| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 29240 | HC ED STRAPPING SHOULDER CDM | $290 [source] | gross_charge | 1 month ago |
| 99211 | HC ESTAB PT VISIT - LEVEL 1 | $174 [source] | gross_charge | 1 month ago |
| 99212 | HC ESTAB PT VISIT - LEVEL 2 | $250 [source] | gross_charge | 1 month ago |
| 99213 | HC LACTATION CONSULT LEVEL 3 | $349 [source] | gross_charge | 1 month ago |
| 99214 | HC ESTAB PT VISIT - LEVEL 4 | $464 [source] | gross_charge | 1 month ago |