| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | OP VISIT LEVEL 1 EST | $803 [source] | gross_charge | 2 weeks ago |
| 99212 | OP VISIT LEVEL 2 EST | $1,918 [source] | gross_charge | 2 weeks ago |
| 99213 | OP VISIT LEVEL 3 EST | $3,836 [source] | gross_charge | 2 weeks ago |
| 99214 | OP VISIT LEVEL 4 EST | $6,690 [source] | gross_charge | 2 weeks ago |
| C1713 | MESH STRATTICE RECON | $54,793 [source] | gross_charge | 2 weeks ago |
| C1725 | CATH ULTSND IVL 4.0X60MM | $16,425 [source] | gross_charge | 2 weeks ago |
| C1776 | BASPLATE SHLDR 25X25MM | $35,494 [source] | gross_charge | 2 weeks ago |
| C1821 | IMPLNT SPN 12MM | $21,230 [source] | gross_charge | 2 weeks ago |
| C1874 | STENT AAA ENDU AUI 3 PC | $53,761 [source] | gross_charge | 2 weeks ago |
| C1876 | STENT GRAFT 28MM 100MM | $28,433 [source] | gross_charge | 2 weeks ago |
| V2632 | LENS IOL +16.0 DIOP | $3,772 [source] | gross_charge | 2 weeks ago |
| V2787 | LENS IOL +20D+5.25MOD | $3,393 [source] | gross_charge | 2 weeks ago |