| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | OP VISIT LEVEL 1 EST | $1,563 [source] | gross_charge | 2 weeks ago |
| 99212 | OP VISIT LEVEL 2 EST | $873 [source] | gross_charge | 2 weeks ago |
| 99213 | OP VISIT LEVEL 3 EST | $1,329 [source] | gross_charge | 2 weeks ago |
| 99214 | OP VISIT LEVEL 4 EST | $1,767 [source] | gross_charge | 2 weeks ago |
| C1713 | PLATE BN IMPL KIT LG | $55,440 [source] | gross_charge | 2 weeks ago |
| C1725 | CATH IVL 8MM 30MM | $23,708 [source] | gross_charge | 2 weeks ago |
| C1776 | KIT IMPLANT CRANI LG | $51,056 [source] | gross_charge | 2 weeks ago |
| C1821 | IMPLNT SPN 10MM | $21,230 [source] | gross_charge | 2 weeks ago |
| C1874 | STENT AOR 37ML 15CM 8MM | $92,992 [source] | gross_charge | 2 weeks ago |
| C1876 | STENT INTRCR 27 4.5X45MM | $43,445 [source] | gross_charge | 2 weeks ago |
| V2632 | IOL PC 21.0 CZ7 | $124 [source] | gross_charge | 2 weeks ago |
| V2787 | LENS IOL +24.5 DIOP | $1,789 [source] | gross_charge | 2 weeks ago |