| Adenoid removal (adenoidectomy), child under 12
code 42830 |
15 |
$373.10 |
$5,288.50 |
| Anterior cervical discectomy and fusion (ACDF), one level
code 22551 |
11 |
$1,782.23 |
$12,199.00 |
| Appendectomy for a ruptured appendix with abscess or peritonitis
code 44960 |
5 |
$900.23 |
$4,049.10 |
| Appendectomy, open surgery
code 44950 |
13 |
$320.24 |
$4,563.73 |
| Arthroscopic ACL reconstruction or repair of the knee
code 29888 |
22 |
$1,004.60 |
$12,847.61 |
| Arthroscopic rotator cuff repair of the shoulder
code 29827 |
22 |
$1,060.46 |
$9,308.20 |
| Balloon dilation of the maxillary sinus opening, one side
code 31295 |
10 |
$1,382.98 |
$4,398.60 |
| Botox injections for chronic migraine
code 64615 |
41 |
$110.19 |
$408.80 |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion
code 19081 |
78 |
$270.20 |
$3,085.18 |
| Broken ankle (outer ankle bone) treatment without surgery or setting
code 27786 |
53 |
$89.30 |
$441.70 |
| Broken foot (metatarsal) treatment without surgery or setting
code 28470 |
55 |
$110.55 |
$645.12 |
| Bunion correction with a bone cut near the head of the first metatarsal
code 28296 |
14 |
$914.90 |
$4,021.50 |
| Bunion correction with removal of part of the big toe joint
code 28292 |
13 |
$813.95 |
$3,489.00 |
| Cardiac catheterization with coronary angiogram
code 93458 |
73 |
$905.00 |
$10,246.32 |
| Cardioversion, elective (restoring heart rhythm)
code 92960 |
107 |
$122.80 |
$1,190.00 |
| Carpal tunnel release, open surgery
code 64721 |
29 |
$431.59 |
$3,550.44 |
| Cataract surgery with lens implant
code 66984 |
18 |
$655.03 |
$5,765.89 |
| Catheter ablation for atrial fibrillation
code 93656 |
56 |
$5,998.00 |
$28,243.50 |
| Cervical biopsy
code 57500 |
45 |
$127.89 |
$950.00 |
| Cesarean delivery, including prenatal and postpartum care
code 59510 |
8 |
$1,194.58 |
$5,124.90 |
| Circumcision by surgical excision, older than 28 days (children and adults)
code 54161 |
36 |
$350.70 |
$2,495.50 |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns
code 54150 |
47 |
$125.00 |
$1,681.83 |
| Circumcision, surgical, older than a newborn
code 54160 |
32 |
$94.08 |
$1,156.00 |
| Closed treatment of a wrist (distal radius) fracture, no resetting
code 25600 |
65 |
$81.51 |
$518.40 |
| Colonoscopy with endoscopic ultrasound
code 45391 |
13 |
$367.65 |
$6,267.60 |
| Colonoscopy with polyp removal
code 45385 |
34 |
$410.46 |
$2,819.42 |
| Colonoscopy with tissue sample
code 45380 |
35 |
$345.10 |
$2,743.50 |
| Colonoscopy, diagnostic
code 45378 |
34 |
$290.23 |
$2,401.65 |
| Colposcopy with LEEP (loop electrosurgical excision)
code 57460 |
31 |
$284.00 |
$3,128.00 |
| Colposcopy with cervical biopsy and scraping of the cervical canal
code 57454 |
37 |
$117.41 |
$480.00 |
| Complex cataract surgery with lens implant
code 66982 |
15 |
$561.68 |
$7,017.00 |
| Coronary stent placement, one artery
code 92928 |
66 |
$1,506.00 |
$14,056.00 |
| Cystoscopy with ureteral stent placement
code 52332 |
30 |
$1,140.95 |
$4,193.80 |
| Cystoscopy, diagnostic look inside the bladder and urethra
code 52000 |
63 |
$102.90 |
$1,264.00 |
| D&C (dilation and curettage), not related to pregnancy
code 58120 |
33 |
$261.07 |
$3,060.00 |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion
code 17000 |
40 |
$47.31 |
$164.21 |
| Ear tube placement (tympanostomy) under general anesthesia, one ear
code 69436 |
20 |
$160.52 |
$1,677.85 |
| Ear tube placement (tympanostomy) with local anesthesia, one ear
code 69433 |
25 |
$186.00 |
$550.00 |
| Earwax removal by irrigation (rinsing), one ear
code 69209 |
102 |
$16.13 |
$115.44 |
| Earwax removal with instruments, one ear
code 69210 |
106 |
$19.38 |
$125.00 |
| Endometrial biopsy (uterine lining sample) without dilating the cervix
code 58100 |
50 |
$68.33 |
