| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | FOLLOW UP VISIT ONLY EP | $546 [source] | gross_charge | 1 month ago |
| 99212 | OP VISIT LEVEL 2 EST | $287 [source] | gross_charge | 1 month ago |
| 99213 | OP VISIT LEVEL 3 EST | $352 [source] | gross_charge | 1 month ago |
| 99214 | OP VISIT LEVEL 4 EST | $444 [source] | gross_charge | 1 month ago |
| C1713 | IMP SPN POSTER SI FUSION | $27,295 [source] | gross_charge | 1 month ago |
| C1725 | CATH IVL 4MM 80MM | $21,550 [source] | gross_charge | 1 month ago |
| C1776 | TAPER VLNT CPTV 30X26 | $51,567 [source] | gross_charge | 1 month ago |
| C1874 | STENT GRAFT 46X46X225MM | $62,464 [source] | gross_charge | 1 month ago |
| C1876 | DEVICE EMBL 20MM 4.5MM | $39,812 [source] | gross_charge | 1 month ago |
| V2632 | LENS IOL +9.5 DIOP 10 D | $5,663 [source] | gross_charge | 1 month ago |
| V2787 | LENS IOL +20.5 DIOP 2.25 | $7,114 [source] | gross_charge | 1 month ago |
| C1821 | Interspinous process distraction device (implantable) * | $17,533 [source] | — | 4 years ago |