| Ablate Heart Dysrhythm Focus (93650) |
$6,121.80 |
$13,604 |
0.8× |
| Admn Sarscov2 Vacc 1 Dose (90480) |
$42.75 |
$95 |
1.1× |
| Airway Inhalation Treatment (94640) |
$48.15 |
$107 |
0.2× |
Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 2 matching MRF lines |
$11.93–$286.90 |
$26.52–$637.56 |
varies |
| Assessment of aphasia per hr (96105) |
$231.30 |
$514 |
2.4× |
| Behavral qualit analys voice (92524) |
$188.10 |
$418 |
1.7× |
| Breath hydrogen/methane test (91065) |
$267.30 |
$594 |
1.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$509.85 |
$1,133 |
1.4× |
| Canalith repositioning proc (95992) |
$90.45 |
$201 |
2.2× |
| Cardiac Stress Tst,Tracing Only (93017) |
$778.05 |
$1,729 |
3.7× |
| Cardiopulmonary exercise testing (94621) |
$2,062.35 |
$4,583 |
5.7× |
| Cardiopulmonary resuscitation (92950) |
$682.65 |
$1,517 |
3.3× |
| Cardioversion (92960) |
$1,133.55 |
$2,519 |
1.8× |
| Cardioversion elective internal (92961) |
$455.40 |
$1,012 |
0.7× |
| Cbt 1st hour (94644) |
$184.05 |
$409 |
1.4× |
| Chemo Anti-Neopl Sq/Im (96401) |
$1,170 |
$2,600 |
16.9× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$175.95 |
$391 |
2.5× |
| Chemo Ia Push (96420) |
$274.50 |
$610 |
0.9× |
| Chemo IV infusion addl hr (96415) |
$194.40 |
$432 |
2.8× |
| Chemo IV push addl drug (96411) |
$630 |
$1,400 |
9.1× |
| Chemotherapy Into Cns (96450) |
$632.70 |
$1,406 |
2.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$1,822.50 |
$4,050 |
26.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) |
$503.10 |
$1,118 |
1.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) |
$1,395 |
$3,100 |
4.4× |
| Chest Wall Manipulation (94668) |
$52.65 |
$117 |
0.4× |
| Color/duplex Doppler, complete (93975) |
$818.10 |
$1,818 |
3.6× |
| Color/duplex Doppler, limited (93976) |
$561.15 |
$1,247 |
5.6× |
| Continuous Pulse Ox (94762) |
$186.75 |
$415 |
1.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) |
$197.55 |
$439 |
0.9× |
| Cpt initial (94667) |
$64.80 |
$144 |
0.5× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) |
$328.50 |
$730 |
1.6× |
| Critical care first hour (99291) |
$2,429.10 |
$5,398 |
3.1× |
Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$286.65–$390.60 |
$637–$868 |
varies |
| Dialysis One Evaluation (90945) |
$1,137.15 |
$2,527 |
2.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) |
$714.15 |
$1,587 |
3.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$427.05 |
$949 |
4.2× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) |
$572.40 |
$1,272 |
5.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) |
$702.45 |
$1,561 |
3.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) |
$634.05 |
$1,409 |
6.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) |
$873.90 |
$1,942 |
3.8× |
Dup-scan xtr veins unilateral/limited study (93971) range across 6 matching MRF lines |
$478.80–$966.15 |
$1,064–$2,147 |
varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) |
$670.05 |
$1,489 |
2.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) |
$505.35 |
$1,123 |
5.0× |
| Duplex Scan Hemodialysis Access (93990) |
$445.50 |
$990 |
4.4× |
| Duplex up extrem art bilat (93930) |
$773.10 |
$1,718 |
3.4× |
| Duplex up extrem art unilat/ltd (93931) |
$522.45 |
$1,161 |
5.2× |
| Echo Heart Xthoracic,Limited (93308) |
