| Adenoid removal (adenoidectomy), child under 12
code 42830 |
10 |
$624.00 |
$2,373.00 |
| Anterior cervical discectomy and fusion (ACDF), one level
code 22551 |
6 |
$1,813.60 |
$4,788.70 |
| Appendectomy for a ruptured appendix with abscess or peritonitis
code 44960 |
2 |
$2,137.00 |
$5,148.64 |
| Appendectomy, open surgery
code 44950 |
4 |
$1,356.80 |
$2,158.00 |
| Arthroscopic ACL reconstruction or repair of the knee
code 29888 |
11 |
$1,712.00 |
$8,622.00 |
| Arthroscopic rotator cuff repair of the shoulder
code 29827 |
10 |
$2,228.40 |
$4,205.38 |
| Balloon dilation of the maxillary sinus opening, one side
code 31295 |
1 |
$4,636.52 |
$4,636.52 |
| Botox injections for chronic migraine
code 64615 |
42 |
$111.30 |
$403.67 |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion
code 19081 |
41 |
$352.00 |
$3,071.40 |
| Broken ankle (outer ankle bone) treatment without surgery or setting
code 27786 |
52 |
$82.40 |
$446.76 |
| Broken foot (metatarsal) treatment without surgery or setting
code 28470 |
48 |
$82.40 |
$366.37 |
| Bunion correction with a bone cut near the head of the first metatarsal
code 28296 |
8 |
$877.50 |
$3,598.30 |
| Bunion correction with removal of part of the big toe joint
code 28292 |
10 |
$1,537.60 |
$2,888.95 |
| Cardiac catheterization with coronary angiogram
code 93458 |
22 |
$5,176.20 |
$10,726.63 |
| Cardioversion, elective (restoring heart rhythm)
code 92960 |
79 |
$200.00 |
$868.80 |
| Carpal tunnel release, open surgery
code 64721 |
27 |
$824.80 |
$3,403.00 |
| Cataract surgery with lens implant
code 66984 |
13 |
$1,271.10 |
$4,570.40 |
| Catheter ablation for atrial fibrillation
code 93656 |
17 |
$11,187.60 |
$33,398.99 |
| Cervical biopsy
code 57500 |
24 |
$220.00 |
$479.23 |
| Cesarean delivery, including prenatal and postpartum care
code 59510 |
5 |
$2,165.60 |
$3,580.00 |
| Circumcision by surgical excision, older than 28 days (children and adults)
code 54161 |
14 |
$286.20 |
$2,841.90 |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns
code 54150 |
47 |
$143.20 |
$1,322.75 |
| Circumcision, surgical, older than a newborn
code 54160 |
10 |
$299.10 |
$1,072.73 |
| Closed treatment of a wrist (distal radius) fracture, no resetting
code 25600 |
61 |
$82.40 |
$437.70 |
| Colonoscopy with endoscopic ultrasound
code 45391 |
3 |
$1,012.50 |
$3,593.10 |
| Colonoscopy with polyp removal
code 45385 |
23 |
$727.80 |
$1,597.50 |
| Colonoscopy with tissue sample
code 45380 |
23 |
$706.50 |
$1,701.75 |
| Colonoscopy, diagnostic
code 45378 |
22 |
$628.00 |
$1,744.84 |
| Colposcopy with LEEP (loop electrosurgical excision)
code 57460 |
15 |
$284.20 |
$1,125.90 |
| Colposcopy with cervical biopsy and scraping of the cervical canal
code 57454 |
28 |
$68.00 |
$378.00 |
| Complex cataract surgery with lens implant
code 66982 |
13 |
$2,343.00 |
$4,367.20 |
| Coronary stent placement, one artery
code 92928 |
17 |
$8,510.13 |
$14,945.90 |
| Cystoscopy with ureteral stent placement
code 52332 |
13 |
$454.00 |
$4,153.33 |
| Cystoscopy, diagnostic look inside the bladder and urethra
code 52000 |
48 |
$84.00 |
$1,040.29 |
| D&C (dilation and curettage), not related to pregnancy
code 58120 |
19 |
$690.00 |
$3,392.00 |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion
code 17000 |
43 |
$28.00 |
$148.20 |
| Ear tube placement (tympanostomy) under general anesthesia, one ear
code 69436 |
14 |
$228.75 |
$3,041.73 |
| Ear tube placement (tympanostomy) with local anesthesia, one ear
code 69433 |
17 |
$284.70 |
$417.02 |
| Earwax removal by irrigation (rinsing), one ear
code 69209 |
66 |
$10.40 |
$69.19 |
| Earwax removal with instruments, one ear
code 69210 |
72 |
$17.00 |
