| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | OP VISIT LEVEL 1 EST | $709 [source] | gross_charge | 2 weeks ago |
| 99212 | OP VISIT LEVEL 2 EST | $709 [source] | gross_charge | 2 weeks ago |
| 99213 | OP VISIT LEVEL 3 EST | $803 [source] | gross_charge | 2 weeks ago |
| 99214 | OP VISIT LEVEL 4 EST | $1,093 [source] | gross_charge | 2 weeks ago |
| C1713 | IMPLANT TALUS CUSTOM | $74,505 [source] | gross_charge | 2 weeks ago |
| C1725 | CATH IVL 8MM 30MM | $17,388 [source] | gross_charge | 2 weeks ago |
| C1776 | BASEPLATE GLENOID SM | $39,736 [source] | gross_charge | 2 weeks ago |
| C1874 | STENT GRAFT 43X43X100MM | $93,215 [source] | gross_charge | 2 weeks ago |
| C1876 | STENT CLN 25X120MM 270CM | $12,393 [source] | gross_charge | 2 weeks ago |