| Adenoid removal (adenoidectomy), child under 12
code 42830 |
9 |
$384.75 |
$910.35 |
| Anterior cervical discectomy and fusion (ACDF), one level
code 22551 |
4 |
$2,320.00 |
$13,298.99 |
| Appendectomy for a ruptured appendix with abscess or peritonitis
code 44960 |
8 |
$366.35 |
$2,088.88 |
| Appendectomy, open surgery
code 44950 |
8 |
$976.00 |
$1,535.81 |
| Arthroscopic ACL reconstruction or repair of the knee
code 29888 |
9 |
$1,492.96 |
$3,167.10 |
| Arthroscopic rotator cuff repair of the shoulder
code 29827 |
12 |
$1,271.04 |
$3,623.96 |
| Balloon dilation of the maxillary sinus opening, one side
code 31295 |
5 |
$547.81 |
$2,600.15 |
| Botox injections for chronic migraine
code 64615 |
48 |
$54.64 |
$606.61 |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion
code 19081 |
48 |
$386.40 |
$1,726.64 |
| Broken ankle (outer ankle bone) treatment without surgery or setting
code 27786 |
44 |
$111.44 |
$448.00 |
| Broken foot (metatarsal) treatment without surgery or setting
code 28470 |
41 |
$86.24 |
$371.20 |
| Bunion correction with a bone cut near the head of the first metatarsal
code 28296 |
11 |
$1,171.80 |
$2,199.71 |
| Bunion correction with removal of part of the big toe joint
code 28292 |
10 |
$728.25 |
$2,633.87 |
| Cardiac catheterization with coronary angiogram
code 93458 |
24 |
$2,857.40 |
$4,146.67 |
| Cardioversion, elective (restoring heart rhythm)
code 92960 |
82 |
$150.00 |
$1,044.94 |
| Carpal tunnel release, open surgery
code 64721 |
19 |
$664.64 |
$1,950.30 |
| Cataract surgery with lens implant
code 66984 |
10 |
$1,233.00 |
$3,244.01 |
| Catheter ablation for atrial fibrillation
code 93656 |
29 |
$9,022.00 |
$20,213.95 |
| Cervical biopsy
code 57500 |
28 |
$187.86 |
$709.88 |
| Cesarean delivery, including prenatal and postpartum care
code 59510 |
6 |
$2,260.05 |
$3,560.64 |
| Circumcision by surgical excision, older than 28 days (children and adults)
code 54161 |
16 |
$267.52 |
$1,537.55 |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns
code 54150 |
47 |
$83.28 |
$243.87 |
| Circumcision, surgical, older than a newborn
code 54160 |
11 |
$269.20 |
$800.19 |
| Closed treatment of a wrist (distal radius) fracture, no resetting
code 25600 |
60 |
$112.56 |
$492.64 |
| Colonoscopy with endoscopic ultrasound
code 45391 |
15 |
$776.36 |
$1,182.95 |
| Colonoscopy with polyp removal
code 45385 |
50 |
$531.70 |
$1,640.74 |
| Colonoscopy with tissue sample
code 45380 |
50 |
$495.38 |
$1,602.13 |
| Colonoscopy, diagnostic
code 45378 |
52 |
$372.62 |
$1,339.99 |
| Colposcopy with LEEP (loop electrosurgical excision)
code 57460 |
12 |
$304.50 |
$1,154.25 |
| Colposcopy with cervical biopsy and scraping of the cervical canal
code 57454 |
39 |
$53.04 |
$689.85 |
| Complex cataract surgery with lens implant
code 66982 |
7 |
$1,323.75 |
$2,717.98 |
| Coronary stent placement, one artery
code 92928 |
21 |
$6,003.92 |
$11,978.68 |
| Cystoscopy with ureteral stent placement
code 52332 |
32 |
$691.30 |
$3,666.18 |
| Cystoscopy, diagnostic look inside the bladder and urethra
code 52000 |
53 |
$288.64 |
$830.69 |
| D&C (dilation and curettage), not related to pregnancy
code 58120 |
23 |
$335.00 |
$1,690.72 |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion
code 17000 |
46 |
$21.04 |
$181.92 |
| Ear tube placement (tympanostomy) under general anesthesia, one ear
code 69436 |
18 |
$289.50 |
$1,841.80 |
| Ear tube placement (tympanostomy) with local anesthesia, one ear
code 69433 |
18 |
$66.40 |
$478.79 |
| Earwax removal by irrigation (rinsing), one ear
code 69209 |
76 |
$11.90 |
$77.42 |
| Earwax removal with instruments, one ear
code 69210 |
74 |
$16.96 |
$123.46 |
| Endometrial biopsy (uterine lining sample) without dilating the cervix
