| Adenoid removal (adenoidectomy), child under 12
code 42830 |
8 |
$2,014.08 |
$6,008.00 |
| Anterior cervical discectomy and fusion (ACDF), one level
code 22551 |
3 |
$3,909.69 |
$16,641.72 |
| Arthroscopic ACL reconstruction or repair of the knee
code 29888 |
9 |
$823.00 |
$13,929.26 |
| Arthroscopic rotator cuff repair of the shoulder
code 29827 |
10 |
$911.00 |
$6,485.76 |
| Balloon dilation of the maxillary sinus opening, one side
code 31295 |
2 |
$5,391.32 |
$9,247.81 |
| Botox injections for chronic migraine
code 64615 |
24 |
$144.00 |
$550.48 |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion
code 19081 |
33 |
$631.27 |
$2,273.41 |
| Broken ankle (outer ankle bone) treatment without surgery or setting
code 27786 |
22 |
$146.28 |
$265.32 |
| Broken foot (metatarsal) treatment without surgery or setting
code 28470 |
20 |
$146.28 |
$274.57 |
| Bunion correction with a bone cut near the head of the first metatarsal
code 28296 |
3 |
$620.00 |
$768.95 |
| Bunion correction with removal of part of the big toe joint
code 28292 |
4 |
$3,403.49 |
$5,107.21 |
| Cardiac catheterization with coronary angiogram
code 93458 |
39 |
$3,436.50 |
$8,270.38 |
| Cardioversion, elective (restoring heart rhythm)
code 92960 |
76 |
$132.50 |
$910.29 |
| Carpal tunnel release, open surgery
code 64721 |
11 |
$318.00 |
$4,549.53 |
| Cataract surgery with lens implant
code 66984 |
7 |
$2,379.30 |
$4,459.21 |
| Catheter ablation for atrial fibrillation
code 93656 |
29 |
$9,637.80 |
$14,995.80 |
| Cervical biopsy
code 57500 |
12 |
$90.60 |
$315.82 |
| Cesarean delivery, including prenatal and postpartum care
code 59510 |
1 |
$2,825.90 |
$2,825.90 |
| Circumcision by surgical excision, older than 28 days (children and adults)
code 54161 |
9 |
$1,452.71 |
$6,312.42 |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns
code 54150 |
25 |
$136.50 |
$1,596.00 |
| Circumcision, surgical, older than a newborn
code 54160 |
14 |
$127.50 |
$366.00 |
| Closed treatment of a wrist (distal radius) fracture, no resetting
code 25600 |
26 |
$120.40 |
$282.78 |
| Colonoscopy with endoscopic ultrasound
code 45391 |
9 |
$952.80 |
$952.80 |
| Colonoscopy with polyp removal
code 45385 |
26 |
$365.50 |
$2,002.72 |
| Colonoscopy with tissue sample
code 45380 |
27 |
$322.00 |
$1,914.41 |
| Colonoscopy, diagnostic
code 45378 |
19 |
$202.20 |
$3,074.40 |
| Colposcopy with LEEP (loop electrosurgical excision)
code 57460 |
6 |
$480.32 |
$2,984.50 |
| Colposcopy with cervical biopsy and scraping of the cervical canal
code 57454 |
8 |
$123.19 |
$299.31 |
| Complex cataract surgery with lens implant
code 66982 |
5 |
$2,219.00 |
$4,627.93 |
| Coronary stent placement, one artery
code 92928 |
31 |
$2,932.20 |
$7,524.00 |
| Cystoscopy with ureteral stent placement
code 52332 |
14 |
$489.15 |
$3,626.04 |
| Cystoscopy, diagnostic look inside the bladder and urethra
code 52000 |
22 |
$131.99 |
$968.98 |
| D&C (dilation and curettage), not related to pregnancy
code 58120 |
7 |
$1,969.66 |
$6,189.35 |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion
code 17000 |
29 |
$33.60 |
$104.00 |
| Ear tube placement (tympanostomy) under general anesthesia, one ear
code 69436 |
9 |
$2,132.00 |
$5,127.08 |
| Ear tube placement (tympanostomy) with local anesthesia, one ear
code 69433 |
12 |
$110.40 |
$323.80 |
| Earwax removal by irrigation (rinsing), one ear
code 69209 |
60 |
$12.50 |
$104.70 |
| Earwax removal with instruments, one ear
code 69210 |
62 |
$13.00 |
$110.40 |
| Endometrial biopsy (uterine lining sample) without dilating the cervix
code 58100 |
19 |
$76.52 |
$218.45 |
