|
MRSA Screen Culture
|
Facility
|
IP
|
$133.00
|
|
|
Service Code
|
CPT 87081
|
| Hospital Charge Code |
1164500
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$34.58 |
| Max. Negotiated Rate |
$119.70 |
| Rate for Payer: Aetna of AZ Commercial |
$119.70
|
| Rate for Payer: Bisbee Police All Plans |
$34.58
|
| Rate for Payer: Cash Price |
$106.40
|
| Rate for Payer: Self Pay Self Pay |
$106.40
|
|
|
MRSA Screen Culture
|
Facility
|
OP
|
$133.00
|
|
|
Service Code
|
CPT 87081
|
| Hospital Charge Code |
1164500
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$6.63 |
| Max. Negotiated Rate |
$119.70 |
| Rate for Payer: Aetna of AZ Commercial |
$119.70
|
| Rate for Payer: Aetna of AZ Medicare |
$37.24
|
| Rate for Payer: AHCCCS Medicaid |
$6.63
|
| Rate for Payer: Allwell Medicaid |
$6.63
|
| Rate for Payer: Allwell Medicare |
$19.95
|
| Rate for Payer: Amerigroup Medicare |
$19.95
|
| Rate for Payer: APIPA Medicare/Medicaid |
$49.68
|
| Rate for Payer: AZCH Complete Medicaid |
$6.63
|
| Rate for Payer: AZCH Complete Medicare |
$19.95
|
| Rate for Payer: Banner UC Health Medicaid |
$6.63
|
| Rate for Payer: Banner UC Health Medicare |
$19.95
|
| Rate for Payer: Bisbee Police All Plans |
$34.58
|
| Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial |
$90.44
|
| Rate for Payer: Cash Price |
$106.40
|
| Rate for Payer: Cash Price |
$106.40
|
| Rate for Payer: Cigna of AZ Commercial |
$86.45
|
| Rate for Payer: Copperpoint Commercial |
$32.92
|
| Rate for Payer: Health Net of AZ Commercial |
$79.80
|
| Rate for Payer: Health Net of AZ Medicare |
$37.24
|
| Rate for Payer: Humana of AZ Medicare |
$19.95
|
| Rate for Payer: Mercy Care Medicaid |
$6.63
|
| Rate for Payer: Self Pay Self Pay |
$106.40
|
| Rate for Payer: TriWest Medicare |
$19.95
|
| Rate for Payer: UnitedHealth Group of AZ Commercial |
$77.54
|
| Rate for Payer: UnitedHealth Group of AZ Medicare |
$23.94
|
|
|
MRV Head w/o Contrast
|
Facility
|
IP
|
$1,985.00
|
|
|
Service Code
|
CPT 70544
|
| Hospital Charge Code |
1007574
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$516.10 |
| Max. Negotiated Rate |
$1,786.50 |
| Rate for Payer: Aetna of AZ Commercial |
$1,786.50
|
| Rate for Payer: Bisbee Police All Plans |
$516.10
|
| Rate for Payer: Cash Price |
$1,588.00
|
| Rate for Payer: Self Pay Self Pay |
$1,588.00
|
|
|
MRV Head w/o Contrast
|
Facility
|
OP
|
$1,985.00
|
|
|
Service Code
|
CPT 70544
|
| Hospital Charge Code |
1007574
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$297.75 |
| Max. Negotiated Rate |
$1,786.50 |
| Rate for Payer: Aetna of AZ Commercial |
$1,786.50
|
| Rate for Payer: Aetna of AZ Medicare |
$555.80
|
| Rate for Payer: AHCCCS Medicaid |
$333.68
|
| Rate for Payer: Allwell Medicaid |
$333.68
|
| Rate for Payer: Allwell Medicare |
$297.75
|
| Rate for Payer: Amerigroup Medicare |
$297.75
|
