| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 29240 | HC ED STRAPPING SHOULDER CDM | $280 [source] | gross_charge | 2 weeks ago |
| 99211 | HC PR 99211 ESTAB PT VISIT - LEVEL 1 | $296 [source] | gross_charge | 2 weeks ago |
| 99212 | HC PR 99212 ESTAB PT VISIT - LEVEL 2 | $390 [source] | gross_charge | 2 weeks ago |
| 99213 | HC PR 99213 ESTAB PT VISIT - LEVEL 3 | $576 [source] | gross_charge | 2 weeks ago |
| 99214 | HC PR 99214 ESTAB PT VISIT - LEVEL 4 | $878 [source] | gross_charge | 2 weeks ago |