$343.70 |
| Endoscopic sinus surgery: full ethmoid sinus opening
code 31255 |
16 |
$543.20 |
$7,525.00 |
| Endoscopic sinus surgery: opening the frontal sinus
code 31276 |
14 |
$632.80 |
$7,525.00 |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus
code 31256 |
13 |
$195.80 |
$3,975.00 |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue
code 31267 |
18 |
$444.50 |
$7,525.00 |
| Epidural steroid injection, neck or mid back, with imaging guidance
code 62321 |
74 |
$138.32 |
$1,809.42 |
| Eye injection into the vitreous (intravitreal injection)
code 67028 |
33 |
$74.16 |
$680.00 |
| Facet joint injection, lower back, one level, with imaging guidance
code 64493 |
75 |
$142.05 |
$1,550.00 |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm
code 49593 |
19 |
$587.71 |
$11,656.25 |
| First repair of a front abdominal hernia larger than 10 cm
code 49595 |
19 |
$789.98 |
$12,258.40 |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm
code 49591 |
21 |
$350.15 |
$7,725.20 |
| Flexible sigmoidoscopy, diagnostic (lower colon only)
code 45330 |
37 |
$104.30 |
$1,065.00 |
| Gallbladder removal, laparoscopic
code 47562 |
25 |
$676.20 |
$6,600.43 |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery
code 47563 |
22 |
$553.38 |
$14,162.40 |
| Gallbladder removal, open surgery through a larger incision
code 47600 |
11 |
$965.53 |
$5,700.00 |
| Hammertoe correction surgery
code 28285 |
21 |
$449.44 |
$3,489.00 |
| Hemorrhoid banding (rubber band ligation)
code 46221 |
43 |
$271.66 |
$914.00 |
| Hemorrhoidectomy (internal and external), one area
code 46255 |
30 |
$421.29 |
$2,809.00 |
| Hip replacement after an earlier hip surgery (conversion to total hip)
code 27132 |
5 |
$5,029.26 |
$15,042.00 |
| Hysterectomy through an abdominal incision (total)
code 58150 |
17 |
$921.74 |
$5,908.32 |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes
code 58340 |
81 |
$82.80 |
$388.50 |
| Hysteroscopy with endometrial ablation
code 58563 |
29 |
$1,040.44 |
$6,068.40 |
| Hysteroscopy with uterine lining sampling and/or polyp removal
code 58558 |
32 |
$375.51 |
$3,367.10 |
| IUD insertion (the device itself billed separately)
code 58300 |
43 |
$44.10 |
$364.64 |
| Incision and drainage of a simple or single skin abscess
code 10060 |
113 |
$43.40 |
$392.00 |
| Inguinal (groin) hernia repair, age 5 or older
code 49505 |
29 |
$483.61 |
$4,274.00 |
| Injection into a tendon sheath or ligament (for example trigger finger)
code 20550 |
93 |
$46.35 |
$430.00 |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound
code 20610 |
113 |
$59.39 |
$494.00 |
| Insertion of a drug-delivery implant, such as the arm birth control implant
code 11981 |
37 |
$37.43 |
$232.50 |
| Joint injection or drainage, medium joint (wrist, elbow, ankle)
code 20605 |
110 |
$56.23 |
$415.00 |
| Joint injection or drainage, small joint (fingers, toes)
code 20600 |
101 |
$45.86 |
$312.50 |
| Knee arthroscopy with meniscus repair (one side of the knee)
code 29882 |
21 |
$609.84 |
$5,783.20 |
| Knee arthroscopy with meniscus trim
code 29881 |
21 |
$549.19 |
$7,008.48 |
| Knee arthroscopy with removal of both torn meniscus parts
code 29880 |
21 |
$558.01 |
$6,018.00 |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty)
code 29877 |
19 |
$631.22 |
$4,870.60 |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length
code 43644 |
6 |
$6,397.60 |
$66,571.39 |
| Laparoscopic adjustable gastric band placement (Lap-Band)
code 43770 |
3 |
$2,236.50 |
$77,619.18 |
| Laparoscopic appendectomy (appendix removal through small cuts)
code 44970 |
23 |
$616.81 |
$6,446.00 |
| Laparoscopic fundoplication (anti-reflux surgery)
code 43280 |
14 |
$646.73 |
$17,336.00 |
| Laparoscopic hysterectomy (uterus 250 g or less)
code 58570 |
13 |
$1,257.75 |
