| Adenoid removal (adenoidectomy), child under 12
code 42830 |
17 |
$422.40 |
$4,348.80 |
| Anterior cervical discectomy and fusion (ACDF), one level
code 22551 |
4 |
$3,895.20 |
$14,085.27 |
| Appendectomy for a ruptured appendix with abscess or peritonitis
code 44960 |
3 |
$1,140.50 |
$1,474.80 |
| Appendectomy, open surgery
code 44950 |
5 |
$990.50 |
$1,785.00 |
| Arthroscopic ACL reconstruction or repair of the knee
code 29888 |
24 |
$1,010.01 |
$15,594.51 |
| Arthroscopic rotator cuff repair of the shoulder
code 29827 |
23 |
$1,111.00 |
$9,765.41 |
| Balloon dilation of the maxillary sinus opening, one side
code 31295 |
5 |
$976.50 |
$5,995.45 |
| Botox injections for chronic migraine
code 64615 |
33 |
$88.90 |
$374.82 |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion
code 19081 |
33 |
$671.00 |
$2,310.10 |
| Broken ankle (outer ankle bone) treatment without surgery or setting
code 27786 |
25 |
$169.40 |
$438.38 |
| Broken foot (metatarsal) treatment without surgery or setting
code 28470 |
26 |
$151.20 |
$388.53 |
| Bunion correction with a bone cut near the head of the first metatarsal
code 28296 |
11 |
$993.75 |
$3,261.00 |
| Bunion correction with removal of part of the big toe joint
code 28292 |
11 |
$622.40 |
$3,261.00 |
| Cardiac catheterization with coronary angiogram
code 93458 |
32 |
$3,231.00 |
$9,307.03 |
| Cardioversion, elective (restoring heart rhythm)
code 92960 |
62 |
$136.50 |
$1,061.98 |
| Carpal tunnel release, open surgery
code 64721 |
20 |
$442.00 |
$2,550.00 |
| Cataract surgery with lens implant
code 66984 |
22 |
$883.20 |
$4,458.95 |
| Catheter ablation for atrial fibrillation
code 93656 |
24 |
$11,487.34 |
$24,016.35 |
| Cervical biopsy
code 57500 |
23 |
$161.00 |
$774.90 |
| Cesarean delivery, including prenatal and postpartum care
code 59510 |
7 |
$602.10 |
$3,852.00 |
| Circumcision by surgical excision, older than 28 days (children and adults)
code 54161 |
29 |
$213.50 |
$2,770.52 |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns
code 54150 |
32 |
$105.00 |
$364.33 |
| Circumcision, surgical, older than a newborn
code 54160 |
11 |
$245.00 |
$516.60 |
| Closed treatment of a wrist (distal radius) fracture, no resetting
code 25600 |
30 |
$166.00 |
$415.87 |
| Colonoscopy with endoscopic ultrasound
code 45391 |
8 |
$1,563.00 |
$2,775.01 |
| Colonoscopy with polyp removal
code 45385 |
25 |
$167.70 |
$1,700.00 |
| Colonoscopy with tissue sample
code 45380 |
27 |
$169.00 |
$1,508.87 |
| Colonoscopy, diagnostic
code 45378 |
42 |
$167.70 |
$1,683.35 |
| Colposcopy with LEEP (loop electrosurgical excision)
code 57460 |
18 |
$248.80 |
$2,251.70 |
| Colposcopy with cervical biopsy and scraping of the cervical canal
code 57454 |
24 |
$222.47 |
$379.88 |
| Complex cataract surgery with lens implant
code 66982 |
15 |
$1,595.20 |
$3,927.42 |
| Coronary stent placement, one artery
code 92928 |
26 |
$5,817.97 |
$13,906.30 |
| Cystoscopy with ureteral stent placement
code 52332 |
25 |
$872.70 |
$5,129.25 |
| Cystoscopy, diagnostic look inside the bladder and urethra
code 52000 |
37 |
$198.75 |
$1,622.04 |
| D&C (dilation and curettage), not related to pregnancy
code 58120 |
19 |
$632.50 |
$3,688.08 |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion
code 17000 |
37 |
$46.82 |
$137.80 |
| Ear tube placement (tympanostomy) under general anesthesia, one ear
code 69436 |
