| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | OP VISIT LEVEL 1 EST | $527 [source] | gross_charge | 2 weeks ago |
| 99212 | OP VISIT LEVEL 2 EST | $386 [source] | gross_charge | 2 weeks ago |
| 99213 | OP VISIT LEVEL 3 EST | $386 [source] | gross_charge | 2 weeks ago |
| 99214 | OP VISIT LEVEL 4 EST | $507 [source] | gross_charge | 2 weeks ago |
| C1713 | SYSTM AC REPAIR KNTLS | $53,394 [source] | gross_charge | 2 weeks ago |
| C1725 | CATH ULTSND IVL 6X60MM | $75,342 [source] | gross_charge | 2 weeks ago |
| C1776 | GRAFT EVAS 23X12MM 16CM | $32,384 [source] | gross_charge | 2 weeks ago |
| C1821 | IMPLNT SPN 12MM | $18,144 [source] | gross_charge | 2 weeks ago |
| C1874 | STENT GRAFT 34X34X175MM | $69,644 [source] | gross_charge | 2 weeks ago |
| C1876 | STENT AAA | $29,985 [source] | gross_charge | 2 weeks ago |
| V2787 | LENS IOL +11.5 DIOP | $1,427 [source] | gross_charge | 2 weeks ago |