| Adenoid removal (adenoidectomy), child under 12
code 42830 |
10 |
$401.31 |
$4,681.52 |
| Anterior cervical discectomy and fusion (ACDF), one level
code 22551 |
13 |
$15,009.94 |
$27,340.53 |
| Appendectomy for a ruptured appendix with abscess or peritonitis
code 44960 |
2 |
$1,180.71 |
$1,574.52 |
| Appendectomy, open surgery
code 44950 |
5 |
$1,008.60 |
$6,815.00 |
| Arthroscopic ACL reconstruction or repair of the knee
code 29888 |
17 |
$1,701.53 |
$19,857.47 |
| Arthroscopic rotator cuff repair of the shoulder
code 29827 |
17 |
$1,489.85 |
$16,936.49 |
| Balloon dilation of the maxillary sinus opening, one side
code 31295 |
3 |
$1,875.00 |
$2,199.86 |
| Botox injections for chronic migraine
code 64615 |
23 |
$92.58 |
$644.50 |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion
code 19081 |
53 |
$658.99 |
$2,505.75 |
| Broken ankle (outer ankle bone) treatment without surgery or setting
code 27786 |
17 |
$153.60 |
$391.20 |
| Broken foot (metatarsal) treatment without surgery or setting
code 28470 |
18 |
$153.60 |
$436.93 |
| Bunion correction with a bone cut near the head of the first metatarsal
code 28296 |
15 |
$3,444.00 |
$9,456.39 |
| Bunion correction with removal of part of the big toe joint
code 28292 |
7 |
$1,501.61 |
$5,520.20 |
| Cardiac catheterization with coronary angiogram
code 93458 |
45 |
$3,220.70 |
$9,880.20 |
| Cardioversion, elective (restoring heart rhythm)
code 92960 |
83 |
$187.00 |
$1,403.46 |
| Carpal tunnel release, open surgery
code 64721 |
25 |
$398.30 |
$4,712.18 |
| Cataract surgery with lens implant
code 66984 |
13 |
$3,598.71 |
$5,261.29 |
| Catheter ablation for atrial fibrillation
code 93656 |
33 |
$9,109.16 |
$27,777.75 |
| Cervical biopsy
code 57500 |
13 |
$152.25 |
$1,347.00 |
| Cesarean delivery, including prenatal and postpartum care
code 59510 |
1 |
$2,560.74 |
$2,560.74 |
| Circumcision by surgical excision, older than 28 days (children and adults)
code 54161 |
20 |
$218.30 |
$5,304.33 |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns
code 54150 |
27 |
$124.00 |
$712.40 |
| Circumcision, surgical, older than a newborn
code 54160 |
9 |
$150.80 |
$398.00 |
| Closed treatment of a wrist (distal radius) fracture, no resetting
code 25600 |
18 |
$153.60 |
$435.60 |
| Colonoscopy with endoscopic ultrasound
code 45391 |
6 |
$179.00 |
$1,712.16 |
| Colonoscopy with polyp removal
code 45385 |
27 |
$646.10 |
$3,044.88 |
| Colonoscopy with tissue sample
code 45380 |
28 |
$427.70 |
$2,950.97 |
| Colonoscopy, diagnostic
code 45378 |
27 |
$341.04 |
$2,024.97 |
| Colposcopy with LEEP (loop electrosurgical excision)
code 57460 |
2 |
$9,065.70 |
$11,956.77 |
| Colposcopy with cervical biopsy and scraping of the cervical canal
code 57454 |
12 |
$105.70 |
$2,331.00 |
| Complex cataract surgery with lens implant
code 66982 |
13 |
$1,742.30 |
$5,949.37 |
| Coronary stent placement, one artery
code 92928 |
28 |
$3,016.72 |
$15,653.60 |
| Cystoscopy with ureteral stent placement
code 52332 |
21 |
$487.31 |
$6,960.48 |
| Cystoscopy, diagnostic look inside the bladder and urethra
code 52000 |
29 |
$112.00 |
$2,730.19 |
| D&C (dilation and curettage), not related to pregnancy
code 58120 |
10 |
$542.43 |
$10,457.27 |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion
code 17000 |
19 |
$51.32 |
$186.60 |
| Ear tube placement (tympanostomy) under general anesthesia, one ear
code 69436 |
12 |
$317.52 |
$6,116.13 |
| Ear tube placement (tympanostomy) with local anesthesia, one ear
code 69433 |
3 |
$147.07 |
$593.60 |
| Earwax removal by irrigation (rinsing), one ear
code 69209 |
57 |
$11.25 |
$175.80 |
| Earwax removal with instruments, one ear
code 69210 |
49 |
$25.55 |
$159.90 |
| Endometrial biopsy (uterine lining sample) without dilating the cervix