| Endoscopic sinus surgery: full ethmoid sinus opening
code 31255 |
3 |
$296.50 |
$4,126.69 |
| Endoscopic sinus surgery: opening the frontal sinus
code 31276 |
1 |
$6,317.66 |
$6,317.66 |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus
code 31256 |
3 |
$3,936.90 |
$10,021.13 |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue
code 31267 |
3 |
$3,590.09 |
$10,585.26 |
| Epidural steroid injection, neck or mid back, with imaging guidance
code 62321 |
40 |
$175.50 |
$895.77 |
| Eye injection into the vitreous (intravitreal injection)
code 67028 |
2 |
$301.39 |
$377.44 |
| Facet joint injection, lower back, one level, with imaging guidance
code 64493 |
32 |
$144.30 |
$1,231.22 |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm
code 49593 |
7 |
$703.00 |
$9,015.22 |
| First repair of a front abdominal hernia larger than 10 cm
code 49595 |
3 |
$14,816.55 |
$18,554.67 |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm
code 49591 |
9 |
$488.68 |
$8,666.39 |
| Flexible sigmoidoscopy, diagnostic (lower colon only)
code 45330 |
15 |
$132.00 |
$2,608.70 |
| Gallbladder removal, laparoscopic
code 47562 |
11 |
$493.00 |
$10,308.23 |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery
code 47563 |
7 |
$586.16 |
$7,698.54 |
| Gallbladder removal, open surgery through a larger incision
code 47600 |
3 |
$945.00 |
$1,532.92 |
| Hammertoe correction surgery
code 28285 |
6 |
$352.50 |
$3,048.83 |
| Hemorrhoid banding (rubber band ligation)
code 46221 |
17 |
$235.35 |
$1,000.61 |
| Hemorrhoidectomy (internal and external), one area
code 46255 |
7 |
$417.60 |
$6,489.04 |
| Hip replacement after an earlier hip surgery (conversion to total hip)
code 27132 |
1 |
$42,767.45 |
$42,767.45 |
| Hysterectomy through an abdominal incision (total)
code 58150 |
5 |
$739.86 |
$2,485.66 |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes
code 58340 |
30 |
$37.42 |
$258.64 |
| Hysteroscopy with endometrial ablation
code 58563 |
8 |
$1,422.50 |
$6,841.79 |
| Hysteroscopy with uterine lining sampling and/or polyp removal
code 58558 |
9 |
$417.95 |
$7,688.10 |
| IUD insertion (the device itself billed separately)
code 58300 |
31 |
$43.40 |
$600.60 |
| Incision and drainage of a simple or single skin abscess
code 10060 |
64 |
$31.80 |
$293.27 |
| Inguinal (groin) hernia repair, age 5 or older
code 49505 |
9 |
$468.00 |
$8,629.29 |
| Injection into a tendon sheath or ligament (for example trigger finger)
code 20550 |
49 |
$45.60 |
$309.49 |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound
code 20610 |
70 |
$56.00 |
$391.16 |
| Insertion of a drug-delivery implant, such as the arm birth control implant
code 11981 |
9 |
$49.05 |
$136.50 |
| Joint injection or drainage, medium joint (wrist, elbow, ankle)
code 20605 |
56 |
$46.00 |
$208.80 |
| Joint injection or drainage, small joint (fingers, toes)
code 20600 |
53 |
$55.22 |
$208.80 |
| Knee arthroscopy with meniscus repair (one side of the knee)
code 29882 |
7 |
$568.50 |
$11,616.44 |
| Knee arthroscopy with meniscus trim
code 29881 |
10 |
$525.50 |
$8,555.26 |
| Knee arthroscopy with removal of both torn meniscus parts
code 29880 |
9 |
$5,505.93 |
$6,896.54 |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty)
code 29877 |
6 |
$739.42 |
$7,908.81 |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length
code 43644 |
1 |
$10,783.08 |
$10,783.08 |
| Laparoscopic appendectomy (appendix removal through small cuts)
code 44970 |
11 |
$877.04 |
$10,468.60 |
| Laparoscopic fundoplication (anti-reflux surgery)
code 43280 |
3 |
$11,510.12 |
$12,240.00 |
| Laparoscopic hysterectomy (uterus 250 g or less)
code 58570 |
6 |
