| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | OP VISIT LEVEL 1 EST | $1,015 [source] | gross_charge | 2 weeks ago |
| 99212 | OP VISIT LEVEL 2 EST | $1,015 [source] | gross_charge | 2 weeks ago |
| 99213 | OP VISIT LEVEL 3 EST | $1,099 [source] | gross_charge | 2 weeks ago |
| 99214 | OP VISIT LEVEL 4 EST | $1,573 [source] | gross_charge | 2 weeks ago |
| C1713 | NAIL BN LT 10MM 42CM | $104,626 [source] | gross_charge | 2 weeks ago |
| C1725 | CATH IVL 2.5MM 80MM | $100,000 [source] | gross_charge | 2 weeks ago |
| C1776 | BODY CLCR 60MM ACS +10 A | $100,000 [source] | gross_charge | 2 weeks ago |
| C1874 | GRAFT EVAS 16MM 11.5CM | $100,000 [source] | gross_charge | 2 weeks ago |
| C1876 | STENT CRN 4.5MM 30MM | $100,000 [source] | gross_charge | 2 weeks ago |
| V2632 | LENS IOL +17.0 DIOP | $13,418 [source] | gross_charge | 2 weeks ago |
| V2787 | LENS IOL +22.0 DIOP | $16,825 [source] | gross_charge | 2 weeks ago |