code 58100 |
14 |
$62.12 |
$286.55 |
| Endoscopic sinus surgery: full ethmoid sinus opening
code 31255 |
5 |
$2,221.17 |
$16,537.19 |
| Endoscopic sinus surgery: opening the frontal sinus
code 31276 |
7 |
$1,647.14 |
$11,493.86 |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus
code 31256 |
8 |
$1,384.01 |
$8,927.81 |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue
code 31267 |
10 |
$1,614.80 |
$9,401.72 |
| Epidural steroid injection, neck or mid back, with imaging guidance
code 62321 |
33 |
$314.58 |
$1,061.63 |
| Eye injection into the vitreous (intravitreal injection)
code 67028 |
4 |
$1,637.10 |
$6,019.04 |
| Facet joint injection, lower back, one level, with imaging guidance
code 64493 |
41 |
$174.37 |
$1,156.05 |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm
code 49593 |
22 |
$575.51 |
$18,725.82 |
| First repair of a front abdominal hernia larger than 10 cm
code 49595 |
10 |
$773.96 |
$30,780.89 |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm
code 49591 |
23 |
$343.25 |
$8,946.84 |
| Flexible sigmoidoscopy, diagnostic (lower colon only)
code 45330 |
25 |
$257.25 |
$2,076.98 |
| Gallbladder removal, laparoscopic
code 47562 |
24 |
$865.20 |
$16,452.36 |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery
code 47563 |
21 |
$935.20 |
$17,010.25 |
| Gallbladder removal, open surgery through a larger incision
code 47600 |
1 |
$2,486.51 |
$2,486.51 |
| Hammertoe correction surgery
code 28285 |
20 |
$2,785.20 |
$12,359.77 |
| Hemorrhoid banding (rubber band ligation)
code 46221 |
21 |
$164.36 |
$2,199.33 |
| Hemorrhoidectomy (internal and external), one area
code 46255 |
16 |
$1,576.20 |
$5,700.81 |
| Hip replacement after an earlier hip surgery (conversion to total hip)
code 27132 |
4 |
$8,450.70 |
$47,140.27 |
| Hysterectomy through an abdominal incision (total)
code 58150 |
5 |
$750.00 |
$26,462.39 |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes
code 58340 |
65 |
$57.62 |
$287.40 |
| Hysteroscopy with endometrial ablation
code 58563 |
20 |
$3,066.42 |
$8,321.17 |
| Hysteroscopy with uterine lining sampling and/or polyp removal
code 58558 |
20 |
$826.14 |
$6,983.70 |
| IUD insertion (the device itself billed separately)
code 58300 |
21 |
$63.18 |
$5,599.16 |
| Incision and drainage of a simple or single skin abscess
code 10060 |
75 |
$42.35 |
$461.60 |
| Inguinal (groin) hernia repair, age 5 or older
code 49505 |
24 |
$482.30 |
$8,776.01 |
| Injection into a tendon sheath or ligament (for example trigger finger)
code 20550 |
42 |
$53.71 |
$534.60 |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound
code 20610 |
78 |
$61.95 |
$412.92 |
| Insertion of a drug-delivery implant, such as the arm birth control implant
code 11981 |
23 |
$109.23 |
$1,880.50 |
| Joint injection or drainage, medium joint (wrist, elbow, ankle)
code 20605 |
65 |
$42.35 |
$427.50 |
| Joint injection or drainage, small joint (fingers, toes)
code 20600 |
49 |
$37.10 |
$293.76 |
| Knee arthroscopy with meniscus repair (one side of the knee)
code 29882 |
15 |
$1,062.81 |
$13,263.39 |
| Knee arthroscopy with meniscus trim
code 29881 |
20 |
$1,081.92 |
$8,181.61 |
| Knee arthroscopy with removal of both torn meniscus parts
code 29880 |
19 |
$1,176.74 |
$7,952.33 |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty)
code 29877 |
9 |
$1,300.95 |
$11,045.90 |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length
code 43644 |
4 |
$38,863.08 |
$40,104.98 |
| Laparoscopic appendectomy (appendix removal through small cuts)
code 44970 |
24 |
$558.60 |
$14,251.44 |
| Laparoscopic fundoplication (anti-reflux surgery)
code 43280 |
13 |
$2,501.61 |
$23,359.65 |
| Laparoscopic hysterectomy (uterus 250 g or less)
code 58570 |
13 |
$847.46 |
