| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 29240 | Strap Shoulder LT * | $197 [source] | โ | 4 years ago |
| 99211 | VISIT ESTABLISHED LEVEL 1 * | $57 [source] | โ | 4 years ago |
| 99212 | VISIT ESTABLISHED LEVEL 2 * | $109 [source] | โ | 4 years ago |
| 99213 | VISIT ESTABLISHED LEVEL 3 * | $161 [source] | โ | 4 years ago |
| 99214 | VISIT ESTABLISHED LEVEL 4 * | $243 [source] | โ | 4 years ago |
| V2632 | Posterior chamber intraocular lens * | $1,101 [source] | โ | 4 years ago |