| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 29240 | HC ED STRAPPING SHOULDER CDM | $801 [source] | gross_charge | 2 weeks ago |
| 99211 | HC ESTAB PT VISIT - LEVEL 1 | $725 [source] | gross_charge | 2 weeks ago |
| 99212 | HC ESTAB PT VISIT - LEVEL 2 | $1,063 [source] | gross_charge | 2 weeks ago |
| 99213 | HC ESTAB PT VISIT - LEVEL 3 | $1,156 [source] | gross_charge | 2 weeks ago |
| 99214 | HC ESTAB PT VISIT - LEVEL 4 | $1,329 [source] | gross_charge | 2 weeks ago |