| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 29240 | Strap Shoulder LT * | $94 [source] | — | 4 years ago |
| 99211 | VISIT ESTABLISHED LEVEL 1 * | $370 [source] | — | 4 years ago |
| 99212 | VISIT ESTABLISHED LEVEL 2 * | $431 [source] | — | 4 years ago |
| 99213 | VISIT ESTABLISHED LEVEL 3 * | $492 [source] | — | 4 years ago |
| 99214 | VISIT ESTABLISHED LEVEL 4 * | $553 [source] | — | 4 years ago |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) * | $348 [source] | — | 4 years ago |
| C1725 | Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) * | $912 [source] | — | 4 years ago |
| C1776 | Joint device (implantable) * | $3,681 [source] | — | 4 years ago |
| C1874 | Stent, coated/covered, with delivery system * | $16,709 [source] | — | 4 years ago |
| C1876 | Stent, non-coated/non-covered, with delivery system * | $19,318 [source] | — | 4 years ago |
| V2632 | Posterior chamber intraocular lens * | $32 [source] | — | 4 years ago |
| V2787 | Astigmatism correcting function of intraocular lens * | $1,103 [source] | — | 4 years ago |