| Adenoid removal (adenoidectomy), child under 12
code 42830 |
12 |
$346.40 |
$2,890.93 |
| Anterior cervical discectomy and fusion (ACDF), one level
code 22551 |
11 |
$1,722.50 |
$2,722.32 |
| Appendectomy for a ruptured appendix with abscess or peritonitis
code 44960 |
7 |
$882.00 |
$1,243.77 |
| Appendectomy, open surgery
code 44950 |
10 |
$646.50 |
$5,366.38 |
| Arthroscopic ACL reconstruction or repair of the knee
code 29888 |
16 |
$1,082.50 |
$11,225.31 |
| Arthroscopic rotator cuff repair of the shoulder
code 29827 |
12 |
$1,081.00 |
$3,991.75 |
| Balloon dilation of the maxillary sinus opening, one side
code 31295 |
6 |
$654.55 |
$2,803.90 |
| Botox injections for chronic migraine
code 64615 |
42 |
$76.50 |
$569.00 |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion
code 19081 |
65 |
$524.75 |
$2,271.01 |
| Broken ankle (outer ankle bone) treatment without surgery or setting
code 27786 |
53 |
$69.75 |
$370.00 |
| Broken foot (metatarsal) treatment without surgery or setting
code 28470 |
48 |
$69.00 |
$373.00 |
| Bunion correction with a bone cut near the head of the first metatarsal
code 28296 |
14 |
$820.80 |
$4,499.12 |
| Bunion correction with removal of part of the big toe joint
code 28292 |
8 |
$784.00 |
$4,499.12 |
| Cardiac catheterization with coronary angiogram
code 93458 |
61 |
$991.00 |
$9,938.50 |
| Cardioversion, elective (restoring heart rhythm)
code 92960 |
90 |
$181.00 |
$984.75 |
| Carpal tunnel release, open surgery
code 64721 |
41 |
$228.25 |
$2,685.07 |
| Cataract surgery with lens implant
code 66984 |
20 |
$537.00 |
$2,786.53 |
| Catheter ablation for atrial fibrillation
code 93656 |
52 |
$6,866.20 |
$35,940.54 |
| Cervical biopsy
code 57500 |
55 |
$92.00 |
$882.00 |
| Cesarean delivery, including prenatal and postpartum care
code 59510 |
6 |
$2,190.50 |
$2,909.65 |
| Circumcision by surgical excision, older than 28 days (children and adults)
code 54161 |
17 |
$297.60 |
$3,950.27 |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns
code 54150 |
62 |
$82.32 |
$1,678.00 |
| Circumcision, surgical, older than a newborn
code 54160 |
19 |
$220.50 |
$958.81 |
| Closed treatment of a wrist (distal radius) fracture, no resetting
code 25600 |
56 |
$69.75 |
$379.00 |
| Colonoscopy with endoscopic ultrasound
code 45391 |
13 |
$253.50 |
$1,645.43 |
| Colonoscopy with polyp removal
code 45385 |
32 |
$224.00 |
$1,710.46 |
| Colonoscopy with tissue sample
code 45380 |
32 |
$213.25 |
$1,771.89 |
| Colonoscopy, diagnostic
code 45378 |
36 |
$168.50 |
$1,063.88 |
| Colposcopy with LEEP (loop electrosurgical excision)
code 57460 |
53 |
$249.75 |
$4,185.00 |
| Colposcopy with cervical biopsy and scraping of the cervical canal
code 57454 |
60 |
$66.50 |
$378.95 |
| Complex cataract surgery with lens implant
code 66982 |
16 |
$735.50 |
$3,173.34 |
| Coronary stent placement, one artery
code 92928 |
48 |
$1,286.60 |
$12,979.53 |
| Cystoscopy with ureteral stent placement
code 52332 |
30 |
$350.40 |
$4,356.95 |
| Cystoscopy, diagnostic look inside the bladder and urethra
code 52000 |
63 |
$109.75 |
$860.00 |
| D&C (dilation and curettage), not related to pregnancy
code 58120 |
31 |
$297.50 |
$4,451.18 |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion
code 17000 |
49 |
$27.00 |
$191.83 |
| Ear tube placement (tympanostomy) under general anesthesia, one ear
code 69436 |
21 |
$161.50 |
$2,133.48 |
| Ear tube placement (tympanostomy) with local anesthesia, one ear
code 69433 |
18 |
$143.50 |
$326.23 |
| Earwax removal by irrigation (rinsing), one ear
code 69209 |
71 |
$13.85 |
$101.90 |
| Earwax removal with instruments, one ear
code 69210 |
81 |
$14.00 |
$94.00 |
| Endometrial biopsy (uterine lining sample) without dilating the cervix
code 58100 |
59 |
$39.50 |
