| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | OP VISIT LEVEL 1 EST | $682 [source] | gross_charge | 2 weeks ago |
| 99212 | OP VISIT LEVEL 2 EST | $682 [source] | gross_charge | 2 weeks ago |
| 99213 | OP VISIT LEVEL 3 EST | $784 [source] | gross_charge | 2 weeks ago |
| 99214 | OP VISIT LEVEL 4 EST | $1,140 [source] | gross_charge | 2 weeks ago |
| C1713 | NAIL BN 10MM 36CM | $8,175 [source] | gross_charge | 2 weeks ago |
| C1725 | CATH BLN 10X100MM 130CM | $684 [source] | gross_charge | 2 weeks ago |
| C1776 | STEM FEM 240MM 15MM | $21,004 [source] | gross_charge | 2 weeks ago |
| C1874 | STENT EPRSTH 10X13X39MM | $6,675 [source] | gross_charge | 2 weeks ago |
| V2632 | LENS IOL +23.5 DIOP | $335 [source] | gross_charge | 2 weeks ago |