| Adenoid removal (adenoidectomy), child under 12
code 42830 |
8 |
$383.17 |
$3,843.00 |
| Anterior cervical discectomy and fusion (ACDF), one level
code 22551 |
7 |
$1,664.85 |
$12,095.00 |
| Appendectomy for a ruptured appendix with abscess or peritonitis
code 44960 |
5 |
$558.00 |
$4,858.20 |
| Appendectomy, open surgery
code 44950 |
10 |
$630.00 |
$1,230.73 |
| Arthroscopic ACL reconstruction or repair of the knee
code 29888 |
11 |
$4,855.95 |
$9,822.50 |
| Arthroscopic rotator cuff repair of the shoulder
code 29827 |
15 |
$1,945.62 |
$7,458.50 |
| Balloon dilation of the maxillary sinus opening, one side
code 31295 |
1 |
$3,872.40 |
$3,872.40 |
| Botox injections for chronic migraine
code 64615 |
36 |
$112.50 |
$351.98 |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion
code 19081 |
18 |
$594.15 |
$2,199.54 |
| Broken ankle (outer ankle bone) treatment without surgery or setting
code 27786 |
39 |
$87.50 |
$674.80 |
| Broken foot (metatarsal) treatment without surgery or setting
code 28470 |
43 |
$87.50 |
$492.14 |
| Bunion correction with a bone cut near the head of the first metatarsal
code 28296 |
8 |
$1,795.20 |
$3,685.73 |
| Bunion correction with removal of part of the big toe joint
code 28292 |
6 |
$3,276.75 |
$3,897.79 |
| Cardiac catheterization with coronary angiogram
code 93458 |
18 |
$3,054.00 |
$7,468.78 |
| Cardioversion, elective (restoring heart rhythm)
code 92960 |
67 |
$112.50 |
$652.17 |
| Carpal tunnel release, open surgery
code 64721 |
26 |
$375.00 |
$1,825.13 |
| Cataract surgery with lens implant
code 66984 |
14 |
$1,445.40 |
$2,831.10 |
| Catheter ablation for atrial fibrillation
code 93656 |
14 |
$13,700.00 |
$26,838.53 |
| Cervical biopsy
code 57500 |
19 |
$191.25 |
$679.50 |
| Cesarean delivery, including prenatal and postpartum care
code 59510 |
7 |
$1,125.00 |
$3,624.48 |
| Circumcision by surgical excision, older than 28 days (children and adults)
code 54161 |
18 |
$275.00 |
$2,799.25 |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns
code 54150 |
37 |
$123.20 |
$563.55 |
| Circumcision, surgical, older than a newborn
code 54160 |
12 |
$161.70 |
$806.07 |
| Closed treatment of a wrist (distal radius) fracture, no resetting
code 25600 |
56 |
$87.50 |
$604.33 |
| Colonoscopy with endoscopic ultrasound
code 45391 |
2 |
$800.00 |
$2,602.38 |
| Colonoscopy with polyp removal
code 45385 |
44 |
$167.25 |
$1,744.13 |
| Colonoscopy with tissue sample
code 45380 |
43 |
$256.50 |
$1,576.00 |
| Colonoscopy, diagnostic
code 45378 |
45 |
$235.80 |
$1,258.00 |
| Colposcopy with LEEP (loop electrosurgical excision)
code 57460 |
9 |
$217.00 |
$787.49 |
| Colposcopy with cervical biopsy and scraping of the cervical canal
code 57454 |
21 |
$51.15 |
$399.00 |
| Complex cataract surgery with lens implant
code 66982 |
13 |
$722.70 |
$2,932.50 |
| Coronary stent placement, one artery
code 92928 |
15 |
$5,613.33 |
$10,875.00 |
| Cystoscopy with ureteral stent placement
code 52332 |
12 |
$543.20 |
$3,476.50 |
| Cystoscopy, diagnostic look inside the bladder and urethra
code 52000 |
34 |
$111.54 |
$1,052.59 |
| D&C (dilation and curettage), not related to pregnancy
code 58120 |
18 |
$341.25 |
$1,311.13 |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion
code 17000 |
49 |
$30.36 |
$116.45 |
| Ear tube placement (tympanostomy) under general anesthesia, one ear
code 69436 |
11 |
$343.50 |
$1,461.00 |
| Ear tube placement (tympanostomy) with local anesthesia, one ear
code 69433 |
5 |
$93.39 |
$446.40 |
| Earwax removal by irrigation (rinsing), one ear
code 69209 |
57 |
$11.55 |
$97.16 |
| Earwax removal with instruments, one ear
code 69210 |
59 |
$18.75 |
$120.56 |
| Endometrial biopsy (uterine lining sample) without dilating the cervix