$22,530.50 |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries
code 58571 |
16 |
$1,589.07 |
$22,854.02 |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side
code 49650 |
23 |
$501.90 |
$16,855.00 |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia
code 49651 |
18 |
$642.60 |
$15,979.55 |
| Laparoscopic removal of an adjustable gastric band and its port
code 43774 |
3 |
$23,603.99 |
$29,580.08 |
| Laparoscopic removal of fallopian tubes and/or ovaries
code 58661 |
18 |
$605.50 |
$16,250.33 |
| Laparoscopic sleeve gastrectomy for weight loss
code 43775 |
8 |
$13,950.07 |
$30,580.44 |
| Laser treatment of clouding after cataract surgery (YAG)
code 66821 |
9 |
$1,033.90 |
$2,082.87 |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs
code 12031 |
43 |
$109.20 |
$719.25 |
| Left heart catheterization, diagnostic
code 93452 |
42 |
$1,685.60 |
$7,776.10 |
| Lower-back epidural injection, with imaging guidance
code 62323 |
44 |
$310.91 |
$1,286.25 |
| Lower-back epidural injection, without imaging guidance
code 62322 |
30 |
$418.80 |
$1,413.60 |
| Lower-back nerve root steroid injection, with imaging guidance
code 64483 |
40 |
$483.99 |
$1,631.40 |
| Lumbar discectomy or laminotomy to free a nerve root, one level
code 63030 |
13 |
$1,655.28 |
$13,860.80 |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level
code 22633 |
10 |
$32,423.75 |
$69,629.23 |
| Lumbar interbody fusion (PLIF or TLIF), one level
code 22630 |
5 |
$26,662.14 |
$86,285.69 |
| Lumbar laminectomy (spinal decompression), one level
code 63047 |
12 |
$9,569.72 |
$14,540.19 |
| Lumbar spinal fusion (posterior), one level
code 22612 |
6 |
$14,556.50 |
$75,226.00 |
| Lumpectomy (partial mastectomy)
code 19301 |
22 |
$305.72 |
$7,843.53 |
| Mastectomy (total removal of the breast)
code 19303 |
14 |
$1,955.10 |
$17,536.71 |
| Miscarriage treatment with D&C, first trimester
code 59820 |
20 |
$674.73 |
$4,319.37 |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals
code 17311 |
2 |
$1,559.33 |
$1,943.18 |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm
code 11400 |
29 |
$71.47 |
$2,246.40 |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm
code 11440 |
19 |
$125.30 |
$737.48 |
| Nail removal (partial or complete), one nail
code 11730 |
53 |
$55.20 |
$396.00 |
| Occipital nerve block (injection for headaches)
code 64405 |
36 |
$89.37 |
$604.29 |
| Open Roux-en-Y gastric bypass through an abdominal incision
code 43846 |
2 |
$32,832.35 |
$39,459.45 |
| Pacemaker implant (dual chamber)
code 33208 |
39 |
$1,901.07 |
$12,064.20 |
| Paracentesis with imaging guidance
code 49083 |
82 |
$235.74 |
$1,384.66 |
| Partial knee replacement (one compartment)
code 27446 |
14 |
$2,160.17 |
$24,907.45 |
| Permanent removal of a nail and nail root (partial or complete)
code 11750 |
46 |
$91.88 |
$695.65 |
| Prostate biopsy
code 55700 |
36 |
$277.90 |
$3,562.62 |
| Prostate removal (prostatectomy), laparoscopic
code 55866 |
9 |
$22,761.93 |
$30,479.51 |
| Radiofrequency ablation of facet joint nerves, lower back, one level
code 64635 |
29 |
$784.25 |
$3,311.40 |
| Removal of a breast lump, open surgery
code 19120 |
27 |
$225.92 |
$5,041.40 |
| Removal of a foreign object under the skin, simple
code 10120 |
67 |
$55.82 |
$615.60 |
| Removal of one lobe of the thyroid (lobectomy)
code 60220 |
15 |
$718.83 |
$9,904.45 |
| Screening colonoscopy for a person at average risk (Medicare code)
code G0121 |
24 |
$165.00 |
$1,873.95 |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code)
code G0105 |
22 |
$164.67 |
$1,718.73 |
| Septoplasty to straighten the nasal septum
code 30520 |
13 |
$1,763.27 |
$10,025.48 |
| Shock-wave lithotripsy to break up kidney stones (from outside the body)
code 50590 |
21 |
$2,037.19 |