| Rate for Payer: APIPA Medicare/Medicaid |
$741.40
|
| Rate for Payer: AZCH Complete Medicaid |
$333.68
|
| Rate for Payer: AZCH Complete Medicare |
$297.75
|
| Rate for Payer: Banner UC Health Medicaid |
$333.68
|
| Rate for Payer: Banner UC Health Medicare |
$297.75
|
| Rate for Payer: Bisbee Police All Plans |
$516.10
|
| Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial |
$1,349.80
|
| Rate for Payer: Cash Price |
$1,588.00
|
| Rate for Payer: Cash Price |
$1,588.00
|
| Rate for Payer: Cigna of AZ Commercial |
$1,389.50
|
| Rate for Payer: Copperpoint Commercial |
$491.29
|
| Rate for Payer: Health Net of AZ Commercial |
$1,191.00
|
| Rate for Payer: Health Net of AZ Medicare |
$555.80
|
| Rate for Payer: Humana of AZ Medicare |
$297.75
|
| Rate for Payer: Mercy Care Medicaid |
$333.68
|
| Rate for Payer: Self Pay Self Pay |
$1,588.00
|
| Rate for Payer: TriWest Medicare |
$297.75
|
| Rate for Payer: UnitedHealth Group of AZ Commercial |
$1,157.26
|
| Rate for Payer: UnitedHealth Group of AZ Medicare |
$357.30
|
|
|
MRV Head w/o Contrast
|
Facility
|
IP
|
$3,247.00
|
|
|
Service Code
|
CPT 70544
|
| Hospital Charge Code |
1005367
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$844.22 |
| Max. Negotiated Rate |
$2,922.30 |
| Rate for Payer: Aetna of AZ Commercial |
$2,922.30
|
| Rate for Payer: Bisbee Police All Plans |
$844.22
|
| Rate for Payer: Cash Price |
$2,597.60
|
| Rate for Payer: Self Pay Self Pay |
$2,597.60
|
|
|
MRV Head w/o Contrast
|
Facility
|
OP
|
$3,247.00
|
|
|
Service Code
|
CPT 70544
|
| Hospital Charge Code |
1005367
|
|
Hospital Revenue Code
|
610
|
| Min. Negotiated Rate |
$333.68 |
| Max. Negotiated Rate |
$2,922.30 |
| Rate for Payer: Aetna of AZ Commercial |
$2,922.30
|
| Rate for Payer: Aetna of AZ Medicare |
$909.16
|
| Rate for Payer: AHCCCS Medicaid |
$333.68
|
| Rate for Payer: Allwell Medicaid |
$333.68
|
| Rate for Payer: Allwell Medicare |
$487.05
|
| Rate for Payer: Amerigroup Medicare |
$487.05
|
| Rate for Payer: APIPA Medicare/Medicaid |
$1,212.75
|
| Rate for Payer: AZCH Complete Medicaid |
$333.68
|
| Rate for Payer: AZCH Complete Medicare |
$487.05
|
| Rate for Payer: Banner UC Health Medicaid |
$333.68
|
| Rate for Payer: Banner UC Health Medicare |
$487.05
|
| Rate for Payer: Bisbee Police All Plans |
$844.22
|
| Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial |
$2,207.96
|
| Rate for Payer: Cash Price |
$2,597.60
|
| Rate for Payer: Cash Price |
$2,597.60
|
| Rate for Payer: Cigna of AZ Commercial |
$2,272.90
|
| Rate for Payer: Copperpoint Commercial |
$803.63
|
| Rate for Payer: Health Net of AZ Commercial |
$1,948.20
|
| Rate for Payer: Health Net of AZ Medicare |
$909.16
|
| Rate for Payer: Humana of AZ Medicare |
$487.05
|
| Rate for Payer: Mercy Care Medicaid |
$333.68
|
| Rate for Payer: Self Pay Self Pay |
$2,597.60
|
