$3,803.25 |
$3,803.25 |
7.1× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$766 |
$766 |
6.1× |
| Valvuloplasty pulmonary valve (92990) |
$37,100 |
$37,100 |
3.3× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$1,748 |
$1,748 |
7.4× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$1,217.50 |
$1,217.50 |
11.8× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$1,885.75 |
$1,885.75 |
8.9× |
| Vasopneumatic device (97016) |
$155.50 |
$155.50 |
12.9× |
| Veeg by tech 2-12 hours unmonitored (95711) |
$793.25 |
$793.25 |
3.7× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$1,435 |
$1,435 |
3.9× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$793.25 |
$793.25 |
2.2× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$2,706.50 |
$2,706.50 |
3.2× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$1,522.50 |
$1,522.50 |
4.1× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$1,522.50 |
$1,522.50 |
4.1× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$3,598.88 |
$3,598.88 |
5.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$2,579.75 |
$2,579.75 |
4.2× |
| Visual Evoked Potential Test (95930) |
$2,275.25 |
$2,275.25 |
10.7× |
| Vital capacity total (94150) |
$390.75 |
$390.75 |
3.1× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$157.75 |
$157.75 |
5.1× |