code 58100 |
47 |
$42.16 |
$248.32 |
| Endoscopic sinus surgery: full ethmoid sinus opening
code 31255 |
4 |
$1,068.00 |
$3,881.61 |
| Endoscopic sinus surgery: opening the frontal sinus
code 31276 |
4 |
$1,925.77 |
$6,485.20 |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus
code 31256 |
7 |
$272.00 |
$1,470.07 |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue
code 31267 |
7 |
$464.00 |
$5,154.50 |
| Epidural steroid injection, neck or mid back, with imaging guidance
code 62321 |
67 |
$469.70 |
$1,210.38 |
| Eye injection into the vitreous (intravitreal injection)
code 67028 |
21 |
$158.86 |
$493.96 |
| Facet joint injection, lower back, one level, with imaging guidance
code 64493 |
67 |
$160.72 |
$1,387.75 |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm
code 49593 |
15 |
$672.37 |
$1,739.14 |
| First repair of a front abdominal hernia larger than 10 cm
code 49595 |
13 |
$903.68 |
$2,465.82 |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm
code 49591 |
19 |
$544.36 |
$2,605.46 |
| Flexible sigmoidoscopy, diagnostic (lower colon only)
code 45330 |
55 |
$116.35 |
$944.38 |
| Gallbladder removal, laparoscopic
code 47562 |
21 |
$1,060.20 |
$4,296.78 |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery
code 47563 |
20 |
$1,080.66 |
$4,340.56 |
| Gallbladder removal, open surgery through a larger incision
code 47600 |
9 |
$478.55 |
$1,834.50 |
| Hammertoe correction surgery
code 28285 |
22 |
$539.25 |
$2,346.32 |
| Hemorrhoid banding (rubber band ligation)
code 46221 |
39 |
$218.64 |
$815.17 |
| Hemorrhoidectomy (internal and external), one area
code 46255 |
21 |
$549.90 |
$3,024.10 |
| Hip replacement after an earlier hip surgery (conversion to total hip)
code 27132 |
4 |
$1,642.50 |
$7,531.08 |
| Hysterectomy through an abdominal incision (total)
code 58150 |
10 |
$663.85 |
$2,652.85 |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes
code 58340 |
47 |
$89.08 |
$313.60 |
| Hysteroscopy with endometrial ablation
code 58563 |
15 |
$1,610.88 |
$3,745.82 |
| Hysteroscopy with uterine lining sampling and/or polyp removal
code 58558 |
20 |
$582.57 |
$2,410.32 |
| IUD insertion (the device itself billed separately)
code 58300 |
42 |
$39.44 |
$311.45 |
| Incision and drainage of a simple or single skin abscess
code 10060 |
83 |
$40.32 |
$285.88 |
| Inguinal (groin) hernia repair, age 5 or older
code 49505 |
21 |
$835.20 |
$2,865.72 |
| Injection into a tendon sheath or ligament (for example trigger finger)
code 20550 |
74 |
$36.96 |
$369.38 |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound
code 20610 |
84 |
$64.79 |
$361.43 |
| Insertion of a drug-delivery implant, such as the arm birth control implant
code 11981 |
40 |
$40.88 |
$273.48 |
| Joint injection or drainage, medium joint (wrist, elbow, ankle)
code 20605 |
80 |
$52.99 |
$305.21 |
| Joint injection or drainage, small joint (fingers, toes)
code 20600 |
80 |
$47.71 |
$323.61 |
| Knee arthroscopy with meniscus repair (one side of the knee)
code 29882 |
12 |
$1,072.60 |
$3,066.96 |
| Knee arthroscopy with meniscus trim
code 29881 |
13 |
$669.44 |
$2,437.50 |
| Knee arthroscopy with removal of both torn meniscus parts
code 29880 |
11 |
$555.75 |
$2,437.50 |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty)
code 29877 |
11 |
$956.04 |
$2,437.50 |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length
code 43644 |
2 |
$8,355.90 |
$11,997.11 |
| Laparoscopic adjustable gastric band placement (Lap-Band)
code 43770 |
2 |
$2,065.50 |
$5,109.70 |
| Laparoscopic appendectomy (appendix removal through small cuts)
code 44970 |
15 |
$850.02 |
$4,048.62 |
| Laparoscopic fundoplication (anti-reflux surgery)
code 43280 |
12 |
$1,231.26 |
$2,881.05 |
| Laparoscopic hysterectomy (uterus 250 g or less)
