| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 29240 | HC STRAPPING SHOULDER | $407 [source] | gross_charge | 2 weeks ago |
| 99211 | HC FACILITY ESTAB PT VISIT - LEVEL 3 | $621 [source] | gross_charge | 2 weeks ago |
| 99212 | HC ESTAB PT VISIT - LEVEL 2 | $591 [source] | gross_charge | 2 weeks ago |
| 99213 | HC ESTAB PT VISIT - LEVEL 3 | $621 [source] | gross_charge | 2 weeks ago |
| 99214 | HC ESTAB PT VISIT - LEVEL 4 | $689 [source] | gross_charge | 2 weeks ago |