$801.45 |
$1,781 |
3.5× |
| Echo transesophag montr cardiac pump functj (93318) |
$1,344.60 |
$2,988 |
2.6× |
| Echo transesophageal (93312) |
$1,344.60 |
$2,988 |
2.6× |
| Echo Transesophageal - Congenital Tee Complete (93315) |
$2,250 |
$5,000 |
4.3× |
| Eeg 41-60 Minutes (95812) |
$524.70 |
$1,166 |
2.5× |
| EEG awake and asleep (95819) |
$535.95 |
$1,191 |
2.6× |
| EEG awake drowsy (95816) |
$675.45 |
$1,501 |
3.3× |
| EEG cerebral death evaluation (95824) |
$505.80 |
$1,124 |
1.4× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$274.50 |
$610 |
1.3× |
| EEG extended monitoring 61-119 minutes (95813) |
$1,035.45 |
$2,301 |
5.0× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) |
$265.50 |
$590 |
1.3× |
| EEG w/o vid 2-12hr cont mntr (95707) |
$265.50 |
$590 |
1.3× |
| EEG w/o vid ea 12-26hr intmt (95709) |
$1,431.90 |
$3,182 |
4.0× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) |
$509.85 |
$1,133 |
1.4× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$534.15 |
$1,187 |
2.6× |
| EEG wo vid ea 12-26hr unmntr (95708) |
$509.85 |
$1,133 |
1.4× |
| Electrical Stimulation Ea 15 Min (97032) |
$63.45 |
$141 |
4.3× |
| Electrocardiogram Tracing (93005) |
$135.90 |
$302 |
2.4× |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) |
$294.30 |
$654 |
1.4× |
| Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (91133) |
$294.30 |
$654 |
2.3× |
| Emergency Dept Visit Level 2 (99282) |
$356.40 |
$792 |
2.4× |
| Emergency Dept Visit Level 3 (99283) |
$598.05 |
$1,329 |
2.3× |
| Emergency Dept Visit Level 4 (99284) |
$784.35 |
$1,743 |
2.0× |
| Endomyocardial Biopsy (93505) |
$2,667.60 |
$5,928 |
0.9× |
Ep & ablate supravent arrhyt (93653) unusually low: confirm this is the full procedure |
$12,226.95 |
$27,171 |
0.5× |
Ep & ablate ventric tachy (93654) unusually low: confirm this is the full procedure |
$10,537.65 |
$23,417 |
0.4× |
Ep Compre Electrophysiologic Arrhythmia Induction (93620) range across 2 matching MRF lines |
$3,544.65–$8,713.35 |
$7,877–$19,363 |
varies |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) |
$5,100.75 |
$11,335 |
0.7× |
| Er level 1 (99281) |
$119.70 |
$266 |
1.5× |
| Er level v (99285) |
$1,169.55 |
$2,599 |
2.0× |
| Evaluate pt use of inhaler (94664) |
$146.25 |
$325 |
0.7× |
| Evaluate Speech Production (92522) |
$221.85 |
$493 |
2.0× |
| Evaluate Swallowing Function (92610) |
$256.05 |
$569 |
3.0× |
| Evaluation of speech fluency (92521) |
$231.75 |
$515 |
1.7× |
| External ECG rec>48hr<7d recording (93242) |
$58.95 |
$131 |
1.6× |
| External ECG rec>7d<15d recording (93246) |
$58.95 |
$131 |
1.6× |
| External Ecg Scanning Analysis Report (93226) |
$469.35 |
$1,043 |
8.3× |
| Extracranial Bilat Study (93880) |
$675 |
$1,500 |
2.9× |
| Extracranial Uni/Ltd Study (93882) |
$413.10 |
$918 |
4.1× |
| Eye Exam With Photos (92230) |
$505.80 |
$1,124 |
1.4× |
| Flexible endoscopic eval swallow c/v rec (92612) |
$346.50 |
$770 |
1.7× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) |
$954 |
$2,120 |
1.2× |
| Gastric motility studies (91020) |
$476.55 |
$1,059 |
1.3× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) |
$1,003.50 |
$2,230 |
2.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) |
$499.95 |
$1,111 |
0.6× |
Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$856.80–$1,037.25 |
