| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99212 | VISIT ESTABLISHED LEVEL 2 * | $375 [source] | — | 4 years ago |
| 99213 | VISIT ESTABLISHED LEVEL 3 * | $404 [source] | — | 4 years ago |
| 99214 | VISIT ESTABLISHED LEVEL 4 * | $531 [source] | — | 4 years ago |
| C1725 | Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) * | $687 [source] | — | 4 years ago |
| C1874 | Stent, coated/covered, with delivery system * | $2,928 [source] | — | 4 years ago |
| C1876 | Stent, non-coated/non-covered, with delivery system * | $5,867 [source] | — | 4 years ago |