| Adenoid removal (adenoidectomy), child under 12
code 42830 |
4 |
$3,554.55 |
$9,592.85 |
| Appendectomy for a ruptured appendix with abscess or peritonitis
code 44960 |
1 |
$13,376.48 |
$13,376.48 |
| Appendectomy, open surgery
code 44950 |
2 |
$11,572.60 |
$43,624.42 |
| Arthroscopic ACL reconstruction or repair of the knee
code 29888 |
8 |
$2,474.55 |
$28,903.78 |
| Arthroscopic rotator cuff repair of the shoulder
code 29827 |
7 |
$4,133.25 |
$10,435.10 |
| Balloon dilation of the maxillary sinus opening, one side
code 31295 |
3 |
$4,530.00 |
$8,403.00 |
| Botox injections for chronic migraine
code 64615 |
16 |
$282.15 |
$537.19 |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion
code 19081 |
30 |
$511.70 |
$2,357.50 |
| Broken ankle (outer ankle bone) treatment without surgery or setting
code 27786 |
31 |
$169.00 |
$970.00 |
| Broken foot (metatarsal) treatment without surgery or setting
code 28470 |
30 |
$217.70 |
$703.64 |
| Bunion correction with a bone cut near the head of the first metatarsal
code 28296 |
8 |
$3,410.00 |
$7,186.33 |
| Bunion correction with removal of part of the big toe joint
code 28292 |
5 |
$3,410.00 |
$6,677.86 |
| Cardiac catheterization with coronary angiogram
code 93458 |
25 |
$2,898.35 |
$8,161.30 |
| Cardioversion, elective (restoring heart rhythm)
code 92960 |
32 |
$536.00 |
$1,275.00 |
| Carpal tunnel release, open surgery
code 64721 |
18 |
$1,847.70 |
$4,644.49 |
| Cataract surgery with lens implant
code 66984 |
5 |
$1,321.65 |
$9,170.17 |
| Catheter ablation for atrial fibrillation
code 93656 |
19 |
$16,437.15 |
$45,101.70 |
| Cervical biopsy
code 57500 |
22 |
$323.40 |
$1,309.25 |
| Circumcision by surgical excision, older than 28 days (children and adults)
code 54161 |
24 |
$1,613.70 |
$4,523.95 |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns
code 54150 |
25 |
$81.70 |
$1,960.00 |
| Circumcision, surgical, older than a newborn
code 54160 |
8 |
$972.00 |
$2,013.20 |
| Closed treatment of a wrist (distal radius) fracture, no resetting
code 25600 |
30 |
$217.70 |
$619.27 |
| Colonoscopy with endoscopic ultrasound
code 45391 |
16 |
$787.95 |
$2,652.50 |
| Colonoscopy with polyp removal
code 45385 |
26 |
$787.95 |
$2,832.90 |
| Colonoscopy with tissue sample
code 45380 |
25 |
$787.95 |
$2,338.70 |
| Colonoscopy, diagnostic
code 45378 |
26 |
$609.30 |
$2,276.50 |
| Colposcopy with LEEP (loop electrosurgical excision)
code 57460 |
15 |
$307.80 |
$3,211.00 |
| Colposcopy with cervical biopsy and scraping of the cervical canal
code 57454 |
19 |
$400.40 |
$1,231.00 |
| Complex cataract surgery with lens implant
code 66982 |
6 |
$1,201.50 |
$11,740.15 |
| Coronary stent placement, one artery
code 92928 |
16 |
$9,632.70 |
$18,894.05 |
| Cystoscopy with ureteral stent placement
code 52332 |
21 |
$2,290.50 |
$6,870.50 |
| Cystoscopy, diagnostic look inside the bladder and urethra
code 52000 |
32 |
$721.00 |
$1,982.00 |
| D&C (dilation and curettage), not related to pregnancy
code 58120 |
17 |
$324.90 |
$3,616.90 |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion
code 17000 |
23 |
$65.10 |
$273.00 |
| Ear tube placement (tympanostomy) under general anesthesia, one ear
code 69436 |
8 |
$959.85 |
$4,660.53 |
| Ear tube placement (tympanostomy) with local anesthesia, one ear
code 69433 |
13 |
$794.00 |
$1,424.50 |
| Earwax removal by irrigation (rinsing), one ear
code 69209 |
31 |
$59.85 |
$208.00 |
| Earwax removal with instruments, one ear
code 69210 |
32 |
$107.00 |
$273.15 |
| Endometrial biopsy (uterine lining sample) without dilating the cervix
code 58100 |