code 58570 |
8 |
$1,331.92 |
$10,565.10 |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries
code 58571 |
6 |
$1,500.05 |
$10,138.06 |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side
code 49650 |
13 |
$323.05 |
$2,311.40 |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia
code 49651 |
10 |
$745.24 |
$2,613.91 |
| Laparoscopic removal of an adjustable gastric band and its port
code 43774 |
3 |
$1,758.00 |
$5,553.15 |
| Laparoscopic removal of fallopian tubes and/or ovaries
code 58661 |
15 |
$961.62 |
$3,854.16 |
| Laparoscopic sleeve gastrectomy for weight loss
code 43775 |
4 |
$1,897.82 |
$5,276.65 |
| Laser treatment of clouding after cataract surgery (YAG)
code 66821 |
26 |
$702.30 |
$1,601.10 |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs
code 12031 |
69 |
$77.52 |
$453.74 |
| Left heart catheterization, diagnostic
code 93452 |
21 |
$2,651.00 |
$3,655.39 |
| Lower-back epidural injection, with imaging guidance
code 62323 |
73 |
$209.28 |
$1,187.55 |
| Lower-back epidural injection, without imaging guidance
code 62322 |
53 |
$231.20 |
$1,109.60 |
| Lower-back nerve root steroid injection, with imaging guidance
code 64483 |
68 |
$429.10 |
$1,296.41 |
| Lumbar discectomy or laminotomy to free a nerve root, one level
code 63030 |
10 |
$1,082.88 |
$5,660.16 |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level
code 22633 |
3 |
$2,662.40 |
$29,705.52 |
| Lumbar interbody fusion (PLIF or TLIF), one level
code 22630 |
2 |
$2,026.24 |
$18,064.50 |
| Lumbar laminectomy (spinal decompression), one level
code 63047 |
11 |
$1,299.20 |
$5,435.10 |
| Lumbar spinal fusion (posterior), one level
code 22612 |
4 |
$2,166.40 |
$13,493.76 |
| Lumpectomy (partial mastectomy)
code 19301 |
15 |
$564.82 |
$1,691.50 |
| Mastectomy (total removal of the breast)
code 19303 |
16 |
$1,144.97 |
$5,105.10 |
| Miscarriage treatment with D&C, first trimester
code 59820 |
13 |
$559.86 |
$1,713.36 |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals
code 17311 |
12 |
$657.75 |
$1,274.04 |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm
code 11400 |
45 |
$52.08 |
$405.24 |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm
code 11440 |
51 |
$61.04 |
$594.90 |
| Nail removal (partial or complete), one nail
code 11730 |
73 |
$48.16 |
$267.90 |
| Occipital nerve block (injection for headaches)
code 64405 |
66 |
$59.36 |
$611.82 |
| Pacemaker implant (dual chamber)
code 33208 |
28 |
$4,835.33 |
$13,144.54 |
| Paracentesis with imaging guidance
code 49083 |
77 |
$128.80 |
$889.70 |
| Partial knee replacement (one compartment)
code 27446 |
9 |
$1,845.74 |
$4,373.25 |
| Permanent removal of a nail and nail root (partial or complete)
code 11750 |
74 |
$77.28 |
$510.62 |
| Prostate biopsy
code 55700 |
27 |
$344.27 |
$1,735.02 |
| Prostate removal (prostatectomy), laparoscopic
code 55866 |
1 |
$15,376.31 |
$15,376.31 |
| Radiofrequency ablation of facet joint nerves, lower back, one level
code 64635 |
56 |
$346.24 |
$2,131.25 |
| Removal of a breast lump, open surgery
code 19120 |
27 |
$390.40 |
$2,005.81 |
| Removal of a foreign object under the skin, simple
code 10120 |
72 |
$58.80 |
$404.66 |
| Removal of one lobe of the thyroid (lobectomy)
code 60220 |
9 |
$838.73 |
$1,363.84 |
| Screening colonoscopy for a person at average risk (Medicare code)
code G0121 |
49 |
$315.00 |
$1,562.11 |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code)
code G0105 |
48 |
$315.00 |
$1,520.88 |
| Septoplasty to straighten the nasal septum
code 30520 |
9 |
$851.20 |
$2,424.76 |
| Shock-wave lithotripsy to break up kidney stones (from outside the body)
code 50590 |
11 |
$2,472.97 |
$4,613.00 |
| Short arm cast (elbow to hand)
code 29075 |
64 |
$31.92 |
