| Abd paracentesis w/imaging (49083) |
$3,700.26 |
$3,700.26 |
4.1× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$4,433.59 |
$4,433.59 |
2.1× |
| Amniocentesis diagnostic (59000) |
$2,202.36 |
$2,202.36 |
2.4× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$364.05 |
$364.05 |
2.2× |
| Application Finger Splint Dynamic (29131) |
$150.30 |
$150.30 |
2.5× |
| Application finger splint static (29130) |
$150.30 |
$150.30 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$420.93 |
$420.93 |
2.6× |
| Application long leg splint thigh ankle/toes (29505) |
$350.02 |
$350.02 |
2.1× |
| Application Short Arm Splint Dynamic (29126) |
$297.89 |
$297.89 |
2.2× |
| Application short arm splint forearm-hand static (29125) |
$297.89 |
$297.89 |
2.2× |
| Application short leg splint calf foot (29515) |
$468.09 |
$468.09 |
2.9× |
| Apply multlay comprs arm/hand (29584) |
$364.05 |
$364.05 |
2.2× |
| Arterial puncture (36600) |
$356 |
$356 |
2.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$2,091 |
$2,091 |
6.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,991.43 |
$1,991.43 |
6.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$477.39 |
$477.39 |
2.4× |
| Bladder Scan (51798) |
$178.71 |
$178.71 |
3.0× |
| Blood patch (62273) |
$1,971.05 |
$1,971.05 |
2.8× |
| Blood transfusion service (36430) |
$1,918.79 |
$1,918.79 |
4.3× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$4,470.20 |
$4,470.20 |
2.5× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$4,022.90 |
$4,022.90 |
2.2× |
| Bx breast 1st lesion us imag (19083) |
$2,572.46 |
$2,572.46 |
1.6× |
| Bx/exc lymph node needle superficial (38505) |
$1,881.63 |
$1,881.63 |
1.1× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$603.54 |
$603.54 |
2.7× |
| Chest tube placement (32551) |
$1,643.28 |
$1,643.28 |
1.0× |
| Circumcision (54150) |
$4,453.44 |
$4,453.44 |
2.1× |
| Circumcision Neonate (54160) |
$1,771.09 |
$1,771.09 |
2.5× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$4,014.45 |
$4,014.45 |
2.5× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$614.20 |
$614.20 |
2.5× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$3,703.14 |
$3,703.14 |
2.3× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$614.20 |
$614.20 |
2.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$638.69 |
$638.69 |
2.6× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$3,860.50 |
$3,860.50 |
2.4× |
| Closed Rx Trimalleolar Fx (27816) |
$589.16 |
$589.16 |
2.4× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$589.16 |
$589.16 |
2.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$293.55 |
$293.55 |
1.2× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$589.16 |
$589.16 |
2.4× |
| Closed tx knee dislocation w/anesthesia (27552) |
$3,703.14 |
$3,703.14 |
2.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$589.16 |
$589.16 |
2.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$638.69 |
$638.69 |
2.6× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,547.25 |
$3,547.25 |
2.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$3,703.14 |
$3,703.14 |
2.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$589.16 |
$589.16 |
2.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$589.16 |
$589.16 |
2.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$589.16 |
$589.16 |
2.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,703.14 |
$3,703.14 |
2.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$589.16 |
$589.16 |
2.4× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$3,703.14 |
$3,703.14 |
2.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$564.36 |
$564.36 |
2.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$564.36 |
$564.36 |
2.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$589.16 |
$589.16 |
2.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$564.36 |
$564.36 |
2.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$420.93 |
$420.93 |
0.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$589.16 |
$589.16 |
2.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$614.20 |
$614.20 |
2.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$589.16 |
$589.16 |
2.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$420.93 |
$420.93 |
1.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$638.69 |
$638.69 |
2.6× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$3,703.14 |
$3,703.14 |
2.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$589.16 |
$589.16 |
2.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$589.16 |
$589.16 |
2.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$614.20 |
$614.20 |
2.5× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$3,703.14 |
$3,703.14 |
2.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$638.69 |
$638.69 |
2.6× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$3,703.14 |
$3,703.14 |
2.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$3,703.14 |
$3,703.14 |
2.3× |
| Colonoscopy thru stoma (44388) |
$4,361.39 |
$4,361.39 |
4.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$297.89 |
$297.89 |
2.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$420.93 |
$420.93 |
3.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,893.53 |
$1,893.53 |
1.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$297.89 |