| Rate for Payer: TriWest Medicare |
$487.05
|
| Rate for Payer: UnitedHealth Group of AZ Commercial |
$1,893.00
|
| Rate for Payer: UnitedHealth Group of AZ Medicare |
$584.46
|
|
|
MTP 0 DEGREE PLATE RIGHT
|
Facility
|
IP
|
$19,609.00
|
|
| Hospital Charge Code |
27663808
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5,098.34 |
| Max. Negotiated Rate |
$17,648.10 |
| Rate for Payer: Aetna of AZ Commercial |
$17,648.10
|
| Rate for Payer: Bisbee Police All Plans |
$5,098.34
|
| Rate for Payer: Cash Price |
$15,687.20
|
| Rate for Payer: Self Pay Self Pay |
$15,687.20
|
|
|
MTP 0 DEGREE PLATE RIGHT
|
Facility
|
OP
|
$19,609.00
|
|
| Hospital Charge Code |
27663808
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2,941.35 |
| Max. Negotiated Rate |
$17,648.10 |
| Rate for Payer: Aetna of AZ Commercial |
$17,648.10
|
| Rate for Payer: Aetna of AZ Medicare |
$5,490.52
|
| Rate for Payer: Allwell Medicare |
$2,941.35
|
| Rate for Payer: Amerigroup Medicare |
$2,941.35
|
| Rate for Payer: APIPA Medicare/Medicaid |
$7,323.96
|
| Rate for Payer: AZCH Complete Medicare |
$2,941.35
|
| Rate for Payer: Banner UC Health Medicare |
$2,941.35
|
| Rate for Payer: Bisbee Police All Plans |
$5,098.34
|
| Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial |
$13,334.12
|
| Rate for Payer: Cash Price |
$15,687.20
|
| Rate for Payer: Cigna of AZ Commercial |
$13,726.30
|
| Rate for Payer: Copperpoint Commercial |
$4,853.23
|
| Rate for Payer: Health Net of AZ Commercial |
$11,765.40
|
| Rate for Payer: Health Net of AZ Medicare |
$5,490.52
|
| Rate for Payer: Humana of AZ Medicare |
$2,941.35
|
| Rate for Payer: Self Pay Self Pay |
$15,687.20
|
| Rate for Payer: TriWest Medicare |
$2,941.35
|
| Rate for Payer: UnitedHealth Group of AZ Commercial |
$11,432.05
|
| Rate for Payer: UnitedHealth Group of AZ Medicare |
$3,529.62
|
|
|
MUCOUS TRAP ADULT
|
Facility
|
OP
|
$9.00
|
|
| Hospital Charge Code |
22355581
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.35 |
| Max. Negotiated Rate |
$8.10 |
| Rate for Payer: Aetna of AZ Commercial |
$8.10
|
| Rate for Payer: Aetna of AZ Medicare |
$2.52
|
| Rate for Payer: Allwell Medicare |
$1.35
|
| Rate for Payer: Amerigroup Medicare |
$1.35
|
| Rate for Payer: APIPA Medicare/Medicaid |
$3.36
|
| Rate for Payer: AZCH Complete Medicare |
$1.35
|
| Rate for Payer: Banner UC Health Medicare |
$1.35
|
| Rate for Payer: Bisbee Police All Plans |
$2.34
|
| Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial |
$6.12
|
| Rate for Payer: Cash Price |
$7.20
|
| Rate for Payer: Cigna of AZ Commercial |
$6.30
|
| Rate for Payer: Copperpoint Commercial |
$2.23
|
| Rate for Payer: Health Net of AZ Commercial |
$5.40
|
| Rate for Payer: Health Net of AZ Medicare |
$2.52
|
| Rate for Payer: Humana of AZ Medicare |
$1.35
|
| Rate for Payer: Self Pay Self Pay |
$7.20
|
| Rate for Payer: TriWest Medicare |
