| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 29240 | Strap Shoulder LT * | $19 [source] | โ | 1 month ago |
| 99211 | VISIT ESTABLISHED LEVEL 1 * | $9 [source] | โ | 1 month ago |
| 99212 | VISIT ESTABLISHED LEVEL 2 * | $37 [source] | โ | 1 month ago |
| 99213 | VISIT ESTABLISHED LEVEL 3 * | $69 [source] | โ | 1 month ago |
| 99214 | VISIT ESTABLISHED LEVEL 4 * | $101 [source] | โ | 1 month ago |
| V2632 | Posterior chamber intraocular lens * | $115 [source] | โ | 4 years ago |