$237.00 |
| Endoscopic sinus surgery: full ethmoid sinus opening
code 31255 |
8 |
$321.50 |
$2,185.41 |
| Endoscopic sinus surgery: opening the frontal sinus
code 31276 |
7 |
$376.00 |
$775.20 |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus
code 31256 |
8 |
$181.00 |
$1,645.60 |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue
code 31267 |
11 |
$264.00 |
$4,661.57 |
| Epidural steroid injection, neck or mid back, with imaging guidance
code 62321 |
66 |
$129.25 |
$970.63 |
| Eye injection into the vitreous (intravitreal injection)
code 67028 |
24 |
$112.00 |
$620.93 |
| Facet joint injection, lower back, one level, with imaging guidance
code 64493 |
67 |
$141.75 |
$1,083.70 |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm
code 49593 |
19 |
$549.60 |
$8,591.32 |
| First repair of a front abdominal hernia larger than 10 cm
code 49595 |
14 |
$740.00 |
$8,823.17 |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm
code 49591 |
20 |
$343.00 |
$4,923.19 |
| Flexible sigmoidoscopy, diagnostic (lower colon only)
code 45330 |
43 |
$146.00 |
$2,399.00 |
| Gallbladder removal, laparoscopic
code 47562 |
28 |
$668.00 |
$8,125.26 |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery
code 47563 |
19 |
$726.00 |
$8,312.83 |
| Gallbladder removal, open surgery through a larger incision
code 47600 |
7 |
$1,078.50 |
$1,517.57 |
| Hammertoe correction surgery
code 28285 |
19 |
$594.00 |
$2,670.70 |
| Hemorrhoid banding (rubber band ligation)
code 46221 |
38 |
$236.00 |
$1,431.95 |
| Hemorrhoidectomy (internal and external), one area
code 46255 |
21 |
$521.50 |
$3,732.80 |
| Hip replacement after an earlier hip surgery (conversion to total hip)
code 27132 |
8 |
$1,682.50 |
$3,140.95 |
| Hysterectomy through an abdominal incision (total)
code 58150 |
11 |
$1,022.00 |
$1,553.60 |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes
code 58340 |
71 |
$42.75 |
$495.30 |
| Hysteroscopy with endometrial ablation
code 58563 |
22 |
$532.80 |
$4,769.51 |
| Hysteroscopy with uterine lining sampling and/or polyp removal
code 58558 |
46 |
$360.75 |
$4,451.18 |
| IUD insertion (the device itself billed separately)
code 58300 |
61 |
$29.75 |
$329.10 |
| Incision and drainage of a simple or single skin abscess
code 10060 |
88 |
$50.50 |
$273.00 |
| Inguinal (groin) hernia repair, age 5 or older
code 49505 |
25 |
$530.50 |
$5,587.24 |
| Injection into a tendon sheath or ligament (for example trigger finger)
code 20550 |
81 |
$48.03 |
$394.65 |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound
code 20610 |
87 |
$49.16 |
$422.07 |
| Insertion of a drug-delivery implant, such as the arm birth control implant
code 11981 |
57 |
$37.25 |
$166.60 |
| Joint injection or drainage, medium joint (wrist, elbow, ankle)
code 20605 |
88 |
$48.03 |
$325.00 |
| Joint injection or drainage, small joint (fingers, toes)
code 20600 |
82 |
$42.40 |
$338.00 |
| Knee arthroscopy with meniscus repair (one side of the knee)
code 29882 |
19 |
$771.00 |
$6,950.45 |
| Knee arthroscopy with meniscus trim
code 29881 |
22 |
$608.50 |
$4,612.44 |
| Knee arthroscopy with removal of both torn meniscus parts
code 29880 |
20 |
$631.00 |
$4,491.88 |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty)
code 29877 |
16 |
$697.00 |
$4,836.05 |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length
code 43644 |
6 |
$1,742.50 |
$2,098.86 |
| Laparoscopic adjustable gastric band placement (Lap-Band)
code 43770 |
7 |
$1,721.60 |
$1,744.50 |
| Laparoscopic appendectomy (appendix removal through small cuts)
code 44970 |
25 |
$609.00 |
$8,484.45 |
| Laparoscopic fundoplication (anti-reflux surgery)
code 43280 |
12 |
$842.00 |
$2,742.35 |
| Laparoscopic hysterectomy (uterus 250 g or less)
code 58570 |
11 |
$811.00 |
