| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99212 | OP VISIT LEVEL 2 EST | $600 [source] | gross_charge | 1 month ago |
| C1713 | PLATE BN 200-325 SQ CM | $109,207 [source] | gross_charge | 1 month ago |
| C1725 | CTH GTWY 20X4 | $5,554 [source] | gross_charge | 1 month ago |
| C1776 | CMPNT FEM KN XS | $43,246 [source] | gross_charge | 1 month ago |
| C1821 | IMPLNT SPN 16MM | $26,136 [source] | gross_charge | 1 month ago |
| C1874 | STENT GRAFT 43X43X225MM | $100,318 [source] | gross_charge | 1 month ago |
| C1876 | STENT VASC 275MM 14MM | $72,339 [source] | gross_charge | 1 month ago |
| V2632 | LENS IOL +31.0 DIOP | $2,970 [source] | gross_charge | 1 month ago |
| V2787 | IOL TORIC ASPHC T4+24.5 | $3,745 [source] | gross_charge | 1 month ago |