| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | VISIT ESTABLISHED LEVEL 1 * | $690 [source] | — | 5 years ago |
| 99212 | VISIT ESTABLISHED LEVEL 2 * | $373 [source] | — | 5 years ago |
| 99213 | VISIT ESTABLISHED LEVEL 3 * | $435 [source] | — | 5 years ago |
| 99214 | VISIT ESTABLISHED LEVEL 4 * | $498 [source] | — | 5 years ago |
| C1725 | Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) * | $668 [source] | — | 5 years ago |
| C1776 | Joint device (implantable) * | $58 [source] | — | 5 years ago |
| C1821 | Interspinous process distraction device (implantable) * | $4,358 [source] | — | 5 years ago |