| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | REM/ADJ DEV/CATH ONLY EP | $685 [source] | gross_charge | 1 month ago |
| 99212 | OP VISIT LEVEL 2 EST | $504 [source] | gross_charge | 1 month ago |
| 99213 | OP VISIT LEVEL 3 EST | $663 [source] | gross_charge | 1 month ago |
| 99214 | OP VISIT LEVEL 4 EST | $914 [source] | gross_charge | 1 month ago |
| C1713 | MESH LFT PARIETL-LPS .6M | $30,240 [source] | gross_charge | 1 month ago |
| C1725 | CATH IVL 4MM 80MM | $24,863 [source] | gross_charge | 1 month ago |
| C1776 | STEM FEM 175MM 12MM | $19,780 [source] | gross_charge | 1 month ago |
| C1821 | IMPLNT SPN 8MM | $11,200 [source] | gross_charge | 1 month ago |
| C1874 | STENT GRFT AOR 22FR 31MM | $64,000 [source] | gross_charge | 1 month ago |
| C1876 | STENT EPRSTH 24F 34-42MM | $29,800 [source] | gross_charge | 1 month ago |