| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99214 | OP VISIT LEVEL 4 EST | $619 [source] | gross_charge | 1 month ago |
| C1713 | PLATE TI W/CABLE LONG | $34,892 [source] | gross_charge | 1 month ago |
| C1725 | CATH BLNDIL 10X40X75CM | $3,610 [source] | gross_charge | 1 month ago |
| C1776 | POROUS CERAMIC W/ALTRX | $54,039 [source] | gross_charge | 1 month ago |
| C1876 | STENT BIL 6MM 37MM | $15,004 [source] | gross_charge | 1 month ago |
| V2632 | LENS IOL +7.5 DIOP | $2,418 [source] | gross_charge | 1 month ago |
| V2787 | LENS IOL +2.15 DIOP | $7,770 [source] | gross_charge | 1 month ago |