$1,904–$2,305 |
varies |
| Gi wireless capsule measure (91112) |
$817.65 |
$1,817 |
0.9× |
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 8 matching MRF lines |
$91.80–$1,012.95 |
$204–$2,251 |
varies |
| Holter monitor recording (93225) |
$383.85 |
$853 |
3.0× |
| Icd device progr eval dual (93283) |
$151.65 |
$337 |
4.2× |
| Icd Device Progr Eval Mult (93284) |
$168.75 |
$375 |
4.7× |
| Ilr Device Interrogate (93291) |
$35.55 |
$79 |
1.3× |
| Immunization administration (90471) |
$67.95 |
$151 |
1.0× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) |
$468 |
$1,040 |
1.3× |
| Insert/Place Heart Catheter (93503) |
$2,720.25 |
$6,045 |
1.8× |
| Interrogate Subq Defib (93261) |
$48.15 |
$107 |
1.3× |
| Interrogation eval in person wr defibrillator (93292) |
$113.40 |
$252 |
3.2× |
| Interrogation vad in person (93750) |
$342.45 |
$761 |
3.7× |
| Intracranial Complete Study (93886) |
$693.90 |
$1,542 |
3.0× |
| Io anal gast n-stim subsq (95981) |
$232.65 |
$517 |
4.1× |
| Io ga n-stim subsq w/reprog (95982) |
$277.20 |
$616 |
7.7× |
| Irrig Drug Delivery Device (96523) |
$117.45 |
$261 |
2.1× |
| IV infusion hydration each additional hour (96361) |
$122.85 |
$273 |
2.7× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$224.55 |
$499 |
1.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) |
$87.30 |
$194 |
1.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) |
$127.35 |
$283 |
2.8× |
| IV push initial (96374) |
$126.45 |
$281 |
0.6× |
| Liver Elastography W/O Imag W/I&R (91200) |
$251.10 |
$558 |
2.0× |
| Lung Function Test (Mbc/Mvv) (94200) |
$156.60 |
$348 |
2.8× |
| Lwr Xtr Vasc Stdy Bilat (93924) |
$567.90 |
$1,262 |
2.7× |
| Mechanical chest wall oscillation per session (94669) |
$126.45 |
$281 |
0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) |
$12.60 |
$28 |
0.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) |
$24.75 |
$55 |
0.7× |
| Methacholine challenge (94070) |
$677.25 |
$1,505 |
1.9× |
Motility study esophagus (91010) range across 2 matching MRF lines |
$696.15–$1,250.55 |
$1,547–$2,779 |
varies |
| Motion Fluoroscopy/Swallow (92611) |
$324 |
$720 |
3.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) |
$445.05 |
$989 |
1.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) |
$523.35 |
$1,163 |
1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$229.05 |
$509 |
1.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$349.20 |
$776 |
0.9× |
| Nerve Conduction Studies 1-2 Studies (95907) |
$440.55 |
$979 |
2.1× |
| Nerve Conduction Studies 11-12 Studies (95912) |
$945 |
$2,100 |
2.6× |
| Nerve conduction studies 13 or more studies (95913) |
$1,109.25 |
$2,465 |
3.1× |
| Nerve Conduction Studies 3-4 Studies (95908) |
$659.70 |
$1,466 |
3.2× |
| Nerve conduction studies 5-6 studies (95909) |
$107.55 |
$239 |
0.5× |
| Nerve conduction studies 7-8 studies (95910) |
$107.55 |
$239 |
0.3× |
| Nerve Conduction Studies 9-10 Studies (95911) |
$199.35 |
$443 |
0.6× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) |
$146.70 |
$326 |
1.2× |
| Neuromuscular Reeducation (97112) |
$82.80 |
$184 |
2.5× |
| Nonphysician Telephone Assessment 11-20 Min (98967) |
$49.05 |
$109 |
2.0× |
| Nonphysician Telephone Assessment 21-30 Min (98968) |
$78.30 |
$174 |
2.3× |
| Nonphysician Telephone Assessment 5-10 Min (98966) |