$934.00 |
$13,043.44 |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries
code 58571 |
7 |
$840.00 |
$21,715.29 |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side
code 49650 |
15 |
$321.50 |
$5,357.31 |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia
code 49651 |
6 |
$859.05 |
$10,899.98 |
| Laparoscopic removal of an adjustable gastric band and its port
code 43774 |
1 |
$24,723.00 |
$24,723.00 |
| Laparoscopic removal of fallopian tubes and/or ovaries
code 58661 |
9 |
$488.50 |
$11,678.13 |
| Laparoscopic sleeve gastrectomy for weight loss
code 43775 |
9 |
$1,626.42 |
$2,075.12 |
| Laser treatment of clouding after cataract surgery (YAG)
code 66821 |
7 |
$705.43 |
$1,523.25 |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs
code 12031 |
51 |
$55.90 |
$301.20 |
| Left heart catheterization, diagnostic
code 93452 |
31 |
$1,993.27 |
$6,699.00 |
| Lower-back epidural injection, with imaging guidance
code 62323 |
41 |
$159.90 |
$904.54 |
| Lower-back epidural injection, without imaging guidance
code 62322 |
27 |
$297.16 |
$801.97 |
| Lower-back nerve root steroid injection, with imaging guidance
code 64483 |
28 |
$178.75 |
$1,241.68 |
| Lumbar discectomy or laminotomy to free a nerve root, one level
code 63030 |
3 |
$13,000.77 |
$19,507.40 |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level
code 22633 |
3 |
$5,884.42 |
$31,176.74 |
| Lumbar interbody fusion (PLIF or TLIF), one level
code 22630 |
2 |
$6,466.92 |
$17,239.46 |
| Lumbar laminectomy (spinal decompression), one level
code 63047 |
1 |
$22,380.64 |
$22,380.64 |
| Lumbar spinal fusion (posterior), one level
code 22612 |
7 |
$1,193.36 |
$5,112.32 |
| Lumpectomy (partial mastectomy)
code 19301 |
8 |
$712.57 |
$4,326.95 |
| Mastectomy (total removal of the breast)
code 19303 |
3 |
$14,428.17 |
$19,266.03 |
| Miscarriage treatment with D&C, first trimester
code 59820 |
13 |
$735.55 |
$4,973.25 |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals
code 17311 |
2 |
$241.16 |
$688.68 |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm
code 11400 |
24 |
$75.00 |
$465.11 |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm
code 11440 |
19 |
$117.60 |
$612.35 |
| Nail removal (partial or complete), one nail
code 11730 |
55 |
$25.50 |
$256.92 |
| Occipital nerve block (injection for headaches)
code 64405 |
43 |
$96.00 |
$441.99 |
| Pacemaker implant (dual chamber)
code 33208 |
24 |
$3,972.56 |
$18,457.09 |
| Paracentesis with imaging guidance
code 49083 |
47 |
$197.60 |
$1,124.40 |
| Partial knee replacement (one compartment)
code 27446 |
8 |
$909.00 |
$13,316.34 |
| Permanent removal of a nail and nail root (partial or complete)
code 11750 |
56 |
$57.50 |
$461.84 |
| Prostate biopsy
code 55700 |
15 |
$650.99 |
$2,170.57 |
| Prostate removal (prostatectomy), laparoscopic
code 55866 |
1 |
$29,648.28 |
$29,648.28 |
| Radiofrequency ablation of facet joint nerves, lower back, one level
code 64635 |
25 |
$354.25 |
$1,929.20 |
| Removal of a breast lump, open surgery
code 19120 |
14 |
$283.50 |
$3,938.86 |
| Removal of a foreign object under the skin, simple
code 10120 |
56 |
$48.60 |
$395.96 |
| Removal of one lobe of the thyroid (lobectomy)
code 60220 |
5 |
$522.00 |
$14,419.26 |
| Screening colonoscopy for a person at average risk (Medicare code)
code G0121 |
15 |
$273.50 |
$3,446.04 |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code)
code G0105 |
17 |
$273.50 |
$2,782.87 |
| Septoplasty to straighten the nasal septum
code 30520 |
13 |
$495.50 |
$1,862.92 |
| Shock-wave lithotripsy to break up kidney stones (from outside the body)
code 50590 |
20 |
$551.67 |