code 58100 |
28 |
$32.34 |
$240.18 |
| Endoscopic sinus surgery: full ethmoid sinus opening
code 31255 |
4 |
$838.20 |
$12,994.49 |
| Endoscopic sinus surgery: opening the frontal sinus
code 31276 |
3 |
$9,518.50 |
$16,867.19 |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus
code 31256 |
3 |
$5,069.50 |
$6,353.68 |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue
code 31267 |
3 |
$838.20 |
$9,518.50 |
| Epidural steroid injection, neck or mid back, with imaging guidance
code 62321 |
59 |
$293.61 |
$1,200.00 |
| Eye injection into the vitreous (intravitreal injection)
code 67028 |
1 |
$267.40 |
$267.40 |
| Facet joint injection, lower back, one level, with imaging guidance
code 64493 |
60 |
$237.00 |
$1,012.00 |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm
code 49593 |
15 |
$863.58 |
$5,342.40 |
| First repair of a front abdominal hernia larger than 10 cm
code 49595 |
7 |
$1,099.64 |
$5,342.40 |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm
code 49591 |
20 |
$512.61 |
$4,338.66 |
| Flexible sigmoidoscopy, diagnostic (lower colon only)
code 45330 |
37 |
$115.50 |
$876.00 |
| Gallbladder removal, laparoscopic
code 47562 |
26 |
$832.50 |
$5,695.00 |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery
code 47563 |
20 |
$913.50 |
$5,695.00 |
| Gallbladder removal, open surgery through a larger incision
code 47600 |
10 |
$700.00 |
$2,210.52 |
| Hammertoe correction surgery
code 28285 |
11 |
$751.40 |
$2,709.75 |
| Hemorrhoid banding (rubber band ligation)
code 46221 |
32 |
$115.50 |
$956.00 |
| Hemorrhoidectomy (internal and external), one area
code 46255 |
17 |
$640.50 |
$2,387.25 |
| Hip replacement after an earlier hip surgery (conversion to total hip)
code 27132 |
2 |
$12,095.00 |
$13,304.00 |
| Hysterectomy through an abdominal incision (total)
code 58150 |
10 |
$1,319.25 |
$2,751.18 |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes
code 58340 |
19 |
$113.94 |
$388.15 |
| Hysteroscopy with endometrial ablation
code 58563 |
12 |
$2,512.90 |
$4,333.00 |
| Hysteroscopy with uterine lining sampling and/or polyp removal
code 58558 |
11 |
$681.54 |
$3,049.00 |
| IUD insertion (the device itself billed separately)
code 58300 |
29 |
$97.50 |
$212.50 |
| Incision and drainage of a simple or single skin abscess
code 10060 |
73 |
$77.18 |
$259.25 |
| Inguinal (groin) hernia repair, age 5 or older
code 49505 |
27 |
$532.00 |
$4,250.00 |
| Injection into a tendon sheath or ligament (for example trigger finger)
code 20550 |
66 |
$56.25 |
$185.81 |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound
code 20610 |
76 |
$64.16 |
$342.23 |
| Insertion of a drug-delivery implant, such as the arm birth control implant
code 11981 |
31 |
$62.04 |
$178.50 |
| Joint injection or drainage, medium joint (wrist, elbow, ankle)
code 20605 |
73 |
$45.75 |
$273.45 |
| Joint injection or drainage, small joint (fingers, toes)
code 20600 |
68 |
$51.20 |
$236.43 |
| Knee arthroscopy with meniscus repair (one side of the knee)
code 29882 |
12 |
$2,064.15 |
$4,388.50 |
| Knee arthroscopy with meniscus trim
code 29881 |
14 |
$1,232.40 |
$4,180.50 |
| Knee arthroscopy with removal of both torn meniscus parts
code 29880 |
14 |
$1,317.60 |
$4,133.68 |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty)
code 29877 |
12 |
$2,514.60 |
$4,390.38 |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length
code 43644 |
1 |
$3,289.15 |
$3,289.15 |
| Laparoscopic adjustable gastric band placement (Lap-Band)
code 43770 |
1 |
$31,233.66 |
$31,233.66 |
| Laparoscopic appendectomy (appendix removal through small cuts)
code 44970 |
21 |
$611.80 |
$4,683.60 |
| Laparoscopic fundoplication (anti-reflux surgery)
code 43280 |
6 |
$1,978.76 |
