| Adenoid removal (adenoidectomy), child under 12
code 42830 |
13 |
$795.00 |
$8,159.00 |
| Anterior cervical discectomy and fusion (ACDF), one level
code 22551 |
4 |
$2,730.46 |
$4,066.53 |
| Appendectomy for a ruptured appendix with abscess or peritonitis
code 44960 |
3 |
$1,315.00 |
$3,100.00 |
| Appendectomy, open surgery
code 44950 |
4 |
$797.00 |
$3,570.80 |
| Arthroscopic ACL reconstruction or repair of the knee
code 29888 |
13 |
$3,684.80 |
$11,309.00 |
| Arthroscopic rotator cuff repair of the shoulder
code 29827 |
14 |
$1,916.00 |
$11,309.00 |
| Balloon dilation of the maxillary sinus opening, one side
code 31295 |
10 |
$1,824.80 |
$15,790.00 |
| Botox injections for chronic migraine
code 64615 |
45 |
$170.46 |
$869.92 |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion
code 19081 |
57 |
$636.65 |
$2,241.20 |
| Broken ankle (outer ankle bone) treatment without surgery or setting
code 27786 |
59 |
$135.92 |
$554.50 |
| Broken foot (metatarsal) treatment without surgery or setting
code 28470 |
45 |
$108.00 |
$806.13 |
| Bunion correction with a bone cut near the head of the first metatarsal
code 28296 |
16 |
$991.50 |
$6,653.00 |
| Bunion correction with removal of part of the big toe joint
code 28292 |
13 |
$3,265.00 |
$5,810.00 |
| Cardiac catheterization with coronary angiogram
code 93458 |
63 |
$3,235.00 |
$9,524.42 |
| Cardioversion, elective (restoring heart rhythm)
code 92960 |
85 |
$312.25 |
$1,482.69 |
| Carpal tunnel release, open surgery
code 64721 |
20 |
$902.40 |
$1,973.65 |
| Cataract surgery with lens implant
code 66984 |
13 |
$2,602.00 |
$10,558.00 |
| Catheter ablation for atrial fibrillation
code 93656 |
55 |
$4,338.90 |
$14,880.45 |
| Cervical biopsy
code 57500 |
41 |
$500.37 |
$1,183.80 |
| Cesarean delivery, including prenatal and postpartum care
code 59510 |
8 |
$4,112.00 |
$13,051.00 |
| Circumcision by surgical excision, older than 28 days (children and adults)
code 54161 |
27 |
$544.00 |
$5,118.75 |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns
code 54150 |
54 |
$117.65 |
$1,515.15 |
| Circumcision, surgical, older than a newborn
code 54160 |
39 |
$205.80 |
$1,515.15 |
| Closed treatment of a wrist (distal radius) fracture, no resetting
code 25600 |
61 |
$108.00 |
$524.70 |
| Colonoscopy with endoscopic ultrasound
code 45391 |
24 |
$1,086.60 |
$1,411.50 |
| Colonoscopy with polyp removal
code 45385 |
37 |
$843.40 |
$1,529.20 |
| Colonoscopy with tissue sample
code 45380 |
38 |
$922.60 |
$1,391.58 |
| Colonoscopy, diagnostic
code 45378 |
19 |
$928.00 |
$3,968.25 |
| Colposcopy with LEEP (loop electrosurgical excision)
code 57460 |
22 |
$612.30 |
$1,921.65 |
| Colposcopy with cervical biopsy and scraping of the cervical canal
code 57454 |
37 |
$163.02 |
$567.90 |
| Complex cataract surgery with lens implant
code 66982 |
13 |
$2,426.22 |
$10,558.00 |
| Coronary stent placement, one artery
code 92928 |
43 |
$5,334.18 |
$11,496.84 |
| Cystoscopy with ureteral stent placement
code 52332 |
46 |
$443.00 |
$3,263.59 |
| Cystoscopy, diagnostic look inside the bladder and urethra
code 52000 |
55 |
$419.00 |
$1,619.67 |
| D&C (dilation and curettage), not related to pregnancy
code 58120 |
27 |
$319.00 |
$3,774.81 |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion
code 17000 |
48 |
$47.50 |
$142.20 |
| Ear tube placement (tympanostomy) under general anesthesia, one ear
code 69436 |
14 |
$425.00 |
$2,001.00 |
| Ear tube placement (tympanostomy) with local anesthesia, one ear
code 69433 |
15 |
$425.00 |
$911.43 |
| Earwax removal by irrigation (rinsing), one ear
code 69209 |
76 |
$14.84 |
$102.60 |
| Earwax removal with instruments, one ear
code 69210 |
79 |
$21.00 |
$359.00 |
| Endometrial biopsy (uterine lining sample) without dilating the cervix
