| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99212 | OP VISIT LEVEL 2 EST | $607 [source] | gross_charge | 1 month ago |
| C1713 | IMPLANT CUSTOM COMPLEXIT | $46,937 [source] | gross_charge | 1 month ago |
| C1725 | CATH ULTSND IVL 8X60MM | $17,571 [source] | gross_charge | 1 month ago |
| C1776 | CAP TORN TOTAL ELBOW | $36,270 [source] | gross_charge | 1 month ago |
| C1874 | GRAFT STNT 25MM 13X80MM | $49,424 [source] | gross_charge | 1 month ago |
| C1876 | STENT VASC 6X200MM 120CM | $11,076 [source] | gross_charge | 1 month ago |