| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | OP VISIT LEVEL 1 EST | $397 [source] | gross_charge | 2 weeks ago |
| 99212 | OP VISIT LEVEL 2 EST | $472 [source] | gross_charge | 2 weeks ago |
| 99213 | OP VISIT LEVEL 3 EST | $645 [source] | gross_charge | 2 weeks ago |
| 99214 | OP VISIT LEVEL 4 EST | $830 [source] | gross_charge | 2 weeks ago |
| C1713 | PLATE BN CRNL MD CSTM NS | $116,640 [source] | gross_charge | 2 weeks ago |
| C1725 | CATH ULTSND 7.0MM 60 MM | $100,000 [source] | gross_charge | 2 weeks ago |
| C1776 | BSPLT GLND SHLDR PT SIZE | $108,000 [source] | gross_charge | 2 weeks ago |
| C1821 | IMPLNT SPN 12MM | $82,869 [source] | gross_charge | 2 weeks ago |
| C1874 | STENT THOR AOR 45MM 15CM | $116,640 [source] | gross_charge | 2 weeks ago |
| C1876 | DEVICE EMBL20X3.75MM PIP | $116,640 [source] | gross_charge | 2 weeks ago |
| V2632 | LENS IOL +19.0 DIOP | $2,929 [source] | gross_charge | 2 weeks ago |
| V2787 | LENS IOL 24.5 DIOP | $2,046 [source] | gross_charge | 2 weeks ago |