$6,817.76 |
| Short arm cast (elbow to hand)
code 29075 |
32 |
$30.00 |
$166.64 |
| Short arm splint (forearm and hand)
code 29125 |
56 |
$21.00 |
$184.69 |
| Short leg cast (below the knee)
code 29405 |
23 |
$44.00 |
$191.87 |
| Short leg splint (calf to foot)
code 29515 |
56 |
$24.50 |
$186.31 |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle)
code 29824 |
8 |
$552.00 |
$4,459.24 |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery)
code 29826 |
8 |
$557.50 |
$3,491.78 |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs
code 12001 |
57 |
$31.80 |
$268.95 |
| Skin biopsy, punch, one lesion
code 11104 |
37 |
$37.65 |
$261.23 |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm
code 11600 |
9 |
$149.40 |
$216.00 |
| Skin tag removal, up to 15 tags
code 11200 |
32 |
$61.20 |
$148.43 |
| Spinal tap (lumbar puncture), diagnostic
code 62270 |
51 |
$118.40 |
$687.26 |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs
code 12002 |
56 |
$39.00 |
$291.67 |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair
code 12011 |
56 |
$31.50 |
$274.80 |
| TURP (transurethral resection of the prostate)
code 52601 |
3 |
$13,658.58 |
$14,155.36 |
| Tangential (shave-style) skin biopsy, one lesion
code 11102 |
24 |
$54.00 |
$204.00 |
| Thoracentesis with imaging guidance
code 32555 |
53 |
$179.20 |
$978.22 |
| Tonsil and adenoid removal, age 12 or older
code 42821 |
8 |
$403.50 |
$6,091.52 |
| Tonsil and adenoid removal, child under 12
code 42820 |
8 |
$4,970.68 |
$6,498.11 |
| Tonsil removal (tonsillectomy) only, age 12 or older
code 42826 |
9 |
$385.50 |
$7,132.37 |
| Tonsil removal (tonsillectomy) only, child under 12
code 42825 |
4 |
$355.50 |
$6,694.47 |
| Total hip replacement
code 27130 |
9 |
$1,202.50 |
$19,742.48 |
| Total knee replacement
code 27447 |
10 |
$1,291.00 |
$22,807.51 |
| Total shoulder replacement
code 23472 |
9 |
$1,259.00 |
$13,327.99 |
| Total thyroid removal (thyroidectomy)
code 60240 |
3 |
$11,205.95 |
$15,182.06 |
| Trigger finger release surgery
code 26055 |
11 |
$450.30 |
$3,546.43 |
| Trigger point injections, 1 or 2 muscles
code 20552 |
46 |
$43.80 |
$488.75 |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion
code 19083 |
43 |
$250.40 |
$2,048.09 |
| Upper endoscopy (EGD) with balloon widening of the esophagus
code 43249 |
16 |
$561.50 |
$3,248.55 |
| Upper endoscopy (EGD) with biopsy
code 43239 |
27 |
$239.50 |
$1,609.20 |
| Upper endoscopy (EGD) with injection into the lining
code 43236 |
9 |
$945.45 |
$2,690.15 |
| Upper endoscopy (EGD) with polyp removal by snare
code 43251 |
13 |
$252.00 |
$2,916.75 |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire
code 43248 |
10 |
$880.00 |
$2,796.81 |
| Upper endoscopy (EGD), diagnostic
code 43235 |
27 |
$208.50 |
$1,341.00 |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall
code 43240 |
3 |
$1,724.58 |
$3,765.00 |
| Ureteroscopy with laser stone breaking (lithotripsy)
code 52353 |
7 |
$672.60 |
$8,510.81 |
| Ureteroscopy with laser stone breaking and stent placement
code 52356 |
12 |
$777.48 |
$5,678.81 |
| Vaginal delivery, including prenatal and postpartum care
code 59400 |
1 |
$483.12 |
$483.12 |
| Vasectomy, one or both sides, including follow-up semen testing
code 55250 |
6 |
$364.00 |
$937.36 |
| Vein ablation, radiofrequency, first vein
code 36475 |
11 |
$1,223.92 |
$2,457.13 |
| Wart removal, up to 14 warts
code 17110 |
24 |
$39.00 |
$115.20 |
| Wound debridement, skin and tissue under it, first 20 sq cm
code 11042 |
49 |
$104.00 |
$512.15 |
| Wrist fracture surgery (plate and screws), distal radius
code 25607 |
8 |
$572.50 |
$5,976.01 |