$3,842.05 |
| Laparoscopic hysterectomy (uterus 250 g or less)
code 58570 |
1 |
$16,642.09 |
$16,642.09 |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries
code 58571 |
8 |
$2,036.48 |
$13,132.25 |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side
code 49650 |
15 |
$757.76 |
$2,454.00 |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia
code 49651 |
12 |
$870.24 |
$9,094.26 |
| Laparoscopic removal of an adjustable gastric band and its port
code 43774 |
1 |
$3,932.04 |
$3,932.04 |
| Laparoscopic removal of fallopian tubes and/or ovaries
code 58661 |
17 |
$695.10 |
$5,695.00 |
| Laparoscopic sleeve gastrectomy for weight loss
code 43775 |
1 |
$2,900.65 |
$2,900.65 |
| Laser treatment of clouding after cataract surgery (YAG)
code 66821 |
12 |
$243.00 |
$1,157.88 |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs
code 12031 |
68 |
$84.00 |
$400.18 |
| Left heart catheterization, diagnostic
code 93452 |
13 |
$3,054.00 |
$11,413.85 |
| Lower-back epidural injection, with imaging guidance
code 62323 |
62 |
$297.00 |
$1,198.45 |
| Lower-back epidural injection, without imaging guidance
code 62322 |
40 |
$210.00 |
$817.00 |
| Lower-back nerve root steroid injection, with imaging guidance
code 64483 |
60 |
$236.65 |
$1,022.38 |
| Lumbar discectomy or laminotomy to free a nerve root, one level
code 63030 |
7 |
$3,019.37 |
$9,600.00 |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level
code 22633 |
1 |
$46,240.51 |
$46,240.51 |
| Lumbar interbody fusion (PLIF or TLIF), one level
code 22630 |
2 |
$12,235.25 |
$29,237.88 |
| Lumbar laminectomy (spinal decompression), one level
code 63047 |
8 |
$2,719.20 |
$9,907.25 |
| Lumbar spinal fusion (posterior), one level
code 22612 |
4 |
$1,486.10 |
$10,972.74 |
| Lumpectomy (partial mastectomy)
code 19301 |
14 |
$711.20 |
$3,029.03 |
| Mastectomy (total removal of the breast)
code 19303 |
14 |
$1,305.00 |
$3,696.17 |
| Miscarriage treatment with D&C, first trimester
code 59820 |
19 |
$498.75 |
$2,276.78 |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals
code 17311 |
1 |
$458.46 |
$458.46 |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm
code 11400 |
57 |
$57.09 |
$210.00 |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm
code 11440 |
47 |
$63.75 |
$218.00 |
| Nail removal (partial or complete), one nail
code 11730 |
71 |
$25.50 |
$163.00 |
| Occipital nerve block (injection for headaches)
code 64405 |
58 |
$74.50 |
$399.10 |
| Pacemaker implant (dual chamber)
code 33208 |
17 |
$5,668.00 |
$11,042.57 |
| Paracentesis with imaging guidance
code 49083 |
57 |
$166.50 |
$738.40 |
| Partial knee replacement (one compartment)
code 27446 |
9 |
$4,529.06 |
$17,692.00 |
| Permanent removal of a nail and nail root (partial or complete)
code 11750 |
64 |
$126.00 |
$421.50 |
| Prostate biopsy
code 55700 |
13 |
$468.61 |
$1,290.00 |
| Prostate removal (prostatectomy), laparoscopic
code 55866 |
1 |
$6,124.80 |
$6,124.80 |
| Radiofrequency ablation of facet joint nerves, lower back, one level
code 64635 |
48 |
$354.30 |
$1,972.95 |
| Removal of a breast lump, open surgery
code 19120 |
31 |
$222.80 |
$2,383.68 |
| Removal of a foreign object under the skin, simple
code 10120 |
70 |
$48.00 |
$371.50 |
| Removal of one lobe of the thyroid (lobectomy)
code 60220 |
8 |
$1,504.15 |
$6,168.68 |
| Screening colonoscopy for a person at average risk (Medicare code)
code G0121 |
37 |
$225.00 |
$1,102.45 |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code)
code G0105 |
37 |
$141.25 |
$1,253.50 |
| Septoplasty to straighten the nasal septum
code 30520 |
10 |
$718.08 |
$4,447.37 |
| Shock-wave lithotripsy to break up kidney stones (from outside the body)
code 50590 |
10 |
$3,320.00 |
