| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | OP VISIT LEVEL 1 EST | $621 [source] | gross_charge | 2 weeks ago |
| 99212 | OP VISIT LEVEL 2 EST | $1,328 [source] | gross_charge | 2 weeks ago |
| 99213 | OP VISIT LEVEL 3 EST | $1,856 [source] | gross_charge | 2 weeks ago |
| 99214 | OP VISIT LEVEL 4 EST | $2,476 [source] | gross_charge | 2 weeks ago |
| C1713 | IMPLANT CRNL XL PEK CSTM | $47,791 [source] | gross_charge | 2 weeks ago |
| C1725 | CATH ULTSND IVL 4.5X60MM | $22,460 [source] | gross_charge | 2 weeks ago |
| C1776 | KIT IMPLANT CRANI LG | $51,056 [source] | gross_charge | 2 weeks ago |
| C1821 | IMPLNT SPN 12MM | $21,230 [source] | gross_charge | 2 weeks ago |
| C1874 | VALVE AOR TRNS CATH 23MM | $98,804 [source] | gross_charge | 2 weeks ago |
| C1876 | STENT GRT EVAS 34X145MM | $48,764 [source] | gross_charge | 2 weeks ago |
| V2632 | LENS ACRSF .28 L13XOD6 | $615 [source] | gross_charge | 2 weeks ago |