$12,013.25 |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries
code 58571 |
16 |
$911.50 |
$13,861.30 |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side
code 49650 |
19 |
$220.00 |
$7,013.51 |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia
code 49651 |
15 |
$287.00 |
$8,312.83 |
| Laparoscopic removal of an adjustable gastric band and its port
code 43774 |
8 |
$1,064.00 |
$5,301.42 |
| Laparoscopic removal of fallopian tubes and/or ovaries
code 58661 |
23 |
$654.00 |
$7,164.93 |
| Laparoscopic sleeve gastrectomy for weight loss
code 43775 |
9 |
$1,538.59 |
$1,698.00 |
| Laser treatment of clouding after cataract surgery (YAG)
code 66821 |
32 |
$329.00 |
$1,518.00 |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs
code 12031 |
74 |
$78.50 |
$374.00 |
| Left heart catheterization, diagnostic
code 93452 |
57 |
$854.00 |
$6,940.85 |
| Lower-back epidural injection, with imaging guidance
code 62323 |
75 |
$127.00 |
$1,030.00 |
| Lower-back epidural injection, without imaging guidance
code 62322 |
54 |
$327.50 |
$1,125.00 |
| Lower-back nerve root steroid injection, with imaging guidance
code 64483 |
68 |
$173.25 |
$1,069.25 |
| Lumbar discectomy or laminotomy to free a nerve root, one level
code 63030 |
20 |
$1,290.50 |
$10,332.61 |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level
code 22633 |
8 |
$1,833.00 |
$4,748.40 |
| Lumbar interbody fusion (PLIF or TLIF), one level
code 22630 |
8 |
$4,268.80 |
$37,310.30 |
| Lumbar laminectomy (spinal decompression), one level
code 63047 |
18 |
$1,238.00 |
$10,513.59 |
| Lumbar spinal fusion (posterior), one level
code 22612 |
8 |
$1,756.50 |
$4,578.40 |
| Lumpectomy (partial mastectomy)
code 19301 |
21 |
$333.00 |
$5,383.86 |
| Mastectomy (total removal of the breast)
code 19303 |
23 |
$483.75 |
$8,749.00 |
| Miscarriage treatment with D&C, first trimester
code 59820 |
27 |
$441.00 |
$3,386.63 |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals
code 17311 |
8 |
$292.00 |
$1,286.18 |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm
code 11400 |
68 |
$76.80 |
$675.00 |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm
code 11440 |
60 |
$101.71 |
$739.00 |
| Nail removal (partial or complete), one nail
code 11730 |
84 |
$30.60 |
$205.00 |
| Occipital nerve block (injection for headaches)
code 64405 |
78 |
$90.25 |
$517.00 |
| Open Roux-en-Y gastric bypass through an abdominal incision
code 43846 |
5 |
$1,659.50 |
$1,659.50 |
| Pacemaker implant (dual chamber)
code 33208 |
50 |
$6,340.10 |
$16,327.00 |
| Paracentesis with imaging guidance
code 49083 |
84 |
$142.75 |
$1,220.05 |
| Partial knee replacement (one compartment)
code 27446 |
11 |
$1,160.50 |
$2,550.85 |
| Permanent removal of a nail and nail root (partial or complete)
code 11750 |
81 |
$70.25 |
$518.80 |
| Prostate biopsy
code 55700 |
54 |
$195.38 |
$1,526.85 |
| Prostate removal (prostatectomy), laparoscopic
code 55866 |
12 |
$1,190.50 |
$15,410.09 |
| Radiofrequency ablation of facet joint nerves, lower back, one level
code 64635 |
57 |
$300.00 |
$2,430.40 |
| Removal of a breast lump, open surgery
code 19120 |
55 |
$247.20 |
$5,383.86 |
| Removal of a foreign object under the skin, simple
code 10120 |
87 |
$53.50 |
$369.00 |
| Removal of one lobe of the thyroid (lobectomy)
code 60220 |
15 |
$712.50 |
$8,312.83 |
| Screening colonoscopy for a person at average risk (Medicare code)
code G0121 |
35 |
$168.75 |
$999.30 |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code)
code G0105 |
35 |
$168.50 |
$999.30 |
| Septoplasty to straighten the nasal septum
code 30520 |
17 |
$672.50 |
$2,568.71 |
| Shock-wave lithotripsy to break up kidney stones (from outside the body)
code 50590 |
28 |
$810.50 |
$6,468.48 |
| Short arm cast (elbow to hand)
code 29075 |
