| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | VISIT ESTABLISHED LEVEL 1 * | $331 [source] | — | 4 years ago |
| 99212 | VISIT ESTABLISHED LEVEL 2 * | $358 [source] | — | 4 years ago |
| 99213 | VISIT ESTABLISHED LEVEL 3 * | $361 [source] | — | 4 years ago |
| 99214 | VISIT ESTABLISHED LEVEL 4 * | $552 [source] | — | 4 years ago |
| C1725 | Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) * | $743 [source] | — | 4 years ago |
| C1874 | Stent, coated/covered, with delivery system * | $2,617 [source] | — | 4 years ago |
| C1876 | Stent, non-coated/non-covered, with delivery system * | $4,501 [source] | — | 4 years ago |