$1.35
|
| Rate for Payer: UnitedHealth Group of AZ Commercial |
$5.25
|
| Rate for Payer: UnitedHealth Group of AZ Medicare |
$1.62
|
|
|
MUCOUS TRAP ADULT
|
Facility
|
IP
|
$9.00
|
|
| Hospital Charge Code |
22355581
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.34 |
| Max. Negotiated Rate |
$8.10 |
| Rate for Payer: Aetna of AZ Commercial |
$8.10
|
| Rate for Payer: Bisbee Police All Plans |
$2.34
|
| Rate for Payer: Cash Price |
$7.20
|
| Rate for Payer: Self Pay Self Pay |
$7.20
|
|
|
MULTI-LUMEN CVC KIT 7FRX20CM
|
Facility
|
OP
|
$203.00
|
|
| Hospital Charge Code |
23641815
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$30.45 |
| Max. Negotiated Rate |
$182.70 |
| Rate for Payer: Aetna of AZ Commercial |
$182.70
|
| Rate for Payer: Aetna of AZ Medicare |
$56.84
|
| Rate for Payer: Allwell Medicare |
$30.45
|
| Rate for Payer: Amerigroup Medicare |
$30.45
|
| Rate for Payer: APIPA Medicare/Medicaid |
$75.82
|
| Rate for Payer: AZCH Complete Medicare |
$30.45
|
| Rate for Payer: Banner UC Health Medicare |
$30.45
|
| Rate for Payer: Bisbee Police All Plans |
$52.78
|
| Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial |
$138.04
|
| Rate for Payer: Cash Price |
$162.40
|
| Rate for Payer: Cigna of AZ Commercial |
$142.10
|
| Rate for Payer: Copperpoint Commercial |
$50.24
|
| Rate for Payer: Health Net of AZ Commercial |
$121.80
|
| Rate for Payer: Health Net of AZ Medicare |
$56.84
|
| Rate for Payer: Humana of AZ Medicare |
$30.45
|
| Rate for Payer: Self Pay Self Pay |
$162.40
|
| Rate for Payer: TriWest Medicare |
$30.45
|
| Rate for Payer: UnitedHealth Group of AZ Commercial |
$118.35
|
| Rate for Payer: UnitedHealth Group of AZ Medicare |
$36.54
|
|
|
MULTI-LUMEN CVC KIT 7FRX20CM
|
Facility
|
IP
|
$203.00
|
|
| Hospital Charge Code |
23641815
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$52.78 |
| Max. Negotiated Rate |
$182.70 |
| Rate for Payer: Aetna of AZ Commercial |
$182.70
|
| Rate for Payer: Bisbee Police All Plans |
$52.78
|
| Rate for Payer: Cash Price |
$162.40
|
| Rate for Payer: Self Pay Self Pay |
$162.40
|
|
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
Facility
|
IP
|
$12,183.32
|
|
|
Service Code
|
APR-DRG 0433
|
| Hospital Charge Code |
APRDRG0433
|
| Min. Negotiated Rate |
$12,183.32 |
| Max. Negotiated Rate |
$12,183.32 |
| Rate for Payer: AHCCCS Medicaid |
$12,183.32
|
| Rate for Payer: Allwell Medicaid |
$12,183.32
|
| Rate for Payer: AZCH Complete Medicaid |
$12,183.32
|
| Rate for Payer: Banner UC Health Medicaid |
$12,183.32
|
| Rate for Payer: Mercy Care Medicaid |
$12,183.32
|
|
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
Facility
|
IP
|
$5,729.74
|
|
|
Service Code
|
APR-DRG 0431
|
| Hospital Charge Code |
APRDRG0434
|
| Min. Negotiated Rate |
$5,729.74 |
| Max. Negotiated Rate |
$5,729.74 |
