| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | OP VISIT LEVEL 1 EST | $1,068 [source] | gross_charge | 2 weeks ago |
| C1713 | CAP ZIM DYN HA L4 | $70,795 [source] | gross_charge | 2 weeks ago |
| C1725 | CATH BLNDIL 4MM 150MM | $12,354 [source] | gross_charge | 2 weeks ago |
| C1776 | COMPONENT GLND 45MM | $36,407 [source] | gross_charge | 2 weeks ago |
| C1821 | X-STOP SPN H14MM | $19,315 [source] | gross_charge | 2 weeks ago |
| C1874 | GRAFT STNT 40MM 150MM | $59,129 [source] | gross_charge | 2 weeks ago |
| C1876 | STENT AAA THRE EPRSTH40M | $42,864 [source] | gross_charge | 2 weeks ago |
| V2632 | LENS IOL +26.0 DIOP | $1,783 [source] | gross_charge | 2 weeks ago |
| V2787 | LENS IOL +11.0 DIOP | $1,968 [source] | gross_charge | 2 weeks ago |