| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | OP VISIT LEVEL 1 EST | $492 [source] | gross_charge | 2 weeks ago |
| C1713 | ROD DSTRCT 043T11210C | $36,639 [source] | gross_charge | 2 weeks ago |
| C1776 | CMPNT FEM KN LT 70MM | $39,744 [source] | gross_charge | 2 weeks ago |
| C1874 | STENT PRO VAS 80X8X100 | $1,863 [source] | gross_charge | 2 weeks ago |
| C1876 | STENT BIL 6MM 6FR 80MM | $18,762 [source] | gross_charge | 2 weeks ago |
| V2632 | LENS IOL +21.0 DIOP | $3,433 [source] | gross_charge | 2 weeks ago |
| V2787 | LENS IOL +22.0 DIOP | $1,663 [source] | gross_charge | 2 weeks ago |