code 58100 |
47 |
$110.00 |
$344.50 |
| Endoscopic sinus surgery: full ethmoid sinus opening
code 31255 |
13 |
$1,334.00 |
$9,445.00 |
| Endoscopic sinus surgery: opening the frontal sinus
code 31276 |
13 |
$1,657.80 |
$6,698.00 |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus
code 31256 |
12 |
$1,061.00 |
$6,698.00 |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue
code 31267 |
13 |
$876.00 |
$6,698.00 |
| Epidural steroid injection, neck or mid back, with imaging guidance
code 62321 |
59 |
$392.80 |
$1,494.72 |
| Eye injection into the vitreous (intravitreal injection)
code 67028 |
41 |
$394.00 |
$560.10 |
| Facet joint injection, lower back, one level, with imaging guidance
code 64493 |
62 |
$362.00 |
$2,155.95 |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm
code 49593 |
17 |
$4,663.00 |
$8,241.00 |
| First repair of a front abdominal hernia larger than 10 cm
code 49595 |
13 |
$4,663.00 |
$8,241.00 |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm
code 49591 |
18 |
$3,573.00 |
$7,649.56 |
| Flexible sigmoidoscopy, diagnostic (lower colon only)
code 45330 |
45 |
$515.00 |
$1,331.00 |
| Gallbladder removal, laparoscopic
code 47562 |
18 |
$4,108.00 |
$14,447.50 |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery
code 47563 |
20 |
$863.50 |
$11,284.52 |
| Gallbladder removal, open surgery through a larger incision
code 47600 |
10 |
$1,129.50 |
$21,252.00 |
| Hammertoe correction surgery
code 28285 |
32 |
$496.00 |
$2,171.10 |
| Hemorrhoid banding (rubber band ligation)
code 46221 |
49 |
$342.50 |
$1,377.16 |
| Hemorrhoidectomy (internal and external), one area
code 46255 |
33 |
$713.75 |
$2,771.70 |
| Hip replacement after an earlier hip surgery (conversion to total hip)
code 27132 |
9 |
$12,866.00 |
$12,866.00 |
| Hysterectomy through an abdominal incision (total)
code 58150 |
2 |
$4,485.00 |
$11,622.55 |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes
code 58340 |
59 |
$64.00 |
$625.86 |
| Hysteroscopy with endometrial ablation
code 58563 |
13 |
$2,158.66 |
$13,791.00 |
| Hysteroscopy with uterine lining sampling and/or polyp removal
code 58558 |
16 |
$1,046.00 |
$8,661.00 |
| IUD insertion (the device itself billed separately)
code 58300 |
50 |
$165.02 |
$466.05 |
| Incision and drainage of a simple or single skin abscess
code 10060 |
85 |
$81.07 |
$601.50 |
| Inguinal (groin) hernia repair, age 5 or older
code 49505 |
19 |
$678.00 |
$7,058.12 |
| Injection into a tendon sheath or ligament (for example trigger finger)
code 20550 |
65 |
$74.25 |
$1,179.09 |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound
code 20610 |
82 |
$73.10 |
$905.19 |
| Insertion of a drug-delivery implant, such as the arm birth control implant
code 11981 |
43 |
$116.00 |
$545.00 |
| Joint injection or drainage, medium joint (wrist, elbow, ankle)
code 20605 |
78 |
$54.60 |
$753.87 |
| Joint injection or drainage, small joint (fingers, toes)
code 20600 |
74 |
$39.90 |
$496.26 |
| Knee arthroscopy with meniscus repair (one side of the knee)
code 29882 |
12 |
$1,500.50 |
$11,309.00 |
| Knee arthroscopy with meniscus trim
code 29881 |
15 |
$1,316.50 |
$11,309.00 |
| Knee arthroscopy with removal of both torn meniscus parts
code 29880 |
16 |
$2,603.50 |
$8,718.00 |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty)
code 29877 |
15 |
$2,562.00 |
$8,718.00 |
| Laparoscopic adjustable gastric band placement (Lap-Band)
code 43770 |
1 |
$7,644.00 |
$7,644.00 |
| Laparoscopic appendectomy (appendix removal through small cuts)
code 44970 |
18 |
$2,817.00 |
$10,651.00 |
| Laparoscopic fundoplication (anti-reflux surgery)
code 43280 |
4 |
$5,074.00 |
$19,241.22 |
| Laparoscopic hysterectomy (uterus 250 g or less)
code 58570 |
13 |
$2,865.00 |
