| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | OP VISIT LEVEL 1 EST | $3,596 [source] | gross_charge | 2 weeks ago |
| 99212 | OP VISIT LEVEL 2 EST | $1,841 [source] | gross_charge | 2 weeks ago |
| 99213 | OP VISIT LEVEL 3 EST | $1,067 [source] | gross_charge | 2 weeks ago |
| 99214 | OP VISIT LEVEL 4 EST | $1,523 [source] | gross_charge | 2 weeks ago |
| C1713 | MESH STRATTICE RECON | $54,793 [source] | gross_charge | 2 weeks ago |
| C1725 | CATH IVL 8MM 30MM | $17,205 [source] | gross_charge | 2 weeks ago |
| C1776 | BSPLT GLND SHLDR PT SIZE | $41,963 [source] | gross_charge | 2 weeks ago |
| C1821 | IMPLNT SPN 10MM | $21,230 [source] | gross_charge | 2 weeks ago |
| C1874 | STENT AAA ENDU II UNLMTD | $58,120 [source] | gross_charge | 2 weeks ago |
| C1876 | STENT GRAFT 28MM 80MM | $28,433 [source] | gross_charge | 2 weeks ago |
| V2632 | Posterior chamber intraocular lens | $569 [source] | gross_charge | 2 weeks ago |
| V2787 | LENS IOL +20.5 DIOP 2.25 | $7,114 [source] | gross_charge | 2 weeks ago |