| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | OP VISIT LEVEL 1 EST | $402 [source] | gross_charge | 1 month ago |
| 99212 | OP VISIT LEVEL 2 EST | $577 [source] | gross_charge | 1 month ago |
| 99213 | OP VISIT LEVEL 3 EST | $715 [source] | gross_charge | 1 month ago |
| 99214 | OP VISIT LEVEL 4 EST | $997 [source] | gross_charge | 1 month ago |
| C1713 | IMPLANT SPN 21MM | $36,412 [source] | gross_charge | 1 month ago |
| C1725 | CATH IVL 2.5MM 80MM | $22,419 [source] | gross_charge | 1 month ago |
| C1776 | CMPNT GLND SM 25D | $36,325 [source] | gross_charge | 1 month ago |
| C1821 | IMPLNT SPN 10MM | $21,230 [source] | gross_charge | 1 month ago |
| C1874 | STENT EPRSTH 8X37MM 15CM | $92,992 [source] | gross_charge | 1 month ago |
| C1876 | STENT GFT EVAS 38X269MM | $52,163 [source] | gross_charge | 1 month ago |
| V2632 | LENS IOL +18.5 DIOP | $2,028 [source] | gross_charge | 1 month ago |
| V2787 | LENS IOL +20.5 DIOP 2.25 | $7,114 [source] | gross_charge | 1 month ago |