| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | OP VISIT LEVEL 1 EST | $1,277 [source] | gross_charge | 1 month ago |
| 99212 | OP VISIT LEVEL 2 EST | $2,091 [source] | gross_charge | 1 month ago |
| 99213 | OP VISIT LEVEL 3 EST | $1,073 [source] | gross_charge | 1 month ago |
| 99214 | OP VISIT LEVEL 4 EST | $1,125 [source] | gross_charge | 1 month ago |
| C1713 | IMPLANT SPN 30MM | $146,351 [source] | gross_charge | 1 month ago |
| C1725 | CATH IVL 4MM 80MM | $66,113 [source] | gross_charge | 1 month ago |
| C1776 | IMPLANT TIB DIS LT CUST | $395,836 [source] | gross_charge | 1 month ago |
| C1821 | IMPLNT SPN 12MM | $65,408 [source] | gross_charge | 1 month ago |
| C1874 | STENT AOR 37ML 15CM 8MM | $288,192 [source] | gross_charge | 1 month ago |
| C1876 | STENT EPRSTH THOR AOR 15 | $174,032 [source] | gross_charge | 1 month ago |
| V2632 | LENS IOL +18.5 DIOP | $1,441 [source] | gross_charge | 1 month ago |
| V2787 | LENS INTRAOCLAR TORC | $3,446 [source] | gross_charge | 1 month ago |