| Code | Description | Price | Last Updated |
|---|---|---|---|
| 51702 | HC INSJ TEMP NDWELLG BLDR CATH SMPL | $461 [source] | 4 years ago |
| 96365 | HC IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST >1 HOUR | $1,544 [source] | 4 years ago |
| 96366 | HC IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR | $302 [source] | 4 years ago |
| 96367 | HC IV NFS THER PROPH/DX ADDL SEQUENTIAL NFS >1 HR | $1,508 [source] | 4 years ago |
| 96368 | HC IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS | $294 [source] | 4 years ago |
| 99201 | Level 1 OP OB Visit - New Patient | $252 [source] | 4 years ago |
| 99202 | Level 2 OP OB Visit - New Patient | $444 [source] | 4 years ago |
| 99203 | Level 3 OP OB Visit - New Patient | $570 [source] | 4 years ago |
| 99211 | Level 1 OP OB Visit - Established Patient | $228 [source] | 4 years ago |
| 99212 | Level 2 OP OB Visit - Established Patient | $260 [source] | 4 years ago |
| 99213 | Level 3 OP OB Visit - Established Patient | $310 [source] | 4 years ago |
| G0378 | HC ADT OBSERVATION SERVICE PER HOUR | $68 [source] | 4 years ago |
| G0379 | HC DIRECT ADMIS PATIENT HOSPITAL OBSERVATION CARE | $134 [source] | 4 years ago |