27 |
$221.16 |
$533.00 |
| Endoscopic sinus surgery: full ethmoid sinus opening
code 31255 |
9 |
$6,114.50 |
$21,494.00 |
| Endoscopic sinus surgery: opening the frontal sinus
code 31276 |
6 |
$8,255.18 |
$25,639.14 |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus
code 31256 |
14 |
$2,224.80 |
$11,448.00 |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue
code 31267 |
7 |
$2,610.90 |
$6,709.00 |
| Epidural steroid injection, neck or mid back, with imaging guidance
code 62321 |
28 |
$629.20 |
$1,596.95 |
| Eye injection into the vitreous (intravitreal injection)
code 67028 |
13 |
$192.50 |
$1,270.00 |
| Facet joint injection, lower back, one level, with imaging guidance
code 64493 |
29 |
$767.00 |
$2,466.10 |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm
code 49593 |
4 |
$1,856.25 |
$8,070.50 |
| First repair of a front abdominal hernia larger than 10 cm
code 49595 |
3 |
$1,695.15 |
$6,502.00 |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm
code 49591 |
5 |
$2,782.80 |
$7,337.80 |
| Flexible sigmoidoscopy, diagnostic (lower colon only)
code 45330 |
27 |
$487.00 |
$1,850.58 |
| Gallbladder removal, laparoscopic
code 47562 |
6 |
$5,975.00 |
$12,419.05 |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery
code 47563 |
6 |
$5,975.00 |
$17,117.74 |
| Gallbladder removal, open surgery through a larger incision
code 47600 |
1 |
$11,773.19 |
$11,773.19 |
| Hammertoe correction surgery
code 28285 |
10 |
$1,256.40 |
$5,285.61 |
| Hemorrhoid banding (rubber band ligation)
code 46221 |
22 |
$450.00 |
$1,934.70 |
| Hemorrhoidectomy (internal and external), one area
code 46255 |
14 |
$2,313.45 |
$8,515.00 |
| Hysterectomy through an abdominal incision (total)
code 58150 |
3 |
$1,345.00 |
$13,026.80 |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes
code 58340 |
30 |
$91.82 |
$404.00 |
| Hysteroscopy with endometrial ablation
code 58563 |
3 |
$4,518.19 |
$5,698.03 |
| Hysteroscopy with uterine lining sampling and/or polyp removal
code 58558 |
14 |
$2,105.39 |
$6,409.10 |
| IUD insertion (the device itself billed separately)
code 58300 |
25 |
$49.50 |
$600.00 |
| Incision and drainage of a simple or single skin abscess
code 10060 |
33 |
$178.20 |
$496.00 |
| Inguinal (groin) hernia repair, age 5 or older
code 49505 |
7 |
$3,832.00 |
$8,527.01 |
| Injection into a tendon sheath or ligament (for example trigger finger)
code 20550 |
33 |
$72.20 |
$459.00 |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound
code 20610 |
33 |
$86.45 |
$566.25 |
| Insertion of a drug-delivery implant, such as the arm birth control implant
code 11981 |
19 |
$170.00 |
$549.00 |
| Joint injection or drainage, medium joint (wrist, elbow, ankle)
code 20605 |
33 |
$71.25 |
$541.00 |
| Joint injection or drainage, small joint (fingers, toes)
code 20600 |
31 |
$221.16 |
$541.00 |
| Knee arthroscopy with meniscus repair (one side of the knee)
code 29882 |
7 |
$1,133.10 |
$9,959.61 |
| Knee arthroscopy with meniscus trim
code 29881 |
15 |
$2,454.75 |
$10,075.00 |
| Knee arthroscopy with removal of both torn meniscus parts
code 29880 |
5 |
$3,410.00 |
$13,284.50 |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty)
code 29877 |
5 |
$1,143.00 |
$6,432.38 |
| Laparoscopic adjustable gastric band placement (Lap-Band)
code 43770 |
1 |
$16,793.08 |
$16,793.08 |
| Laparoscopic appendectomy (appendix removal through small cuts)
code 44970 |
8 |
$2,599.65 |
$10,183.54 |
| Laparoscopic fundoplication (anti-reflux surgery)
code 43280 |
2 |
$11,883.63 |
$12,594.62 |
| Laparoscopic hysterectomy (uterus 250 g or less)