$38.70 |
$86 |
2.8× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) |
$130.95 |
$291 |
0.4× |
| Oral Function Therapy (92526) |
$183.15 |
$407 |
2.2× |
| Oral Speech Device Eval (92597) |
$269.55 |
$599 |
3.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) |
$73.80 |
$164 |
1.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) |
$81 |
$180 |
1.8× |
| Ot eval high complexity (97167) |
$236.25 |
$525 |
2.3× |
| Ot Eval Low Complex (97165) |
$169.20 |
$376 |
1.7× |
| Ot Eval Moderate Complexity (97166) |
$211.50 |
$470 |
2.1× |
| Ot manual therapy 15 min (97140) |
$84.15 |
$187 |
3.0× |
| Ot Re-Eval Est Plan Care (97168) |
$126.90 |
$282 |
1.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$211.05 |
$469 |
1.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) |
$174.60 |
$388 |
1.4× |
| Oxygen Uptake Rest Indirect (94690) |
$710.10 |
$1,578 |
12.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$249.75 |
$555 |
1.2× |
| Peripheral arterial disease rehab per session (93668) |
$106.65 |
$237 |
1.9× |
| Perq transcath closure pda (93582) |
$16,803.90 |
$37,342 |
1.0× |
| Perq Transcath Cls Aortic (93591) |
$17,461.35 |
$38,803 |
1.0× |
| Perq Transcath Cls Mitral (93590) |
$17,461.35 |
$38,803 |
1.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) |
$3,384 |
$7,520 |
0.6× |
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines |
$4,878–$11,543.85 |
$10,840–$25,653 |
varies |
| Phlebotomy therapeutic (99195) |
$170.10 |
$378 |
1.3× |
| Physical Performance Test (97750) |
$79.20 |
$176 |
2.3× |
| Plethysmography (94726) |
$105.75 |
$235 |
0.3× |
Pm device eval in person (93288) range across 2 matching MRF lines |
$43.65–$100.80 |
$97–$224 |
varies |
| Pm device progr eval dual (93280) |
$132.75 |
$295 |
3.7× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) |
$117.90 |
$262 |
1.2× |
Prq Card Angio/Athrect 1 Art (92924) range across 5 matching MRF lines |
$5,717.70–$18,443.92 |
$12,706–$40,986.50 |
varies |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$10,696.05 |
$23,769 |
1.0× |
| Prq Card Stent/Ath/Angio (92933) |
$20,140.65 |
$44,757 |
1.1× |
| Prq Revasc Byp Graft 1 Vsl (92937) |
$6,912 |
$15,360 |
0.6× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) |
$16,987.95 |
$37,751 |
1.0× |
| Pt Eval High Complex (97163) |
$213.75 |
$475 |
2.2× |
| Pt eval low complex 20 min (97161) |
$158.40 |
$352 |
1.6× |
| Pt Eval Mod Complex (97162) |
$182.30 |
$405.10 |
1.9× |
| Pt gait training 15 min (97116) |
$75.15 |
$167 |
2.6× |
| Pt Re-Eval Est Plan Care (97164) |
$125.55 |
$279 |
1.9× |
| Pulm function test by gas (94727) |
$114.30 |
$254 |
0.6× |
| Pulmonary service/procedure (94799) |
$158.85 |
$353 |
1.3× |
| Pulmonary Stress Testing (94618) |
$110.25 |
$245 |
0.9× |
| R hrt coronary artery angio (93456) |
$4,650.30 |
$10,334 |
1.5× |
| R&L Hrt Cath W/Ventriclgrphy (93453) |
$5,242.95 |
$11,651 |
1.7× |
| Rem Mntr Wrls P-Art Prs Snr (93264) |
$41.40 |
$92 |
1.2× |
| Remote 30 Day Ecg Rev/Report (93270) |
$277.65 |
$617 |
7.7× |
| Respiratory flow volume loop (94375) |
$286.65 |
$637 |
1.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) |
$73.80 |
$164 |
1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$203.40 |
$452 |
1.1× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) |