$101.43 |
| Endometrial biopsy (uterine lining sample) without dilating the cervix
code 58100 |
41 |
$42.00 |
$259.20 |
| Endoscopic sinus surgery: full ethmoid sinus opening
code 31255 |
2 |
$1,155.00 |
$1,720.35 |
| Endoscopic sinus surgery: opening the frontal sinus
code 31276 |
3 |
$532.70 |
$1,453.00 |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus
code 31256 |
4 |
$197.40 |
$1,430.85 |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue
code 31267 |
7 |
$316.40 |
$2,285.70 |
| Epidural steroid injection, neck or mid back, with imaging guidance
code 62321 |
61 |
$230.00 |
$1,329.87 |
| Eye injection into the vitreous (intravitreal injection)
code 67028 |
7 |
$252.05 |
$676.20 |
| Facet joint injection, lower back, one level, with imaging guidance
code 64493 |
66 |
$157.60 |
$1,360.43 |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm
code 49593 |
11 |
$563.57 |
$5,596.00 |
| First repair of a front abdominal hernia larger than 10 cm
code 49595 |
3 |
$1,468.00 |
$2,182.00 |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm
code 49591 |
13 |
$932.17 |
$5,843.00 |
| Flexible sigmoidoscopy, diagnostic (lower colon only)
code 45330 |
23 |
$145.50 |
$1,755.40 |
| Gallbladder removal, laparoscopic
code 47562 |
16 |
$1,126.40 |
$3,548.93 |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery
code 47563 |
13 |
$1,543.20 |
$5,607.00 |
| Gallbladder removal, open surgery through a larger incision
code 47600 |
4 |
$2,144.70 |
$3,874.00 |
| Hammertoe correction surgery
code 28285 |
13 |
$1,004.00 |
$5,152.00 |
| Hemorrhoid banding (rubber band ligation)
code 46221 |
30 |
$116.00 |
$653.80 |
| Hemorrhoidectomy (internal and external), one area
code 46255 |
9 |
$1,049.00 |
$1,191.60 |
| Hip replacement after an earlier hip surgery (conversion to total hip)
code 27132 |
1 |
$4,835.00 |
$4,835.00 |
| Hysterectomy through an abdominal incision (total)
code 58150 |
7 |
$2,681.10 |
$5,399.10 |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes
code 58340 |
44 |
$101.60 |
$312.03 |
| Hysteroscopy with endometrial ablation
code 58563 |
15 |
$1,710.60 |
$4,545.60 |
| Hysteroscopy with uterine lining sampling and/or polyp removal
code 58558 |
22 |
$1,035.30 |
$5,142.25 |
| IUD insertion (the device itself billed separately)
code 58300 |
44 |
$56.55 |
$254.75 |
| Incision and drainage of a simple or single skin abscess
code 10060 |
82 |
$33.00 |
$252.20 |
| Inguinal (groin) hernia repair, age 5 or older
code 49505 |
13 |
$1,112.80 |
$1,710.60 |
| Injection into a tendon sheath or ligament (for example trigger finger)
code 20550 |
70 |
$36.80 |
$316.80 |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound
code 20610 |
85 |
$47.20 |
$354.00 |
| Insertion of a drug-delivery implant, such as the arm birth control implant
code 11981 |
37 |
$55.80 |
$297.00 |
| Joint injection or drainage, medium joint (wrist, elbow, ankle)
code 20605 |
75 |
$67.90 |
$346.20 |
| Joint injection or drainage, small joint (fingers, toes)
code 20600 |
73 |
$57.60 |
$280.00 |
| Knee arthroscopy with meniscus repair (one side of the knee)
code 29882 |
10 |
$1,273.20 |
$2,954.70 |
| Knee arthroscopy with meniscus trim
code 29881 |
13 |
$1,156.80 |
$2,892.00 |
| Knee arthroscopy with removal of both torn meniscus parts
code 29880 |
11 |
$952.80 |
$2,390.70 |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty)
code 29877 |
10 |
$876.80 |
$2,100.85 |
| Laparoscopic appendectomy (appendix removal through small cuts)
code 44970 |
13 |
$1,065.60 |
$4,030.82 |
| Laparoscopic fundoplication (anti-reflux surgery)
code 43280 |
4 |
$2,681.10 |
$7,971.00 |
| Laparoscopic hysterectomy (uterus 250 g or less)
code 58570 |
