| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 29240 | Strap Shoulder LT * | $195 [source] | — | 4 years ago |
| 99211 | VISIT ESTABLISHED LEVEL 1 * | $38 [source] | — | 4 years ago |
| 99212 | VISIT ESTABLISHED LEVEL 2 * | $105 [source] | — | 4 years ago |
| 99213 | VISIT ESTABLISHED LEVEL 3 * | $209 [source] | — | 4 years ago |
| 99214 | VISIT ESTABLISHED LEVEL 4 * | $322 [source] | — | 4 years ago |
| C1725 | Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) * | $548 [source] | — | 4 years ago |
| C1776 | Joint device (implantable) * | $1,683 [source] | — | 4 years ago |
| C1821 | Interspinous process distraction device (implantable) * | $6,000 [source] | — | 4 years ago |
| V2632 | Posterior chamber intraocular lens * | $446 [source] | — | 4 years ago |
| V2787 | Astigmatism correcting function of intraocular lens * | $948 [source] | — | 4 years ago |