| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 29240 | Strapping; shoulder (eg, Velpeau) * | $316 [source] | — | 4 years ago |
| 99211 | VISIT ESTABLISHED LEVEL 1 * | $60 [source] | — | 4 years ago |
| 99212 | VISIT ESTABLISHED LEVEL 2 * | $176 [source] | — | 4 years ago |
| 99213 | VISIT ESTABLISHED LEVEL 3 * | $181 [source] | — | 4 years ago |
| 99214 | VISIT ESTABLISHED LEVEL 4 * | $186 [source] | — | 4 years ago |