$278.10 |
$618 |
2.3× |
| Self Care Mngment Training (97535) |
$79.65 |
$177 |
2.5× |
| Sensory Integration Ea 15 Min (97533) |
$62.55 |
$139 |
1.0× |
| Speech sound lang comprehen (92523) |
$300.60 |
$668 |
1.3× |
| Spirometry (94010) |
$183.60 |
$408 |
0.9× |
| Standardized Cognitive Performance Testing (96125) |
$216.90 |
$482 |
2.1× |
| Stress Tte Only (93350) |
$1,364.40 |
$3,032 |
2.6× |
| Subcutaneous Infusion Each Additional Hour (96370) |
$99.90 |
$222 |
2.2× |
Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 3 matching MRF lines |
$252.90–$293.40 |
$562–$652 |
varies |
| Subq Infusion Additional Pump Infusion Site (96371) |
$64.35 |
$143 |
0.9× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) |
$58.50 |
$130 |
2.6× |
| Ther Ivntj Ea Addl 15 Min (97130) |
$25.65 |
$57 |
1.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) |
$65.70 |
$146 |
2.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$195.75 |
$435 |
1.9× |
| Ther/Proph/Diag Inj Ia (96373) |
$254.70 |
$566 |
1.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$91.35 |
$203 |
1.3× |
| Ther/Proph/Diag Iv Inf Init (96365) |
$245.70 |
$546 |
1.2× |
| Therapeutic Activities (97530) |
$81.45 |
$181 |
2.3× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) |
$1,308.15 |
$2,907 |
3.6× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) |
$47.25 |
$105 |
1.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$62.55 |
$139 |
1.7× |
Transcath Closure of Asd (93580) unusually low: confirm this is the full procedure |
$6,094.35 |
$13,543 |
0.3× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) |
$438.30 |
$974 |
4.4× |
Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,676.70–$1,772.55 |
$3,726–$3,939 |
varies |
| Tte W/O Doppler Complete (93307) |
$969.30 |
$2,154 |
4.2× |
Tx atrial fib pulm vein isol (93656) unusually low: confirm this is the full procedure |
$10,637.55 |
$23,639 |
0.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$185.85 |
$413 |
2.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$133.20 |
$296 |
3.0× |
| Unlisted cardiovascular service/procedure (93799) |
$3,276.45 |
$7,281 |
26.5× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) |
$153 |
$340 |
1.2× |
| Upr/L Xtremity Art 2 Levels (93922) |
$312.75 |
$695 |
2.4× |
Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$248.85–$593.55 |
$553–$1,319 |
varies |
| Valvuloplasty aortic valve (92986) |
$3,441.15 |
$7,647 |
0.6× |
| Valvuloplasty mitral valve (92987) |
$12,687.30 |
$28,194 |
1.1× |
| Veeg 2-12 Hr Cont Mntr (95713) |
$505.80 |
$1,124 |
1.4× |
| Veeg 2-12 hr intmt mntr (95712) |
$265.50 |
$590 |
0.7× |
| Veeg 2-12 hr unmonitored (95711) |
$265.50 |
$590 |
1.3× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$509.85 |
$1,133 |
1.4× |
| Veeg Ea 12-26 Hr Unmntr (95714) |
$509.85 |
$1,133 |
1.4× |
| Veeg ea 12-26hr cont mntr (95716) |
$954 |
$2,120 |
1.2× |
Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$251.10–$635.40 |
$558–$1,412 |
varies |
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$159.30–$613.35 |
$354–$1,363 |
varies |
| Vital capacity, total (94150) |
$71.55 |
$159 |
0.6× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) |
$1,721.25 |
$3,825 |
2.1× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$67.50 |
$150 |
2.2× |