| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | OP VISIT LEVEL 1 EST | $583 [source] | gross_charge | 1 month ago |
| 99212 | OP VISIT LEVEL 2 EST | $740 [source] | gross_charge | 1 month ago |
| 99213 | OP VISIT LEVEL 3 EST | $1,089 [source] | gross_charge | 1 month ago |
| 99214 | OP VISIT LEVEL 4 EST | $1,404 [source] | gross_charge | 1 month ago |
| C1713 | NAIL BN 12.5X240MM | $48,125 [source] | gross_charge | 1 month ago |
| C1725 | CATH IVL 4MM 80MM | $67,624 [source] | gross_charge | 1 month ago |
| C1776 | COMPNT TIB XTD SZ3 | $43,698 [source] | gross_charge | 1 month ago |
| C1821 | IMPLNT SPN 12MM | $19,600 [source] | gross_charge | 1 month ago |
| C1874 | STENT THOR AOR 40MM 10CM | $52,920 [source] | gross_charge | 1 month ago |
| C1876 | STENT VASC 6X200MM 120CM | $9,083 [source] | gross_charge | 1 month ago |
| V2632 | LENS IOL +16.0 DIOP | $434 [source] | gross_charge | 1 month ago |