| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 29240 | Strap Shoulder LT * | $221 [source] | — | 4 years ago |
| 99211 | VISIT ESTABLISHED LEVEL 1 * | $74 [source] | — | 4 years ago |
| 99212 | VISIT ESTABLISHED LEVEL 2 * | $100 [source] | — | 4 years ago |
| 99213 | VISIT ESTABLISHED LEVEL 3 * | $116 [source] | — | 4 years ago |
| 99214 | VISIT ESTABLISHED LEVEL 4 * | $137 [source] | — | 4 years ago |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) * | $43 [source] | — | 4 years ago |
| C1874 | Stent, coated/covered, with delivery system * | $168 [source] | — | 4 years ago |