| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | VISIT ESTABLISHED LEVEL 1 * | $22 [source] | — | 4 years ago |
| 99212 | VISIT ESTABLISHED LEVEL 2 * | $43 [source] | — | 4 years ago |
| 99213 | VISIT ESTABLISHED LEVEL 3 * | $71 [source] | — | 4 years ago |
| 99214 | VISIT ESTABLISHED LEVEL 4 * | $104 [source] | — | 4 years ago |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) * | $942 [source] | — | 4 years ago |
| C1874 | Stent, coated/covered, with delivery system * | $2,100 [source] | — | 4 years ago |
| C1876 | Stent, non-coated/non-covered, with delivery system * | $198 [source] | — | 4 years ago |