| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | OP VISIT LEVEL 1 EST | $741 [source] | gross_charge | 1 month ago |
| 99213 | OP VISIT LEVEL 3 EST | $783 [source] | gross_charge | 1 month ago |
| C1713 | ROD SPNL AXIALIF 2L STAB | $37,159 [source] | gross_charge | 1 month ago |
| C1725 | CATH IVL 60MM 80MM | $23,026 [source] | gross_charge | 1 month ago |
| C1776 | COMPNT FEM KN LT 76X66MM | $31,664 [source] | gross_charge | 1 month ago |
| C1874 | STENT GRFT 124X23X13MM | $27,757 [source] | gross_charge | 1 month ago |
| C1876 | STENT CLN 25X90MM 270CM | $10,269 [source] | gross_charge | 1 month ago |
| V2632 | LENS IOL +21.5 DIOP | $1,616 [source] | gross_charge | 1 month ago |
| V2787 | LENS IOL +14.5 DIOP | $2,730 [source] | gross_charge | 1 month ago |