$261.59 |
| Short arm splint (forearm and hand)
code 29125 |
76 |
$27.44 |
$198.69 |
| Short leg cast (below the knee)
code 29405 |
62 |
$31.72 |
$297.95 |
| Short leg splint (calf to foot)
code 29515 |
71 |
$25.20 |
$222.85 |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle)
code 29824 |
10 |
$1,120.34 |
$2,312.83 |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery)
code 29826 |
12 |
$300.00 |
$1,538.31 |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs
code 12001 |
73 |
$48.72 |
$277.86 |
| Skin biopsy, punch, one lesion
code 11104 |
71 |
$39.20 |
$297.89 |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm
code 11600 |
18 |
$214.90 |
$661.97 |
| Skin tag removal, up to 15 tags
code 11200 |
60 |
$27.20 |
$213.09 |
| Spinal tap (lumbar puncture), diagnostic
code 62270 |
76 |
$135.15 |
$734.06 |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs
code 12002 |
73 |
$59.36 |
$322.74 |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair
code 12011 |
68 |
$59.36 |
$288.37 |
| TURP (transurethral resection of the prostate)
code 52601 |
12 |
$1,288.36 |
$3,645.18 |
| Tangential (shave-style) skin biopsy, one lesion
code 11102 |
61 |
$27.20 |
$252.78 |
| Thoracentesis with imaging guidance
code 32555 |
77 |
$142.24 |
$920.21 |
| Tonsil and adenoid removal, age 12 or older
code 42821 |
12 |
$469.96 |
$1,723.69 |
| Tonsil and adenoid removal, child under 12
code 42820 |
10 |
$453.22 |
$843.70 |
| Tonsil removal (tonsillectomy) only, age 12 or older
code 42826 |
13 |
$389.98 |
$1,469.54 |
| Tonsil removal (tonsillectomy) only, child under 12
code 42825 |
8 |
$406.72 |
$693.26 |
| Total hip replacement
code 27130 |
12 |
$2,379.56 |
$6,928.02 |
| Total knee replacement
code 27447 |
13 |
$1,338.75 |
$7,300.53 |
| Total shoulder replacement
code 23472 |
10 |
$1,436.25 |
$5,702.99 |
| Total thyroid removal (thyroidectomy)
code 60240 |
9 |
$1,460.99 |
$2,582.40 |
| Trigger finger release surgery
code 26055 |
22 |
$250.32 |
$1,242.66 |
| Trigger point injections, 1 or 2 muscles
code 20552 |
82 |
$49.94 |
$318.78 |
| Tubal ligation, laparoscopic (tubes sealed by cautery)
code 58670 |
7 |
$366.75 |
$777.60 |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion
code 19083 |
63 |
$301.00 |
$1,756.52 |
| Upper endoscopy (EGD) with balloon widening of the esophagus
code 43249 |
47 |
$629.12 |
$1,879.24 |
| Upper endoscopy (EGD) with biopsy
code 43239 |
57 |
$208.32 |
$1,404.35 |
| Upper endoscopy (EGD) with injection into the lining
code 43236 |
36 |
$531.70 |
$1,537.34 |
| Upper endoscopy (EGD) with polyp removal by snare
code 43251 |
44 |
$451.20 |
$1,789.09 |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire
code 43248 |
35 |
$391.04 |
$1,614.06 |
| Upper endoscopy (EGD), diagnostic
code 43235 |
55 |
$128.80 |
$1,210.94 |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall
code 43240 |
9 |
$769.00 |
$3,237.96 |
| Ureteroscopy with laser stone breaking (lithotripsy)
code 52353 |
6 |
$603.26 |
$4,291.81 |
| Ureteroscopy with laser stone breaking and stent placement
code 52356 |
7 |
$639.22 |
$5,672.04 |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care
code 59610 |
5 |
$2,848.00 |
$3,804.00 |
| Vaginal delivery, including prenatal and postpartum care
code 59400 |
6 |
$1,790.10 |
$3,167.78 |
| Vasectomy, one or both sides, including follow-up semen testing
code 55250 |
21 |
$556.14 |
$1,722.61 |
| Vein ablation, radiofrequency, first vein
code 36475 |
39 |
$543.90 |
$3,801.42 |
| Wart removal, up to 14 warts
code 17110 |
54 |
$34.00 |
$196.18 |
| Wound debridement, skin and tissue under it, first 20 sq cm
code 11042 |
74 |
$53.76 |
$450.63 |
| Wrist fracture surgery (plate and screws), distal radius
code 25607 |
16 |
$295.68 |
$3,005.44 |