code 58570 |
1 |
$12,758.90 |
$12,758.90 |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries
code 58571 |
2 |
$12,512.45 |
$12,574.23 |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side
code 49650 |
8 |
$5,975.00 |
$16,833.12 |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia
code 49651 |
5 |
$5,975.00 |
$9,965.81 |
| Laparoscopic removal of an adjustable gastric band and its port
code 43774 |
2 |
$3,672.00 |
$6,471.68 |
| Laparoscopic removal of fallopian tubes and/or ovaries
code 58661 |
6 |
$5,975.00 |
$14,414.29 |
| Laparoscopic sleeve gastrectomy for weight loss
code 43775 |
1 |
$9,581.36 |
$9,581.36 |
| Laser treatment of clouding after cataract surgery (YAG)
code 66821 |
9 |
$1,138.95 |
$2,217.00 |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs
code 12031 |
33 |
$101.25 |
$787.50 |
| Left heart catheterization, diagnostic
code 93452 |
25 |
$3,068.00 |
$8,844.62 |
| Lower-back epidural injection, with imaging guidance
code 62323 |
27 |
$629.20 |
$1,744.50 |
| Lower-back epidural injection, without imaging guidance
code 62322 |
25 |
$676.90 |
$1,411.50 |
| Lower-back nerve root steroid injection, with imaging guidance
code 64483 |
28 |
$767.00 |
$1,836.70 |
| Lumbar discectomy or laminotomy to free a nerve root, one level
code 63030 |
2 |
$7,409.00 |
$8,278.68 |
| Lumbar laminectomy (spinal decompression), one level
code 63047 |
2 |
$7,409.00 |
$8,662.64 |
| Lumpectomy (partial mastectomy)
code 19301 |
15 |
$3,761.55 |
$11,890.00 |
| Mastectomy (total removal of the breast)
code 19303 |
6 |
$6,390.00 |
$17,874.98 |
| Miscarriage treatment with D&C, first trimester
code 59820 |
17 |
$1,608.75 |
$4,710.00 |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals
code 17311 |
7 |
$829.80 |
$1,225.00 |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm
code 11400 |
26 |
$498.92 |
$933.25 |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm
code 11440 |
24 |
$159.60 |
$893.50 |
| Nail removal (partial or complete), one nail
code 11730 |
33 |
$116.90 |
$395.25 |
| Occipital nerve block (injection for headaches)
code 64405 |
31 |
$359.45 |
$892.00 |
| Pacemaker implant (dual chamber)
code 33208 |
27 |
$2,584.00 |
$15,791.78 |
| Paracentesis with imaging guidance
code 49083 |
32 |
$434.26 |
$1,764.33 |
| Partial knee replacement (one compartment)
code 27446 |
1 |
$13,928.00 |
$13,928.00 |
| Permanent removal of a nail and nail root (partial or complete)
code 11750 |
33 |
$407.25 |
$1,005.90 |
| Prostate biopsy
code 55700 |
16 |
$471.80 |
$2,911.90 |
| Prostate removal (prostatectomy), laparoscopic
code 55866 |
1 |
$15,000.00 |
$15,000.00 |
| Radiofrequency ablation of facet joint nerves, lower back, one level
code 64635 |
24 |
$319.00 |
$3,115.90 |
| Removal of a breast lump, open surgery
code 19120 |
21 |
$2,204.00 |
$6,576.62 |
| Removal of a foreign object under the skin, simple
code 10120 |
31 |
$185.40 |
$549.50 |
| Removal of one lobe of the thyroid (lobectomy)
code 60220 |
4 |
$2,493.90 |
$8,081.60 |
| Screening colonoscopy for a person at average risk (Medicare code)
code G0121 |
19 |
$1,480.50 |
$1,963.00 |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code)
code G0105 |
22 |
$627.30 |
$1,998.60 |
| Septoplasty to straighten the nasal septum
code 30520 |
5 |
$1,921.50 |
$6,709.00 |
| Shock-wave lithotripsy to break up kidney stones (from outside the body)
code 50590 |
12 |
$2,608.90 |
$7,531.75 |
| Short arm cast (elbow to hand)
code 29075 |
30 |
$321.40 |
$643.61 |
| Short arm splint (forearm and hand)
code 29125 |
32 |
$86.40 |
$332.55 |
| Short leg cast (below the knee)