$15,391.20 |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries
code 58571 |
18 |
$896.70 |
$11,335.00 |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side
code 49650 |
22 |
$284.59 |
$6,712.88 |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia
code 49651 |
22 |
$344.54 |
$6,599.08 |
| Laparoscopic removal of an adjustable gastric band and its port
code 43774 |
13 |
$1,905.40 |
$9,784.25 |
| Laparoscopic removal of fallopian tubes and/or ovaries
code 58661 |
24 |
$368.84 |
$6,446.00 |
| Laparoscopic sleeve gastrectomy for weight loss
code 43775 |
6 |
$6,020.00 |
$57,487.92 |
| Laser treatment of clouding after cataract surgery (YAG)
code 66821 |
27 |
$316.92 |
$665.00 |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs
code 12031 |
99 |
$79.64 |
$601.45 |
| Left heart catheterization, diagnostic
code 93452 |
64 |
$727.00 |
$7,275.20 |
| Lower-back epidural injection, with imaging guidance
code 62323 |
76 |
$170.10 |
$1,444.15 |
| Lower-back epidural injection, without imaging guidance
code 62322 |
65 |
$117.60 |
$1,455.00 |
| Lower-back nerve root steroid injection, with imaging guidance
code 64483 |
78 |
$169.28 |
$1,418.15 |
| Lumbar discectomy or laminotomy to free a nerve root, one level
code 63030 |
16 |
$1,019.89 |
$8,572.26 |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level
code 22633 |
5 |
$3,631.60 |
$9,760.22 |
| Lumbar interbody fusion (PLIF or TLIF), one level
code 22630 |
6 |
$3,254.30 |
$14,026.13 |
| Lumbar laminectomy (spinal decompression), one level
code 63047 |
16 |
$1,163.95 |
$8,045.23 |
| Lumbar spinal fusion (posterior), one level
code 22612 |
9 |
$1,670.80 |
$10,452.80 |
| Lumpectomy (partial mastectomy)
code 19301 |
19 |
$667.38 |
$4,175.00 |
| Mastectomy (total removal of the breast)
code 19303 |
17 |
$1,034.59 |
$7,080.00 |
| Miscarriage treatment with D&C, first trimester
code 59820 |
26 |
$402.78 |
$3,451.00 |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals
code 17311 |
14 |
$249.85 |
$747.31 |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm
code 11400 |
53 |
$120.83 |
$629.00 |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm
code 11440 |
42 |
$103.70 |
$621.37 |
| Nail removal (partial or complete), one nail
code 11730 |
107 |
$61.53 |
$288.00 |
| Occipital nerve block (injection for headaches)
code 64405 |
73 |
$85.17 |
$520.00 |
| Open Roux-en-Y gastric bypass through an abdominal incision
code 43846 |
1 |
$5,529.60 |
$5,529.60 |
| Pacemaker implant (dual chamber)
code 33208 |
65 |
$1,878.98 |
$11,544.40 |
| Paracentesis with imaging guidance
code 49083 |
102 |
$175.30 |
$1,430.00 |
| Partial knee replacement (one compartment)
code 27446 |
10 |
$1,114.85 |
$8,812.89 |
| Permanent removal of a nail and nail root (partial or complete)
code 11750 |
101 |
$112.50 |
$627.90 |
| Prostate biopsy
code 55700 |
43 |
$217.24 |
$3,203.10 |
| Prostate removal (prostatectomy), laparoscopic
code 55866 |
13 |
$2,118.90 |
$84,657.59 |
| Radiofrequency ablation of facet joint nerves, lower back, one level
code 64635 |
62 |
$326.90 |
$2,751.45 |
| Removal of a breast lump, open surgery
code 19120 |
26 |
$499.80 |
$2,876.10 |
| Removal of a foreign object under the skin, simple
code 10120 |
110 |
$51.80 |
$482.50 |
| Removal of one lobe of the thyroid (lobectomy)
code 60220 |
20 |
$718.24 |
$6,446.00 |
| Screening colonoscopy for a person at average risk (Medicare code)
code G0121 |
30 |
$157.29 |
$2,529.90 |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code)
code G0105 |
36 |
$157.29 |
$2,399.40 |
| Septoplasty to straighten the nasal septum
code 30520 |
17 |
$1,155.70 |
$6,287.00 |
| Shock-wave lithotripsy to break up kidney stones (from outside the body)
code 50590 |
42 |
$705.60 |
$7,040.00 |
| Short arm cast (elbow to hand)
code 29075 |
