| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 29240 | STRAPPING SHOULDER OT | $504 [source] | gross_charge | 2 weeks ago |
| 99211 | OP VISIT LEVEL 1 EST | $100 [source] | gross_charge | 2 weeks ago |
| 99212 | OP VISIT LEVEL 2 EST | $124 [source] | gross_charge | 2 weeks ago |
| 99213 | OP VISIT LEVEL 3 EST | $162 [source] | gross_charge | 2 weeks ago |
| 99214 | OP VISIT LEVEL 4 EST | $194 [source] | gross_charge | 2 weeks ago |
| C1713 | NAIL BN 12MM 22CM | $379,182 [source] | gross_charge | 2 weeks ago |
| C1725 | CATH ULTSND IVL 4.5X60MM | $90,701 [source] | gross_charge | 2 weeks ago |
| C1776 | COMPNT DOME ANK SZ 3 | $257,040 [source] | gross_charge | 2 weeks ago |
| C1874 | STENT EPRSTH 6MM 5CM | $171,364 [source] | gross_charge | 2 weeks ago |
| C1876 | STENT VNS 9FR 12X60MM | $58,904 [source] | gross_charge | 2 weeks ago |