| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | OP VISIT LEVEL 1 EST | $546 [source] | gross_charge | 2 weeks ago |
| 99212 | OP VISIT LEVEL 2 EST | $669 [source] | gross_charge | 2 weeks ago |
| 99213 | OP VISIT LEVEL 3 EST | $792 [source] | gross_charge | 2 weeks ago |
| 99214 | OP VISIT LEVEL 4 EST | $1,011 [source] | gross_charge | 2 weeks ago |
| C1713 | PLATE BN DIST FIB RT 8HL | $506,250 [source] | gross_charge | 2 weeks ago |
| C1725 | CATH ULTSND IVL 4.5X60MM | $73,761 [source] | gross_charge | 2 weeks ago |
| C1776 | CMPNT FEM KN CSTM | $506,250 [source] | gross_charge | 2 weeks ago |
| C1821 | SCISSOR 4.75IN WSCT FLAT | $53,130 [source] | gross_charge | 2 weeks ago |
| C1874 | VALVE AOR TAVR 26MM | $642,330 [source] | gross_charge | 2 weeks ago |
| C1876 | STENT THOR AOR 10CM 28MM | $327,548 [source] | gross_charge | 2 weeks ago |
| V2632 | LENS IOL +26.0 DIOP | $3,026 [source] | gross_charge | 2 weeks ago |