$13,654.00 |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries
code 58571 |
13 |
$3,289.00 |
$13,654.00 |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side
code 49650 |
16 |
$191.01 |
$11,234.00 |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia
code 49651 |
14 |
$3,086.00 |
$12,994.00 |
| Laparoscopic removal of an adjustable gastric band and its port
code 43774 |
2 |
$3,848.00 |
$4,133.50 |
| Laparoscopic removal of fallopian tubes and/or ovaries
code 58661 |
14 |
$2,888.80 |
$9,383.00 |
| Laparoscopic sleeve gastrectomy for weight loss
code 43775 |
2 |
$58,611.59 |
$59,077.30 |
| Laser treatment of clouding after cataract surgery (YAG)
code 66821 |
26 |
$326.40 |
$424.20 |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs
code 12031 |
75 |
$95.91 |
$417.00 |
| Left heart catheterization, diagnostic
code 93452 |
56 |
$1,584.00 |
$6,476.30 |
| Lower-back epidural injection, with imaging guidance
code 62323 |
62 |
$392.80 |
$1,343.25 |
| Lower-back epidural injection, without imaging guidance
code 62322 |
53 |
$137.50 |
$1,660.80 |
| Lower-back nerve root steroid injection, with imaging guidance
code 64483 |
60 |
$396.00 |
$1,578.96 |
| Lumbar discectomy or laminotomy to free a nerve root, one level
code 63030 |
6 |
$5,999.20 |
$8,747.20 |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level
code 22633 |
3 |
$2,345.94 |
$2,956.80 |
| Lumbar interbody fusion (PLIF or TLIF), one level
code 22630 |
4 |
$2,400.66 |
$4,940.03 |
| Lumbar laminectomy (spinal decompression), one level
code 63047 |
8 |
$3,387.60 |
$13,767.00 |
| Lumbar spinal fusion (posterior), one level
code 22612 |
6 |
$2,950.64 |
$11,975.50 |
| Lumpectomy (partial mastectomy)
code 19301 |
15 |
$1,574.94 |
$7,906.00 |
| Mastectomy (total removal of the breast)
code 19303 |
12 |
$2,249.68 |
$9,791.00 |
| Miscarriage treatment with D&C, first trimester
code 59820 |
30 |
$786.00 |
$3,287.97 |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals
code 17311 |
12 |
$275.46 |
$577.98 |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm
code 11400 |
54 |
$240.55 |
$1,303.99 |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm
code 11440 |
37 |
$104.50 |
$637.50 |
| Nail removal (partial or complete), one nail
code 11730 |
80 |
$51.25 |
$631.50 |
| Occipital nerve block (injection for headaches)
code 64405 |
61 |
$138.00 |
$868.80 |
| Pacemaker implant (dual chamber)
code 33208 |
61 |
$3,666.85 |
$10,432.00 |
| Paracentesis with imaging guidance
code 49083 |
71 |
$127.50 |
$1,566.27 |
| Partial knee replacement (one compartment)
code 27446 |
9 |
$9,036.80 |
$15,440.00 |
| Permanent removal of a nail and nail root (partial or complete)
code 11750 |
80 |
$136.50 |
$931.88 |
| Prostate biopsy
code 55700 |
30 |
$500.00 |
$2,813.07 |
| Prostate removal (prostatectomy), laparoscopic
code 55866 |
10 |
$10,609.00 |
$12,866.00 |
| Radiofrequency ablation of facet joint nerves, lower back, one level
code 64635 |
52 |
$566.67 |
$2,085.50 |
| Removal of a breast lump, open surgery
code 19120 |
18 |
$1,621.00 |
$6,653.00 |
| Removal of a foreign object under the skin, simple
code 10120 |
81 |
$51.00 |
$1,116.30 |
| Removal of one lobe of the thyroid (lobectomy)
code 60220 |
12 |
$3,543.00 |
$5,753.00 |
| Screening colonoscopy for a person at average risk (Medicare code)
code G0121 |
36 |
$435.50 |
$1,525.29 |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code)
code G0105 |
36 |
$397.00 |
$1,525.29 |
| Septoplasty to straighten the nasal septum
code 30520 |
13 |
$1,240.88 |
$8,241.00 |
| Shock-wave lithotripsy to break up kidney stones (from outside the body)
code 50590 |
54 |
$1,092.00 |
$12,206.97 |
| Short arm cast (elbow to hand)
code 29075 |
38 |
$43.50 |
$887.00 |
| Short arm splint (forearm and hand)
