| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | REM/ADJ DEV/CATH ONLY EP | $1,964 [source] | gross_charge | 1 month ago |
| 99212 | OP VISIT LEVEL 2 EST | $544 [source] | gross_charge | 1 month ago |
| 99213 | OP VISIT LEVEL 3 EST | $849 [source] | gross_charge | 1 month ago |
| 99214 | OP VISIT LEVEL 4 EST | $1,153 [source] | gross_charge | 1 month ago |
| C1713 | PLATE CRNL BN PEEK | $41,140 [source] | gross_charge | 1 month ago |
| C1725 | CATH ARMADA 18PTA 4X200 | $28,886 [source] | gross_charge | 1 month ago |
| C1776 | STEM HUM 8MM FRACTURE | $28,433 [source] | gross_charge | 1 month ago |
| C1821 | IMPLNT SPN 14MM | $21,230 [source] | gross_charge | 1 month ago |
| C1874 | STENT GRAFT 46X40X200MM | $62,464 [source] | gross_charge | 1 month ago |
| C1876 | STENT GFT EVAS 22X90MM | $46,351 [source] | gross_charge | 1 month ago |
| V2632 | LENS IOL +11.0 DIOP | $1,170 [source] | gross_charge | 1 month ago |
| V2787 | LENS IOL +20.5 DIOP 2.25 | $7,114 [source] | gross_charge | 1 month ago |