| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 29240 | Strap Shoulder LT * | $150 [source] | — | 4 years ago |
| 99211 | VISIT ESTABLISHED LEVEL 1 * | $104 [source] | — | 4 years ago |
| 99212 | VISIT ESTABLISHED LEVEL 2 * | $228 [source] | — | 4 years ago |
| 99213 | VISIT ESTABLISHED LEVEL 3 * | $271 [source] | — | 4 years ago |
| 99214 | VISIT ESTABLISHED LEVEL 4 * | $313 [source] | — | 4 years ago |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) * | $2,344 [source] | — | 4 years ago |
| V2787 | Astigmatism correcting function of intraocular lens * | $790 [source] | — | 4 years ago |