| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99213 | OP VISIT LEVEL 3 EST | $1,395 [source] | gross_charge | 1 month ago |
| C1713 | THOR SPIN SCOLIOSIS | $167,695 [source] | gross_charge | 1 month ago |
| C1725 | BALLOON CBM37506 | $10,753 [source] | gross_charge | 1 month ago |
| C1776 | HEAD HUM 15MM 44MM SHLDR | $125,928 [source] | gross_charge | 1 month ago |
| C1874 | GRAFT STNT 18FR 28-16MM | $131,890 [source] | gross_charge | 1 month ago |
| C1876 | STENT DUO 22X120MM | $71,243 [source] | gross_charge | 1 month ago |
| V2632 | LENS IOL +18.5 DIOP | $26,796 [source] | gross_charge | 1 month ago |
| V2787 | LENS IOL + 17.0 DIOP | $16,024 [source] | gross_charge | 1 month ago |