| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 29240 | Strap Shoulder LT * | $94 [source] | — | 4 years ago |
| 99211 | VISIT ESTABLISHED LEVEL 1 * | $176 [source] | — | 4 years ago |
| 99212 | VISIT ESTABLISHED LEVEL 2 * | $278 [source] | — | 4 years ago |
| 99213 | VISIT ESTABLISHED LEVEL 3 * | $351 [source] | — | 4 years ago |
| 99214 | VISIT ESTABLISHED LEVEL 4 * | $533 [source] | — | 4 years ago |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) * | $1,312 [source] | — | 4 years ago |
| C1725 | Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) * | $302 [source] | — | 4 years ago |
| C1776 | Joint device (implantable) * | $3,162 [source] | — | 4 years ago |
| C1874 | Stent, coated/covered, with delivery system * | $12,440 [source] | — | 4 years ago |
| C1876 | Stent, non-coated/non-covered, with delivery system * | $353 [source] | — | 4 years ago |
| V2632 | Posterior chamber intraocular lens * | $1 [source] | — | 4 years ago |
| V2787 | Astigmatism correcting function of intraocular lens * | $1 [source] | — | 4 years ago |