| Rate for Payer: AHCCCS Medicaid |
$5,729.74
|
| Rate for Payer: Allwell Medicaid |
$5,729.74
|
| Rate for Payer: AZCH Complete Medicaid |
$5,729.74
|
| Rate for Payer: Banner UC Health Medicaid |
$5,729.74
|
| Rate for Payer: Mercy Care Medicaid |
$5,729.74
|
|
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
Facility
|
IP
|
$12,183.32
|
|
|
Service Code
|
APR-DRG 0433
|
| Hospital Charge Code |
APRDRG0432
|
| Min. Negotiated Rate |
$12,183.32 |
| Max. Negotiated Rate |
$12,183.32 |
| Rate for Payer: AHCCCS Medicaid |
$12,183.32
|
| Rate for Payer: Allwell Medicaid |
$12,183.32
|
| Rate for Payer: AZCH Complete Medicaid |
$12,183.32
|
| Rate for Payer: Banner UC Health Medicaid |
$12,183.32
|
| Rate for Payer: Mercy Care Medicaid |
$12,183.32
|
|
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
Facility
|
IP
|
$7,869.71
|
|
|
Service Code
|
APR-DRG 0432
|
| Hospital Charge Code |
APRDRG0434
|
| Min. Negotiated Rate |
$7,869.71 |
| Max. Negotiated Rate |
$7,869.71 |
| Rate for Payer: AHCCCS Medicaid |
$7,869.71
|
| Rate for Payer: Allwell Medicaid |
$7,869.71
|
| Rate for Payer: AZCH Complete Medicaid |
$7,869.71
|
| Rate for Payer: Banner UC Health Medicaid |
$7,869.71
|
| Rate for Payer: Mercy Care Medicaid |
$7,869.71
|
|
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
Facility
|
IP
|
$5,729.74
|
|
|
Service Code
|
APR-DRG 0431
|
| Hospital Charge Code |
APRDRG0431
|
| Min. Negotiated Rate |
$5,729.74 |
| Max. Negotiated Rate |
$5,729.74 |
| Rate for Payer: AHCCCS Medicaid |
$5,729.74
|
| Rate for Payer: Allwell Medicaid |
$5,729.74
|
| Rate for Payer: AZCH Complete Medicaid |
$5,729.74
|
| Rate for Payer: Banner UC Health Medicaid |
$5,729.74
|
| Rate for Payer: Mercy Care Medicaid |
$5,729.74
|
|
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
Facility
|
IP
|
$7,869.71
|
|
|
Service Code
|
APR-DRG 0432
|
| Hospital Charge Code |
APRDRG0433
|
| Min. Negotiated Rate |
$7,869.71 |
| Max. Negotiated Rate |
$7,869.71 |
| Rate for Payer: AHCCCS Medicaid |
$7,869.71
|
| Rate for Payer: Allwell Medicaid |
$7,869.71
|
| Rate for Payer: AZCH Complete Medicaid |
$7,869.71
|
| Rate for Payer: Banner UC Health Medicaid |
$7,869.71
|
| Rate for Payer: Mercy Care Medicaid |
$7,869.71
|
|
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
Facility
|
IP
|
$12,183.32
|
|
|
Service Code
|
APR-DRG 0433
|
| Hospital Charge Code |
APRDRG0431
|
| Min. Negotiated Rate |
$12,183.32 |
| Max. Negotiated Rate |
$12,183.32 |
| Rate for Payer: AHCCCS Medicaid |
$12,183.32
|
| Rate for Payer: Allwell Medicaid |
$12,183.32
|
| Rate for Payer: AZCH Complete Medicaid |
$12,183.32
|
| Rate for Payer: Banner UC Health Medicaid |
$12,183.32
|
| Rate for Payer: Mercy Care Medicaid |
$12,183.32
|
|
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
Facility
|
IP
|
$7,869.71
|
|
|
Service Code
|
APR-DRG 0432
|
