| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99214 | VISIT ESTABLISHED LEVEL 4 * | $166 [source] | — | 4 years ago |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) * | $306 [source] | — | 4 years ago |
| C1725 | Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) * | $440 [source] | — | 4 years ago |
| C1776 | Joint device (implantable) * | $1,696 [source] | — | 4 years ago |
| C1874 | Stent, coated/covered, with delivery system * | $5,900 [source] | — | 4 years ago |
| V2632 | Posterior chamber intraocular lens * | $273 [source] | — | 4 years ago |
| V2787 | Astigmatism correcting function of intraocular lens * | $516 [source] | — | 4 years ago |