| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | REM/ADJ DEV/CATH ONLY EP | $698 [source] | gross_charge | 2 weeks ago |
| 99212 | OP VISIT LEVEL 2 EST | $690 [source] | gross_charge | 2 weeks ago |
| 99213 | OP VISIT LEVEL 3 EST | $906 [source] | gross_charge | 2 weeks ago |
| 99214 | OP VISIT LEVEL 4 EST | $1,357 [source] | gross_charge | 2 weeks ago |
| C1713 | IMPLANT BN MNDBL SML | $38,633 [source] | gross_charge | 2 weeks ago |
| C1725 | CATH IVL 2.5MM 80MM | $36,096 [source] | gross_charge | 2 weeks ago |
| C1776 | STEM FEM HIP 240MM SZ20 | $44,550 [source] | gross_charge | 2 weeks ago |
| C1874 | GRAFT STNT 40MM 212MM | $63,164 [source] | gross_charge | 2 weeks ago |
| C1876 | STNT GFMSTR OW 3.5X16 | $8,100 [source] | gross_charge | 2 weeks ago |
| V2632 | LENS IOL +11.0 DIOP | $1,386 [source] | gross_charge | 2 weeks ago |
| V2787 | LENS IOL +12.5 DIOP | $1,530 [source] | gross_charge | 2 weeks ago |