| Hospital Charge Code |
APRDRG0431
|
| Min. Negotiated Rate |
$7,869.71 |
| Max. Negotiated Rate |
$7,869.71 |
| Rate for Payer: AHCCCS Medicaid |
$7,869.71
|
| Rate for Payer: Allwell Medicaid |
$7,869.71
|
| Rate for Payer: AZCH Complete Medicaid |
$7,869.71
|
| Rate for Payer: Banner UC Health Medicaid |
$7,869.71
|
| Rate for Payer: Mercy Care Medicaid |
$7,869.71
|
|
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
Facility
|
IP
|
$5,729.74
|
|
|
Service Code
|
APR-DRG 0431
|
| Hospital Charge Code |
APRDRG0432
|
| Min. Negotiated Rate |
$5,729.74 |
| Max. Negotiated Rate |
$5,729.74 |
| Rate for Payer: AHCCCS Medicaid |
$5,729.74
|
| Rate for Payer: Allwell Medicaid |
$5,729.74
|
| Rate for Payer: AZCH Complete Medicaid |
$5,729.74
|
| Rate for Payer: Banner UC Health Medicaid |
$5,729.74
|
| Rate for Payer: Mercy Care Medicaid |
$5,729.74
|
|
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
Facility
|
IP
|
$23,520.05
|
|
|
Service Code
|
APR-DRG 0434
|
| Hospital Charge Code |
APRDRG0433
|
| Min. Negotiated Rate |
$23,520.05 |
| Max. Negotiated Rate |
$23,520.05 |
| Rate for Payer: AHCCCS Medicaid |
$23,520.05
|
| Rate for Payer: Allwell Medicaid |
$23,520.05
|
| Rate for Payer: AZCH Complete Medicaid |
$23,520.05
|
| Rate for Payer: Banner UC Health Medicaid |
$23,520.05
|
| Rate for Payer: Mercy Care Medicaid |
$23,520.05
|
|
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
Facility
|
IP
|
$12,183.32
|
|
|
Service Code
|
APR-DRG 0433
|
| Hospital Charge Code |
APRDRG0434
|
| Min. Negotiated Rate |
$12,183.32 |
| Max. Negotiated Rate |
$12,183.32 |
| Rate for Payer: AHCCCS Medicaid |
$12,183.32
|
| Rate for Payer: Allwell Medicaid |
$12,183.32
|
| Rate for Payer: AZCH Complete Medicaid |
$12,183.32
|
| Rate for Payer: Banner UC Health Medicaid |
$12,183.32
|
| Rate for Payer: Mercy Care Medicaid |
$12,183.32
|
|
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
Facility
|
IP
|
$7,869.71
|
|
|
Service Code
|
APR-DRG 0432
|
| Hospital Charge Code |
APRDRG0432
|
| Min. Negotiated Rate |
$7,869.71 |
| Max. Negotiated Rate |
$7,869.71 |
| Rate for Payer: AHCCCS Medicaid |
$7,869.71
|
| Rate for Payer: Allwell Medicaid |
$7,869.71
|
| Rate for Payer: AZCH Complete Medicaid |
$7,869.71
|
| Rate for Payer: Banner UC Health Medicaid |
$7,869.71
|
| Rate for Payer: Mercy Care Medicaid |
$7,869.71
|
|
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
Facility
|
IP
|
$23,520.05
|
|
|
Service Code
|
APR-DRG 0434
|
| Hospital Charge Code |
APRDRG0431
|
| Min. Negotiated Rate |
$23,520.05 |
| Max. Negotiated Rate |
$23,520.05 |
| Rate for Payer: AHCCCS Medicaid |
$23,520.05
|
| Rate for Payer: Allwell Medicaid |
$23,520.05
|
| Rate for Payer: AZCH Complete Medicaid |
$23,520.05
|
| Rate for Payer: Banner UC Health Medicaid |
$23,520.05
|
| Rate for Payer: Mercy Care Medicaid |
$23,520.05
|
|
