| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | OP VISIT LEVEL 1 EST | $400 [source] | gross_charge | 1 month ago |
| 99212 | OP VISIT LEVEL 2 EST | $449 [source] | gross_charge | 1 month ago |
| 99213 | OP VISIT LEVEL 3 EST | $267 [source] | gross_charge | 1 month ago |
| 99214 | OP VISIT LEVEL 4 EST | $463 [source] | gross_charge | 1 month ago |
| C1713 | DISTRACTOR SUR 24HL 30MM | $103,132 [source] | gross_charge | 1 month ago |
| C1725 | CATH VASC 100CM 5F 5.4MM | $29,453 [source] | gross_charge | 1 month ago |
| C1776 | CMPNT FEM KN LT 70MM | $107,999 [source] | gross_charge | 1 month ago |
| C1821 | IMPLNT SPN 10MM | $65,621 [source] | gross_charge | 1 month ago |
| C1874 | STENT THOR AOR 40MM 20CM | $108,000 [source] | gross_charge | 1 month ago |
| C1876 | STENT CLN 25X90MM 270CM | $20,452 [source] | gross_charge | 1 month ago |
| V2632 | LENS IOL +16.0 DIOP | $7,942 [source] | gross_charge | 1 month ago |
| V2787 | LENS IOL +19.0 DIOP | $4,775 [source] | gross_charge | 1 month ago |