| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | OP VISIT LEVEL 1 EST | $1,782 [source] | gross_charge | 2 weeks ago |
| 99212 | OP VISIT LEVEL 2 EST | $264 [source] | gross_charge | 2 weeks ago |
| 99213 | OP VISIT LEVEL 3 EST | $293 [source] | gross_charge | 2 weeks ago |
| 99214 | OP VISIT LEVEL 4 EST | $374 [source] | gross_charge | 2 weeks ago |
| C1713 | PLATE BN 100-150 SQ CM | $289,221 [source] | gross_charge | 2 weeks ago |
| C1725 | CATH IVL 4MM 80MM | $119,192 [source] | gross_charge | 2 weeks ago |
| C1776 | CMPNT FEM KN LT SZ3 | $505,230 [source] | gross_charge | 2 weeks ago |
| C1821 | SCISSOR WSCT CRV STCH | $37,838 [source] | gross_charge | 2 weeks ago |
| C1874 | VALVE AOR TAVR 26MM | $623,810 [source] | gross_charge | 2 weeks ago |
| C1876 | STENT URETH 3CM 14MM | $161,624 [source] | gross_charge | 2 weeks ago |