$12,480.00 |
| Short arm cast (elbow to hand)
code 29075 |
25 |
$66.86 |
$360.75 |
| Short arm splint (forearm and hand)
code 29125 |
63 |
$32.72 |
$181.80 |
| Short leg cast (below the knee)
code 29405 |
35 |
$60.96 |
$378.60 |
| Short leg splint (calf to foot)
code 29515 |
53 |
$50.80 |
$241.53 |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle)
code 29824 |
12 |
$1,844.88 |
$14,306.50 |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery)
code 29826 |
18 |
$361.62 |
$15,406.87 |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs
code 12001 |
44 |
$86.20 |
$437.91 |
| Skin biopsy, punch, one lesion
code 11104 |
58 |
$61.42 |
$451.30 |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm
code 11600 |
10 |
$131.26 |
$483.75 |
| Skin tag removal, up to 15 tags
code 11200 |
34 |
$63.22 |
$283.03 |
| Spinal tap (lumbar puncture), diagnostic
code 62270 |
79 |
$126.28 |
$1,025.25 |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs
code 12002 |
45 |
$93.78 |
$399.00 |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair
code 12011 |
36 |
$137.80 |
$430.95 |
| TURP (transurethral resection of the prostate)
code 52601 |
16 |
$799.68 |
$16,044.24 |
| Tangential (shave-style) skin biopsy, one lesion
code 11102 |
42 |
$48.82 |
$407.10 |
| Thoracentesis with imaging guidance
code 32555 |
77 |
$156.10 |
$1,095.50 |
| Tonsil and adenoid removal, age 12 or older
code 42821 |
12 |
$715.16 |
$6,732.10 |
| Tonsil and adenoid removal, child under 12
code 42820 |
12 |
$662.24 |
$6,196.96 |
| Tonsil removal (tonsillectomy) only, age 12 or older
code 42826 |
11 |
$687.96 |
$5,760.05 |
| Tonsil removal (tonsillectomy) only, child under 12
code 42825 |
5 |
$605.64 |
$8,217.30 |
| Total hip replacement
code 27130 |
17 |
$2,654.09 |
$29,464.96 |
| Total knee replacement
code 27447 |
20 |
$2,387.28 |
$26,525.07 |
| Total shoulder replacement
code 23472 |
20 |
$3,637.52 |
$34,732.37 |
| Total thyroid removal (thyroidectomy)
code 60240 |
12 |
$1,902.18 |
$14,794.34 |
| Trigger finger release surgery
code 26055 |
22 |
$305.03 |
$4,185.24 |
| Trigger point injections, 1 or 2 muscles
code 20552 |
45 |
$61.28 |
$567.19 |
| Tubal ligation, laparoscopic (tubes sealed by cautery)
code 58670 |
6 |
$1,291.40 |
$13,971.30 |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion
code 19083 |
75 |
$274.40 |
$2,322.75 |
| Upper endoscopy (EGD) with balloon widening of the esophagus
code 43249 |
24 |
$1,293.00 |
$3,193.70 |
| Upper endoscopy (EGD) with biopsy
code 43239 |
27 |
$561.60 |
$3,018.93 |
| Upper endoscopy (EGD) with injection into the lining
code 43236 |
16 |
$141.12 |
$3,834.24 |
| Upper endoscopy (EGD) with polyp removal by snare
code 43251 |
22 |
$203.60 |
$3,930.29 |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire
code 43248 |
19 |
$169.05 |
$2,706.48 |
| Upper endoscopy (EGD), diagnostic
code 43235 |
27 |
$566.69 |
$2,373.60 |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall
code 43240 |
4 |
$4,563.30 |
$11,694.15 |
| Ureteroscopy with laser stone breaking (lithotripsy)
code 52353 |
16 |
$433.65 |
$9,871.85 |
| Ureteroscopy with laser stone breaking and stent placement
code 52356 |
19 |
$463.05 |
$15,967.86 |
| Vaginal delivery, including prenatal and postpartum care
code 59400 |
1 |
$2,195.45 |
$2,195.45 |
| Vasectomy, one or both sides, including follow-up semen testing
code 55250 |
11 |
$607.85 |
$4,901.20 |
| Vein ablation, radiofrequency, first vein
code 36475 |
16 |
$1,423.27 |
$6,233.12 |
| Wart removal, up to 14 warts
code 17110 |
24 |
$82.39 |
$296.40 |
| Wound debridement, skin and tissue under it, first 20 sq cm
code 11042 |
66 |
$59.85 |
$777.90 |
| Wrist fracture surgery (plate and screws), distal radius
code 25607 |
13 |
$1,192.17 |
$9,651.03 |