4 |
$2,681.10 |
$7,346.88 |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries
code 58571 |
5 |
$2,672.00 |
$12,285.75 |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side
code 49650 |
11 |
$928.80 |
$3,994.00 |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia
code 49651 |
7 |
$1,212.80 |
$2,681.10 |
| Laparoscopic removal of fallopian tubes and/or ovaries
code 58661 |
13 |
$1,168.00 |
$5,776.00 |
| Laparoscopic sleeve gastrectomy for weight loss
code 43775 |
1 |
$78,897.61 |
$78,897.61 |
| Laser treatment of clouding after cataract surgery (YAG)
code 66821 |
12 |
$309.60 |
$678.00 |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs
code 12031 |
76 |
$56.00 |
$360.93 |
| Left heart catheterization, diagnostic
code 93452 |
19 |
$3,529.50 |
$7,916.40 |
| Lower-back epidural injection, with imaging guidance
code 62323 |
67 |
$226.00 |
$1,260.80 |
| Lower-back epidural injection, without imaging guidance
code 62322 |
38 |
$189.24 |
$916.30 |
| Lower-back nerve root steroid injection, with imaging guidance
code 64483 |
64 |
$216.80 |
$1,474.00 |
| Lumbar discectomy or laminotomy to free a nerve root, one level
code 63030 |
4 |
$1,710.60 |
$5,751.50 |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level
code 22633 |
4 |
$2,681.10 |
$6,834.00 |
| Lumbar interbody fusion (PLIF or TLIF), one level
code 22630 |
3 |
$4,241.00 |
$8,734.00 |
| Lumbar laminectomy (spinal decompression), one level
code 63047 |
5 |
$1,586.40 |
$3,135.00 |
| Lumbar spinal fusion (posterior), one level
code 22612 |
3 |
$4,169.00 |
$8,734.00 |
| Lumpectomy (partial mastectomy)
code 19301 |
10 |
$476.40 |
$1,950.18 |
| Mastectomy (total removal of the breast)
code 19303 |
6 |
$1,106.40 |
$2,525.85 |
| Miscarriage treatment with D&C, first trimester
code 59820 |
17 |
$351.75 |
$3,778.52 |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals
code 17311 |
3 |
$391.95 |
$1,561.00 |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm
code 11400 |
51 |
$54.00 |
$266.96 |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm
code 11440 |
48 |
$65.60 |
$525.98 |
| Nail removal (partial or complete), one nail
code 11730 |
76 |
$29.00 |
$201.20 |
| Occipital nerve block (injection for headaches)
code 64405 |
61 |
$65.60 |
$544.00 |
| Pacemaker implant (dual chamber)
code 33208 |
21 |
$6,423.90 |
$18,246.90 |
| Paracentesis with imaging guidance
code 49083 |
72 |
$209.40 |
$1,054.20 |
| Partial knee replacement (one compartment)
code 27446 |
6 |
$1,944.00 |
$2,929.70 |
| Permanent removal of a nail and nail root (partial or complete)
code 11750 |
68 |
$73.00 |
$427.81 |
| Prostate biopsy
code 55700 |
29 |
$214.00 |
$1,875.00 |
| Prostate removal (prostatectomy), laparoscopic
code 55866 |
4 |
$2,466.00 |
$3,455.05 |
| Radiofrequency ablation of facet joint nerves, lower back, one level
code 64635 |
59 |
$284.80 |
$2,385.24 |
| Removal of a breast lump, open surgery
code 19120 |
27 |
$495.00 |
$1,784.38 |
| Removal of a foreign object under the skin, simple
code 10120 |
76 |
$51.00 |
$293.00 |
| Removal of one lobe of the thyroid (lobectomy)
code 60220 |
3 |
$2,065.00 |
$2,285.70 |
| Screening colonoscopy for a person at average risk (Medicare code)
code G0121 |
20 |
$314.00 |
$1,244.25 |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code)
code G0105 |
18 |
$543.00 |
$1,534.83 |
| Septoplasty to straighten the nasal septum
code 30520 |
7 |
$2,013.00 |
$7,115.40 |
| Shock-wave lithotripsy to break up kidney stones (from outside the body)
code 50590 |
17 |
$1,125.90 |
$9,498.30 |
| Short arm cast (elbow to hand)
code 29075 |
60 |
$71.40 |
$232.90 |
| Short arm splint (forearm and hand)
code 29125 |
77 |