code 29125 |
78 |
$49.50 |
$384.00 |
| Short leg cast (below the knee)
code 29405 |
66 |
$57.00 |
$316.80 |
| Short leg splint (calf to foot)
code 29515 |
82 |
$63.50 |
$384.49 |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle)
code 29824 |
12 |
$1,916.00 |
$9,445.00 |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery)
code 29826 |
11 |
$1,916.00 |
$8,718.00 |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs
code 12001 |
79 |
$74.99 |
$287.70 |
| Skin biopsy, punch, one lesion
code 11104 |
70 |
$152.50 |
$571.02 |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm
code 11600 |
17 |
$130.90 |
$632.97 |
| Skin tag removal, up to 15 tags
code 11200 |
65 |
$31.20 |
$316.80 |
| Spinal tap (lumbar puncture), diagnostic
code 62270 |
79 |
$131.00 |
$1,267.32 |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs
code 12002 |
78 |
$76.00 |
$399.00 |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair
code 12011 |
76 |
$64.00 |
$354.30 |
| TURP (transurethral resection of the prostate)
code 52601 |
11 |
$5,040.40 |
$9,791.00 |
| Tangential (shave-style) skin biopsy, one lesion
code 11102 |
67 |
$72.10 |
$560.04 |
| Thoracentesis with imaging guidance
code 32555 |
72 |
$125.70 |
$1,410.41 |
| Tonsil and adenoid removal, age 12 or older
code 42821 |
13 |
$1,534.00 |
$11,148.00 |
| Tonsil and adenoid removal, child under 12
code 42820 |
13 |
$1,316.00 |
$7,906.00 |
| Tonsil removal (tonsillectomy) only, age 12 or older
code 42826 |
14 |
$1,360.00 |
$9,791.00 |
| Tonsil removal (tonsillectomy) only, child under 12
code 42825 |
12 |
$508.75 |
$9,791.00 |
| Total hip replacement
code 27130 |
14 |
$8,667.08 |
$12,866.00 |
| Total knee replacement
code 27447 |
14 |
$3,574.00 |
$12,866.00 |
| Total shoulder replacement
code 23472 |
13 |
$12,929.60 |
$15,440.00 |
| Total thyroid removal (thyroidectomy)
code 60240 |
11 |
$4,709.00 |
$9,791.00 |
| Trigger finger release surgery
code 26055 |
20 |
$677.50 |
$4,455.00 |
| Trigger point injections, 1 or 2 muscles
code 20552 |
66 |
$47.02 |
$1,210.56 |
| Tubal ligation, laparoscopic (tubes sealed by cautery)
code 58670 |
11 |
$499.00 |
$8,661.00 |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion
code 19083 |
63 |
$244.50 |
$2,189.40 |
| Upper endoscopy (EGD) with balloon widening of the esophagus
code 43249 |
36 |
$725.40 |
$2,081.61 |
| Upper endoscopy (EGD) with biopsy
code 43239 |
51 |
$465.50 |
$1,405.56 |
| Upper endoscopy (EGD) with injection into the lining
code 43236 |
33 |
$905.00 |
$1,179.63 |
| Upper endoscopy (EGD) with polyp removal by snare
code 43251 |
37 |
$442.80 |
$1,159.43 |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire
code 43248 |
37 |
$535.86 |
$1,847.70 |
| Upper endoscopy (EGD), diagnostic
code 43235 |
44 |
$159.75 |
$1,542.28 |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall
code 43240 |
25 |
$808.50 |
$1,051.05 |
| Ureteroscopy with laser stone breaking (lithotripsy)
code 52353 |
41 |
$369.00 |
$4,046.10 |
| Ureteroscopy with laser stone breaking and stent placement
code 52356 |
32 |
$1,200.00 |
$4,793.31 |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care
code 59610 |
9 |
$2,827.50 |
$12,187.00 |
| Vaginal delivery, including prenatal and postpartum care
code 59400 |
2 |
$2,684.00 |
$3,092.50 |
| Vasectomy, one or both sides, including follow-up semen testing
code 55250 |
7 |
$903.00 |
$3,416.80 |
| Vein ablation, radiofrequency, first vein
code 36475 |
47 |
$1,768.29 |
$3,100.31 |
| Wart removal, up to 14 warts
code 17110 |
51 |
$80.50 |
$1,115.10 |
| Wound debridement, skin and tissue under it, first 20 sq cm
code 11042 |
78 |
$75.34 |
$1,090.50 |
| Wrist fracture surgery (plate and screws), distal radius
code 25607 |
14 |
$6,088.00 |
$9,383.00 |