66 |
$68.69 |
$247.00 |
| Short arm splint (forearm and hand)
code 29125 |
76 |
$43.25 |
$186.98 |
| Short leg cast (below the knee)
code 29405 |
69 |
$68.69 |
$273.00 |
| Short leg splint (calf to foot)
code 29515 |
77 |
$43.25 |
$160.65 |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle)
code 29824 |
12 |
$759.50 |
$1,453.43 |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery)
code 29826 |
7 |
$219.64 |
$284.80 |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs
code 12001 |
80 |
$47.00 |
$210.83 |
| Skin biopsy, punch, one lesion
code 11104 |
79 |
$48.50 |
$366.03 |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm
code 11600 |
38 |
$70.20 |
$329.62 |
| Skin tag removal, up to 15 tags
code 11200 |
74 |
$32.00 |
$175.00 |
| Spinal tap (lumbar puncture), diagnostic
code 62270 |
84 |
$114.50 |
$856.05 |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs
code 12002 |
77 |
$35.40 |
$241.00 |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair
code 12011 |
71 |
$56.00 |
$236.00 |
| TURP (transurethral resection of the prostate)
code 52601 |
19 |
$727.50 |
$6,269.16 |
| Tangential (shave-style) skin biopsy, one lesion
code 11102 |
73 |
$38.75 |
$286.65 |
| Thoracentesis with imaging guidance
code 32555 |
84 |
$145.50 |
$1,092.18 |
| Tonsil and adenoid removal, age 12 or older
code 42821 |
13 |
$475.20 |
$3,420.54 |
| Tonsil and adenoid removal, child under 12
code 42820 |
17 |
$456.80 |
$3,265.21 |
| Tonsil removal (tonsillectomy) only, age 12 or older
code 42826 |
16 |
$396.80 |
$4,020.18 |
| Tonsil removal (tonsillectomy) only, child under 12
code 42825 |
7 |
$415.20 |
$3,109.08 |
| Total hip replacement
code 27130 |
21 |
$1,423.50 |
$21,184.13 |
| Total knee replacement
code 27447 |
22 |
$1,422.00 |
$16,651.85 |
| Total shoulder replacement
code 23472 |
14 |
$1,456.00 |
$24,109.66 |
| Total thyroid removal (thyroidectomy)
code 60240 |
14 |
$922.00 |
$8,312.83 |
| Trigger finger release surgery
code 26055 |
45 |
$293.00 |
$1,863.20 |
| Trigger point injections, 1 or 2 muscles
code 20552 |
76 |
$46.00 |
$364.00 |
| Tubal ligation, laparoscopic (tubes sealed by cautery)
code 58670 |
13 |
$373.50 |
$4,956.31 |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion
code 19083 |
77 |
$234.99 |
$1,850.85 |
| Upper endoscopy (EGD) with balloon widening of the esophagus
code 43249 |
28 |
$232.80 |
$2,269.42 |
| Upper endoscopy (EGD) with biopsy
code 43239 |
34 |
$167.75 |
$1,247.13 |
| Upper endoscopy (EGD) with injection into the lining
code 43236 |
16 |
$272.00 |
$1,385.04 |
| Upper endoscopy (EGD) with polyp removal by snare
code 43251 |
25 |
$338.40 |
$2,066.40 |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire
code 43248 |
23 |
$292.00 |
$1,476.31 |
| Upper endoscopy (EGD), diagnostic
code 43235 |
33 |
$142.25 |
$791.40 |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall
code 43240 |
7 |
$596.80 |
$3,546.40 |
| Ureteroscopy with laser stone breaking (lithotripsy)
code 52353 |
21 |
$386.00 |
$7,372.68 |
| Ureteroscopy with laser stone breaking and stent placement
code 52356 |
26 |
$615.20 |
$9,918.39 |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care
code 59610 |
6 |
$2,300.00 |
$2,939.84 |
| Vaginal delivery, including prenatal and postpartum care
code 59400 |
7 |
$2,190.50 |
$3,283.20 |
| Vasectomy, one or both sides, including follow-up semen testing
code 55250 |
33 |
$268.00 |
$3,389.80 |
| Vein ablation, radiofrequency, first vein
code 36475 |
34 |
$551.20 |
$3,751.48 |
| Wart removal, up to 14 warts
code 17110 |
65 |
$29.75 |
$203.00 |
| Wound debridement, skin and tissue under it, first 20 sq cm
code 11042 |
87 |
$64.50 |
$557.00 |
| Wrist fracture surgery (plate and screws), distal radius
code 25607 |
19 |
$761.50 |
$9,422.60 |