$29.00 |
$173.28 |
| Short leg cast (below the knee)
code 29405 |
57 |
$42.00 |
$236.00 |
| Short leg splint (calf to foot)
code 29515 |
72 |
$30.40 |
$177.45 |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle)
code 29824 |
7 |
$1,446.40 |
$2,055.00 |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery)
code 29826 |
7 |
$366.40 |
$540.00 |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs
code 12001 |
77 |
$52.80 |
$239.50 |
| Skin biopsy, punch, one lesion
code 11104 |
66 |
$43.40 |
$265.30 |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm
code 11600 |
32 |
$80.50 |
$405.70 |
| Skin tag removal, up to 15 tags
code 11200 |
63 |
$28.00 |
$174.97 |
| Spinal tap (lumbar puncture), diagnostic
code 62270 |
74 |
$108.80 |
$603.85 |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs
code 12002 |
75 |
$73.80 |
$257.52 |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair
code 12011 |
74 |
$73.60 |
$255.10 |
| TURP (transurethral resection of the prostate)
code 52601 |
8 |
$1,710.60 |
$9,179.50 |
| Tangential (shave-style) skin biopsy, one lesion
code 11102 |
54 |
$35.00 |
$215.85 |
| Thoracentesis with imaging guidance
code 32555 |
70 |
$215.40 |
$983.20 |
| Tonsil and adenoid removal, age 12 or older
code 42821 |
7 |
$896.00 |
$4,027.00 |
| Tonsil and adenoid removal, child under 12
code 42820 |
11 |
$857.00 |
$4,269.00 |
| Tonsil removal (tonsillectomy) only, age 12 or older
code 42826 |
6 |
$751.00 |
$3,992.30 |
| Tonsil removal (tonsillectomy) only, child under 12
code 42825 |
4 |
$790.00 |
$4,625.38 |
| Total hip replacement
code 27130 |
10 |
$484.00 |
$3,464.30 |
| Total knee replacement
code 27447 |
9 |
$484.80 |
$7,847.00 |
| Total shoulder replacement
code 23472 |
8 |
$2,285.70 |
$6,875.50 |
| Total thyroid removal (thyroidectomy)
code 60240 |
3 |
$2,285.70 |
$2,672.00 |
| Trigger finger release surgery
code 26055 |
29 |
$666.90 |
$2,470.30 |
| Trigger point injections, 1 or 2 muscles
code 20552 |
78 |
$36.00 |
$315.20 |
| Tubal ligation, laparoscopic (tubes sealed by cautery)
code 58670 |
9 |
$870.00 |
$4,646.16 |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion
code 19083 |
58 |
$430.00 |
$2,031.54 |
| Upper endoscopy (EGD) with balloon widening of the esophagus
code 43249 |
22 |
$727.20 |
$2,554.40 |
| Upper endoscopy (EGD) with biopsy
code 43239 |
28 |
$501.00 |
$1,815.88 |
| Upper endoscopy (EGD) with injection into the lining
code 43236 |
10 |
$406.00 |
$2,518.00 |
| Upper endoscopy (EGD) with polyp removal by snare
code 43251 |
19 |
$355.02 |
$1,960.80 |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire
code 43248 |
5 |
$609.05 |
$1,201.00 |
| Upper endoscopy (EGD), diagnostic
code 43235 |
28 |
$425.00 |
$1,625.46 |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall
code 43240 |
3 |
$1,887.90 |
$3,509.80 |
| Ureteroscopy with laser stone breaking (lithotripsy)
code 52353 |
13 |
$1,144.00 |
$6,112.00 |
| Ureteroscopy with laser stone breaking and stent placement
code 52356 |
14 |
$1,213.00 |
$8,412.00 |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care
code 59610 |
2 |
$4,192.00 |
$5,650.50 |
| Vaginal delivery, including prenatal and postpartum care
code 59400 |
5 |
$1,890.00 |
$4,099.00 |
| Vasectomy, one or both sides, including follow-up semen testing
code 55250 |
22 |
$202.00 |
$979.66 |
| Vein ablation, radiofrequency, first vein
code 36475 |
22 |
$1,125.90 |
$5,920.82 |
| Wart removal, up to 14 warts
code 17110 |
52 |
$27.00 |
$197.67 |
| Wound debridement, skin and tissue under it, first 20 sq cm
code 11042 |
75 |
$114.40 |
$426.00 |
| Wrist fracture surgery (plate and screws), distal radius
code 25607 |
6 |
$1,647.20 |
$2,221.35 |