| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | OP VISIT LEVEL 1 EST | $1,094 [source] | gross_charge | 1 month ago |
| 99212 | OP VISIT LEVEL 2 EST | $1,322 [source] | gross_charge | 1 month ago |
| 99213 | OP VISIT LEVEL 3 EST | $1,681 [source] | gross_charge | 1 month ago |
| 99214 | OP VISIT LEVEL 4 EST | $2,144 [source] | gross_charge | 1 month ago |
| C1713 | SCREW BN AXIALIF 360 TI | $184,011 [source] | gross_charge | 1 month ago |
| C1725 | CATH IVL 2.5MM 80MM | $185,726 [source] | gross_charge | 1 month ago |
| C1776 | CMPNT FEM KN XS | $184,011 [source] | gross_charge | 1 month ago |
| C1821 | IMPLNT SPN 8MM | $129,456 [source] | gross_charge | 1 month ago |
| C1874 | GRAFT AAA 30X124MM TWO | $184,011 [source] | gross_charge | 1 month ago |
| C1876 | DEVICE EMBL 20MM 4.5MM | $184,011 [source] | gross_charge | 1 month ago |
| V2632 | LENS IOL +5 DIOP | $4,203 [source] | gross_charge | 1 month ago |