$297.89 |
2.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$6,335.58 |
$6,335.58 |
2.2× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,737.47 |
$1,737.47 |
2.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,640 |
$1,640 |
4.0× |
| Destroy cerv/thor facet jnt (64633) |
$4,561.38 |
$4,561.38 |
2.3× |
| Destroy lumb/sac facet jnt (64635) |
$4,250.36 |
$4,250.36 |
2.2× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$5,018.36 |
$5,018.36 |
5.6× |
| Drain hand tendon sheath (26020) |
$7,479.15 |
$7,479.15 |
2.3× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$1,679.04 |
$1,679.04 |
2.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,666.64 |
$1,666.64 |
2.3× |
| Drainage Finger Abscess Simple (26010) |
$497.68 |
$497.68 |
2.5× |
| Drainage of eyelid abscess (67700) |
$739.02 |
$739.02 |
2.3× |
| Drainage of gum lesion (41800) |
$297.89 |
$297.89 |
2.2× |
| Drainage of hematoma/fluid (10140) |
$4,942.84 |
$4,942.84 |
3.0× |
| Draw blood off venous device (36591) |
$347.42 |
$347.42 |
2.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$872.95 |
$872.95 |
2.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$477.39 |
$477.39 |
2.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$457.29 |
$457.29 |
2.3× |
| Exploration for undescended testis (inguinal or scrotal area) (54550) |
$8,137.58 |
$8,137.58 |
2.3× |
| Exploration penetrating wound spx extremity (20103) |
$1,666.64 |
$1,666.64 |
1.0× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$3,703.14 |
$3,703.14 |
2.3× |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
$1,554.09 |
$1,554.09 |
2.8× |
| External Cephalic Version (59412) |
$2,487.58 |
$2,487.58 |
0.8× |
| Fetal Contraction Stress Test (59020) |
$759.62 |
$759.62 |
3.7× |
| Fetal non-stress test (59025) |
$919.16 |
$919.16 |
4.5× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$4,433.59 |
$4,433.59 |
2.1× |
| Guide Cathet Fluid Drainage (10030) |
$610.15 |
$610.15 |
0.9× |
| I&D Abscess Peritonsillar (42700) |
$556.38 |
$556.38 |
2.3× |
| I&d abscess simple (10060) |
$757.09 |
$757.09 |
3.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$6,335.58 |
$6,335.58 |
2.2× |
| I&d perianal abscess superficial (46050) |
$2,087.04 |
$2,087.04 |
2.2× |
| I&d pilonidal cyst simple (10080) |
$1,666.64 |
$1,666.64 |
2.3× |
| Implant neuroelectrodes (63650) |
$16,945.07 |
$16,945.07 |
2.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,097.54 |
$1,097.54 |
2.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$946.34 |
$946.34 |
2.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$434.58 |
$434.58 |
2.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$801.83 |
$801.83 |
2.6× |
| Incision bone cortex foot (28005) |
$7,479.15 |
$7,479.15 |
2.3× |
| Incision of rectal abscess (46040) |
$2,764.11 |
$2,764.11 |
2.3× |
| Incision thrombosed hemorrhoid external (46083) |
$614.77 |
$614.77 |
2.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$3,071.21 |
$3,071.21 |
3.5× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$715.20 |
$715.20 |
2.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$775.32 |
$775.32 |
2.5× |
| Injection anes other peripheral nerve/branch (64450) |
$1,045.39 |
$1,045.39 |
1.5× |
| Injection for identification of sentinel node (38792) |
$1,048.32 |
$1,048.32 |
2.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$944.62 |
$944.62 |
3.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$964.58 |
$964.58 |
3.1× |
| Ins cath ren art 1st bilat (36252) |
$12,934.32 |
$12,934.32 |
4.1× |
| Ins endovas vena cava filtr (37191) |
$13,004.36 |
$13,004.36 |
2.3× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$23,349.17 |
$23,349.17 |
2.2× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$39,522.84 |
$39,522.84 |
3.8× |
| Insert Bladder Cath Complex (51703) |
$394.06 |
$394.06 |
3.0× |
| Insert cervical dilator (59200) |
$821.80 |
$821.80 |
2.7× |
| Insert non-tunnel cv cath (36556) |
$5,813.60 |
$5,813.60 |
1.8× |
| Insert picc cath (36569) |
$3,110.15 |
$3,110.15 |
2.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$3,729.21 |
$3,729.21 |
2.4× |
| Insert Temp Bladder Cath (51702) |
$426.34 |
$426.34 |
3.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$426.34 |
$426.34 |
3.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,494.21 |
$3,494.21 |
2.2× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$17,585.61 |
$17,585.61 |
2.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$7,571.58 |
$7,571.58 |
2.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$6,704.64 |
$6,704.64 |
2.1× |
| Insj/rplcmt defib w/lead(s) (33249) |
$67,213.34 |
$67,213.34 |
2.1× |
| Intubation endotracheal emergency procedure (31500) |
$1,031.28 |
$1,031.28 |
4.3× |
| Liver Biopsy (47000) |
$2,219.25 |
$2,219.25 |
1.3× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$2,202.19 |
$2,202.19 |
2.8× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$1,000.77 |
$1,000.77 |
2.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$3,297.03 |
$3,297.03 |
3.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$2,396.73 |
$2,396.73 |
3.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$2,178.88 |
$2,178.88 |
3.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$6,938.81 |
$6,938.81 |