77 |
$59.33 |
$300.00 |
| Short arm splint (forearm and hand)
code 29125 |
101 |
$43.75 |
$249.12 |
| Short leg cast (below the knee)
code 29405 |
75 |
$64.89 |
$354.00 |
| Short leg splint (calf to foot)
code 29515 |
102 |
$50.53 |
$270.35 |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle)
code 29824 |
19 |
$671.50 |
$7,008.48 |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery)
code 29826 |
17 |
$171.40 |
$7,551.00 |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs
code 12001 |
104 |
$74.00 |
$368.10 |
| Skin biopsy, punch, one lesion
code 11104 |
89 |
$43.40 |
$372.00 |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm
code 11600 |
26 |
$189.92 |
$568.87 |
| Skin tag removal, up to 15 tags
code 11200 |
78 |
$32.22 |
$247.80 |
| Spinal tap (lumbar puncture), diagnostic
code 62270 |
105 |
$126.00 |
$969.60 |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs
code 12002 |
102 |
$98.80 |
$415.63 |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair
code 12011 |
98 |
$66.74 |
$404.48 |
| TURP (transurethral resection of the prostate)
code 52601 |
24 |
$839.37 |
$5,717.00 |
| Tangential (shave-style) skin biopsy, one lesion
code 11102 |
75 |
$58.10 |
$296.00 |
| Thoracentesis with imaging guidance
code 32555 |
99 |
$182.00 |
$1,250.00 |
| Tonsil and adenoid removal, age 12 or older
code 42821 |
18 |
$525.70 |
$6,910.37 |
| Tonsil and adenoid removal, child under 12
code 42820 |
18 |
$504.00 |
$7,118.75 |
| Tonsil removal (tonsillectomy) only, age 12 or older
code 42826 |
22 |
$443.80 |
$3,535.00 |
| Tonsil removal (tonsillectomy) only, child under 12
code 42825 |
14 |
$465.50 |
$4,924.53 |
| Total hip replacement
code 27130 |
13 |
$1,466.77 |
$12,138.72 |
| Total knee replacement
code 27447 |
14 |
$1,565.55 |
$11,561.00 |
| Total shoulder replacement
code 23472 |
12 |
$1,389.44 |
$9,872.22 |
| Total thyroid removal (thyroidectomy)
code 60240 |
17 |
$936.68 |
$16,262.50 |
| Trigger finger release surgery
code 26055 |
27 |
$550.20 |
$1,714.00 |
| Trigger point injections, 1 or 2 muscles
code 20552 |
98 |
$43.26 |
$520.00 |
| Tubal ligation, laparoscopic (tubes sealed by cautery)
code 58670 |
13 |
$373.38 |
$5,316.98 |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion
code 19083 |
96 |
$255.90 |
$2,420.00 |
| Upper endoscopy (EGD) with balloon widening of the esophagus
code 43249 |
29 |
$220.50 |
$2,342.75 |
| Upper endoscopy (EGD) with biopsy
code 43239 |
37 |
$183.75 |
$2,257.50 |
| Upper endoscopy (EGD) with injection into the lining
code 43236 |
22 |
$145.80 |
$2,100.00 |
| Upper endoscopy (EGD) with polyp removal by snare
code 43251 |
28 |
$334.60 |
$3,068.67 |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire
code 43248 |
23 |
$286.30 |
$2,976.83 |
| Upper endoscopy (EGD), diagnostic
code 43235 |
37 |
$204.03 |
$2,019.50 |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall
code 43240 |
15 |
$662.20 |
$4,375.00 |
| Ureteroscopy with laser stone breaking (lithotripsy)
code 52353 |
19 |
$391.02 |
$14,137.60 |
| Ureteroscopy with laser stone breaking and stent placement
code 52356 |
23 |
$720.30 |
$6,157.90 |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care
code 59610 |
6 |
$1,039.39 |
$4,713.45 |
| Vaginal delivery, including prenatal and postpartum care
code 59400 |
12 |
$1,076.69 |
$4,634.45 |
| Vasectomy, one or both sides, including follow-up semen testing
code 55250 |
18 |
$365.74 |
$1,710.17 |
| Vein ablation, radiofrequency, first vein
code 36475 |
58 |
$486.04 |
$5,004.20 |
| Wart removal, up to 14 warts
code 17110 |
68 |
$47.69 |
$236.00 |
| Wound debridement, skin and tissue under it, first 20 sq cm
code 11042 |
102 |
$79.72 |
$690.00 |
| Wrist fracture surgery (plate and screws), distal radius
code 25607 |
15 |
$734.12 |
$7,737.00 |