$5,748.66 |
| Short arm cast (elbow to hand)
code 29075 |
56 |
$37.62 |
$267.50 |
| Short arm splint (forearm and hand)
code 29125 |
69 |
$29.70 |
$179.81 |
| Short leg cast (below the knee)
code 29405 |
53 |
$35.31 |
$263.00 |
| Short leg splint (calf to foot)
code 29515 |
66 |
$31.02 |
$197.82 |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle)
code 29824 |
12 |
$2,885.85 |
$4,539.35 |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery)
code 29826 |
11 |
$1,258.07 |
$4,617.20 |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs
code 12001 |
72 |
$51.10 |
$260.89 |
| Skin biopsy, punch, one lesion
code 11104 |
60 |
$50.00 |
$504.43 |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm
code 11600 |
35 |
$63.75 |
$260.95 |
| Skin tag removal, up to 15 tags
code 11200 |
60 |
$35.40 |
$147.90 |
| Spinal tap (lumbar puncture), diagnostic
code 62270 |
57 |
$110.00 |
$554.40 |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs
code 12002 |
69 |
$51.10 |
$325.50 |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair
code 12011 |
67 |
$51.10 |
$305.90 |
| TURP (transurethral resection of the prostate)
code 52601 |
9 |
$3,288.00 |
$4,666.20 |
| Tangential (shave-style) skin biopsy, one lesion
code 11102 |
46 |
$45.87 |
$275.94 |
| Thoracentesis with imaging guidance
code 32555 |
50 |
$197.50 |
$969.83 |
| Tonsil and adenoid removal, age 12 or older
code 42821 |
9 |
$350.00 |
$3,133.50 |
| Tonsil and adenoid removal, child under 12
code 42820 |
11 |
$540.25 |
$5,577.00 |
| Tonsil removal (tonsillectomy) only, age 12 or older
code 42826 |
14 |
$512.39 |
$3,058.48 |
| Tonsil removal (tonsillectomy) only, child under 12
code 42825 |
8 |
$496.93 |
$2,547.40 |
| Total hip replacement
code 27130 |
10 |
$3,024.45 |
$13,304.00 |
| Total knee replacement
code 27447 |
13 |
$2,100.00 |
$12,095.00 |
| Total shoulder replacement
code 23472 |
10 |
$3,068.90 |
$10,688.25 |
| Total thyroid removal (thyroidectomy)
code 60240 |
6 |
$2,228.14 |
$6,858.50 |
| Trigger finger release surgery
code 26055 |
27 |
$420.00 |
$1,514.00 |
| Trigger point injections, 1 or 2 muscles
code 20552 |
69 |
$52.20 |
$209.28 |
| Tubal ligation, laparoscopic (tubes sealed by cautery)
code 58670 |
16 |
$884.00 |
$5,426.86 |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion
code 19083 |
36 |
$286.80 |
$1,961.15 |
| Upper endoscopy (EGD) with balloon widening of the esophagus
code 43249 |
32 |
$235.48 |
$1,872.88 |
| Upper endoscopy (EGD) with biopsy
code 43239 |
42 |
$144.00 |
$1,314.17 |
| Upper endoscopy (EGD) with injection into the lining
code 43236 |
9 |
$544.60 |
$895.20 |
| Upper endoscopy (EGD) with polyp removal by snare
code 43251 |
30 |
$381.50 |
$1,512.45 |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire
code 43248 |
12 |
$353.50 |
$1,160.05 |
| Upper endoscopy (EGD), diagnostic
code 43235 |
45 |
$169.20 |
$1,280.40 |
| Ureteroscopy with laser stone breaking (lithotripsy)
code 52353 |
7 |
$2,514.60 |
$6,990.00 |
| Ureteroscopy with laser stone breaking and stent placement
code 52356 |
7 |
$3,052.50 |
$5,051.00 |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care
code 59610 |
2 |
$1,275.00 |
$2,562.98 |
| Vaginal delivery, including prenatal and postpartum care
code 59400 |
8 |
$1,312.50 |
$3,894.23 |
| Vasectomy, one or both sides, including follow-up semen testing
code 55250 |
21 |
$173.25 |
$875.00 |
| Vein ablation, radiofrequency, first vein
code 36475 |
9 |
$2,032.19 |
$4,648.00 |
| Wart removal, up to 14 warts
code 17110 |
52 |
$48.00 |
$182.80 |
| Wound debridement, skin and tissue under it, first 20 sq cm
code 11042 |
69 |
$76.50 |
$352.80 |
| Wrist fracture surgery (plate and screws), distal radius
code 25607 |
6 |
$1,555.40 |
$6,935.03 |