code 29405 |
30 |
$321.40 |
$620.70 |
| Short leg splint (calf to foot)
code 29515 |
32 |
$105.75 |
$345.55 |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle)
code 29824 |
5 |
$3,410.00 |
$22,466.85 |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery)
code 29826 |
5 |
$250.00 |
$19,178.13 |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs
code 12001 |
30 |
$243.60 |
$463.00 |
| Skin biopsy, punch, one lesion
code 11104 |
30 |
$145.67 |
$544.63 |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm
code 11600 |
15 |
$191.90 |
$1,034.00 |
| Skin tag removal, up to 15 tags
code 11200 |
28 |
$93.10 |
$381.55 |
| Spinal tap (lumbar puncture), diagnostic
code 62270 |
33 |
$432.00 |
$1,463.00 |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs
code 12002 |
32 |
$205.00 |
$476.50 |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair
code 12011 |
32 |
$243.60 |
$870.59 |
| TURP (transurethral resection of the prostate)
code 52601 |
6 |
$4,673.70 |
$7,787.99 |
| Tangential (shave-style) skin biopsy, one lesion
code 11102 |
29 |
$112.10 |
$437.00 |
| Thoracentesis with imaging guidance
code 32555 |
31 |
$778.05 |
$1,787.00 |
| Tonsil and adenoid removal, age 12 or older
code 42821 |
3 |
$5,390.85 |
$13,820.83 |
| Tonsil and adenoid removal, child under 12
code 42820 |
3 |
$5,926.07 |
$14,601.63 |
| Tonsil removal (tonsillectomy) only, age 12 or older
code 42826 |
6 |
$1,772.10 |
$6,438.82 |
| Tonsil removal (tonsillectomy) only, child under 12
code 42825 |
3 |
$5,037.69 |
$9,662.87 |
| Total hip replacement
code 27130 |
5 |
$16,747.20 |
$57,140.39 |
| Total knee replacement
code 27447 |
7 |
$8,000.10 |
$19,034.71 |
| Total shoulder replacement
code 23472 |
3 |
$66,300.38 |
$110,496.94 |
| Total thyroid removal (thyroidectomy)
code 60240 |
3 |
$5,975.00 |
$10,934.90 |
| Trigger finger release surgery
code 26055 |
23 |
$2,027.53 |
$4,367.96 |
| Trigger point injections, 1 or 2 muscles
code 20552 |
32 |
$146.30 |
$527.14 |
| Tubal ligation, laparoscopic (tubes sealed by cautery)
code 58670 |
2 |
$5,647.35 |
$7,110.48 |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion
code 19083 |
31 |
$872.20 |
$2,167.00 |
| Upper endoscopy (EGD) with balloon widening of the esophagus
code 43249 |
26 |
$1,232.10 |
$2,971.50 |
| Upper endoscopy (EGD) with biopsy
code 43239 |
26 |
$853.84 |
$1,880.45 |
| Upper endoscopy (EGD) with injection into the lining
code 43236 |
23 |
$337.50 |
$2,522.99 |
| Upper endoscopy (EGD) with polyp removal by snare
code 43251 |
23 |
$1,218.60 |
$4,600.00 |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire
code 43248 |
24 |
$1,084.50 |
$2,921.50 |
| Upper endoscopy (EGD), diagnostic
code 43235 |
30 |
$861.98 |
$1,802.81 |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall
code 43240 |
16 |
$961.20 |
$16,017.12 |
| Ureteroscopy with laser stone breaking (lithotripsy)
code 52353 |
7 |
$5,227.00 |
$8,022.00 |
| Ureteroscopy with laser stone breaking and stent placement
code 52356 |
15 |
$3,650.40 |
$15,308.00 |
| Vaginal delivery, including prenatal and postpartum care
code 59400 |
11 |
$5,218.00 |
$6,793.00 |
| Vasectomy, one or both sides, including follow-up semen testing
code 55250 |
9 |
$991.20 |
$3,302.60 |
| Vein ablation, radiofrequency, first vein
code 36475 |
22 |
$1,698.60 |
$5,208.15 |
| Wart removal, up to 14 warts
code 17110 |
31 |
$91.70 |
$354.00 |
| Wound debridement, skin and tissue under it, first 20 sq cm
code 11042 |
33 |
$253.53 |
$926.50 |
| Wrist fracture surgery (plate and screws), distal radius
code 25607 |
6 |
$7,409.00 |
$11,584.94 |