9.8× |
| Pericardiocentesis W/Imaging (33016) |
$5,708.95 |
$5,708.95 |
3.6× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$3,467.80 |
$3,467.80 |
2.2× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$4,435.88 |
$4,435.88 |
2.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$641.78 |
$641.78 |
2.6× |
| Place Cath Thoracic Aorta (36221) |
$16,837.59 |
$16,837.59 |
5.3× |
| Place Cath Vertebral Art (36226) |
$17,346.42 |
$17,346.42 |
3.1× |
| Preputial Stretching (54450) |
$669.06 |
$669.06 |
2.7× |
| Puncture Aspiration (10160) |
$2,798.26 |
$2,798.26 |
6.9× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$6,259.40 |
$6,259.40 |
3.2× |
| Removal fb intranasal (30300) |
$322.93 |
$322.93 |
2.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$420.93 |
$420.93 |
7.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$1,014.64 |
$1,014.64 |
17.1× |
| Removal of intrauterine device (iud) (58301) |
$159.20 |
$159.20 |
0.5× |
| Removal of nail bed (11750) |
$872.95 |
$872.95 |
2.1× |
| Remove cerclage suture (59871) |
$7,494.30 |
$7,494.30 |
2.3× |
| Remv Ext Canal Foreign Body (69200) |
$420.93 |
$420.93 |
3.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$322.93 |
$322.93 |
2.4× |
| Remv&replc pm gen dual lead (33228) |
$36,352.26 |
$36,352.26 |
3.5× |
| Renal biopsy (50200) |
$2,823.51 |
$2,823.51 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,357.94 |
$1,357.94 |
3.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,357.94 |
$1,357.94 |
3.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,014.64 |
$1,014.64 |
2.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,357.94 |
$1,357.94 |
1.8× |
| Repair finger/hand tendon (26350) |
$7,479.15 |
$7,479.15 |
2.3× |
| Repair hand tendon (26410) |
$3,703.14 |
$3,703.14 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$836.20 |
$836.20 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$836.20 |
$836.20 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$187.90 |
$187.90 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$872.95 |
$872.95 |
2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$872.95 |
$872.95 |
2.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$836.20 |
$836.20 |
2.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$946.34 |
$946.34 |
2.3× |
| Repair Tongue Laceration (41250) |
$285.35 |
$285.35 |
0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$993.39 |
$993.39 |
2.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$297.89 |
$297.89 |
2.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$836.20 |
$836.20 |
2.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$589.40 |
$589.40 |
2.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$497.68 |
$497.68 |
2.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$517.52 |
$517.52 |
2.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$477.39 |
$477.39 |
2.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$477.39 |
$477.39 |
2.4× |
| Skin sub graft face/nk/hf/g (15275) |
$5,748.86 |
$5,748.86 |
7.7× |
| Skin sub graft trnk/arm/leg (15271) |
$4,641.74 |
$4,641.74 |
6.3× |
| Skin tissue rearrangement (14040) |
$4,433.59 |
$4,433.59 |
2.1× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$15,711.68 |
$15,711.68 |
2.8× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$14,617.79 |
$14,617.79 |
4.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$477.39 |
$477.39 |
2.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$872.95 |
$872.95 |
2.1× |
| Spinal puncture lumbar diagnostic (62270) |
$2,128.05 |
$2,128.05 |
3.0× |
| Spinal Puncture Therapeutic (62272) |
$1,780.30 |
$1,780.30 |
2.5× |
| Strapping shoulder (29240) |
$347.42 |
$347.42 |
2.6× |
| Strapping unna boot (29580) |
$364.05 |
$364.05 |
2.2× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$7,479.15 |
$7,479.15 |
2.3× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$3,703.14 |
$3,703.14 |
2.3× |
| Ther Apheresis,Plasma Pheresis (36514) |
$3,970.86 |
$3,970.86 |
2.5× |
| Ther Apheresis,Red Blood Cells (36512) |
$3,970.86 |
$3,970.86 |
2.5× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$4,312.88 |
$4,312.88 |
6.8× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,643.28 |
$1,643.28 |
2.6× |
| Thrombolytic Therapy, Stroke (37195) |
$881.82 |
$881.82 |
2.7× |
| Trach Tube Change (31502) |
$1,031.28 |
$1,031.28 |
4.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,937.65 |
$1,937.65 |
1.2× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$455.51 |
$455.51 |
1.5× |
| Treat finger dislocation (26775) |
$627.91 |
$627.91 |
2.2× |
| Treat humerus fracture (24500) |
$614.20 |
$614.20 |
2.5× |
| Treat humerus fracture (23600) |
$638.69 |
$638.69 |
2.6× |
| Treat thumb fracture (26665) |
$7,796.97 |
$7,796.97 |
2.4× |
| Treatment closed elbow dislocation req anes (24605) |
$3,860.50 |
$3,860.50 |
2.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$638.69 |
$638.69 |
2.6× |
| Unlisted Procedure Casting/Strapping (29799) |
$365.40 |
$365.40 |
2.2× |
| Unlisted procedure maternity care & delivery (59899) |
$503.43 |
$503.43 |
2.5× |
| Vaginal delivery only (59409) |
$3,719.01 |
$3,719.01 |
1.1× |
| Venipuncture (36415) |
$64.06 |
$64.06 |
6.9× |
| Wound Prep F/N/Hf/G (15004) |
$1,357.94 |
$1,357.94 |
3.3× |