| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | OP VISIT LEVEL 1 EST | $208 [source] | gross_charge | 1 month ago |
| 99212 | OP VISIT LEVEL 2 EST | $257 [source] | gross_charge | 1 month ago |
| C1713 | KT SCTM CRNL DFCT RPR | $108,000 [source] | gross_charge | 1 month ago |
| C1725 | CATH BLNDIL 2.25MM 10MM | $19,530 [source] | gross_charge | 1 month ago |
| C1776 | IMPLANT ACTB HIP CUST | $108,000 [source] | gross_charge | 1 month ago |
| C1874 | STENT EPRSTH 7MM 10CM | $35,742 [source] | gross_charge | 1 month ago |
| C1876 | STENT EPRSTH 8MM 21MM | $25,033 [source] | gross_charge | 1 month ago |