21 |
$166.50 |
$3,257.38 |
| Ear tube placement (tympanostomy) with local anesthesia, one ear
code 69433 |
16 |
$202.50 |
$541.70 |
| Earwax removal by irrigation (rinsing), one ear
code 69209 |
53 |
$13.00 |
$110.50 |
| Earwax removal with instruments, one ear
code 69210 |
57 |
$33.24 |
$103.73 |
| Endometrial biopsy (uterine lining sample) without dilating the cervix
code 58100 |
27 |
$101.70 |
$255.30 |
| Endoscopic sinus surgery: full ethmoid sinus opening
code 31255 |
15 |
$428.00 |
$7,800.00 |
| Endoscopic sinus surgery: opening the frontal sinus
code 31276 |
14 |
$412.00 |
$8,292.05 |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus
code 31256 |
13 |
$210.50 |
$3,315.00 |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue
code 31267 |
17 |
$339.50 |
$8,128.80 |
| Epidural steroid injection, neck or mid back, with imaging guidance
code 62321 |
43 |
$232.50 |
$1,530.00 |
| Eye injection into the vitreous (intravitreal injection)
code 67028 |
9 |
$267.82 |
$331.50 |
| Facet joint injection, lower back, one level, with imaging guidance
code 64493 |
47 |
$176.25 |
$1,084.30 |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm
code 49593 |
14 |
$549.50 |
$4,766.00 |
| First repair of a front abdominal hernia larger than 10 cm
code 49595 |
13 |
$739.00 |
$11,445.60 |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm
code 49591 |
14 |
$515.00 |
$3,904.99 |
| Flexible sigmoidoscopy, diagnostic (lower colon only)
code 45330 |
42 |
$120.00 |
$1,246.20 |
| Gallbladder removal, laparoscopic
code 47562 |
17 |
$878.50 |
$6,025.00 |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery
code 47563 |
15 |
$690.30 |
$6,025.00 |
| Gallbladder removal, open surgery through a larger incision
code 47600 |
5 |
$1,120.00 |
$2,364.30 |
| Hammertoe correction surgery
code 28285 |
13 |
$600.00 |
$2,529.60 |
| Hemorrhoid banding (rubber band ligation)
code 46221 |
31 |
$203.00 |
$1,360.00 |
| Hemorrhoidectomy (internal and external), one area
code 46255 |
11 |
$599.00 |
$3,000.60 |
| Hip replacement after an earlier hip surgery (conversion to total hip)
code 27132 |
3 |
$2,788.80 |
$3,154.50 |
| Hysterectomy through an abdominal incision (total)
code 58150 |
12 |
$1,683.00 |
$14,993.60 |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes
code 58340 |
39 |
$59.21 |
$232.42 |
| Hysteroscopy with endometrial ablation
code 58563 |
28 |
$950.00 |
$6,790.98 |
| Hysteroscopy with uterine lining sampling and/or polyp removal
code 58558 |
30 |
$409.50 |
$4,355.77 |
| IUD insertion (the device itself billed separately)
code 58300 |
29 |
$97.90 |
$418.20 |
| Incision and drainage of a simple or single skin abscess
code 10060 |
63 |
$77.18 |
$282.75 |
| Inguinal (groin) hernia repair, age 5 or older
code 49505 |
16 |
$636.00 |
$3,276.08 |
| Injection into a tendon sheath or ligament (for example trigger finger)
code 20550 |
58 |
$81.50 |
$323.88 |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound
code 20610 |
60 |
$64.16 |
$290.88 |
| Insertion of a drug-delivery implant, such as the arm birth control implant
code 11981 |
24 |
$85.00 |
$184.00 |
| Joint injection or drainage, medium joint (wrist, elbow, ankle)
code 20605 |
61 |
$57.60 |
$338.65 |
| Joint injection or drainage, small joint (fingers, toes)
code 20600 |
57 |
$55.20 |
$273.48 |
| Knee arthroscopy with meniscus repair (one side of the knee)
code 29882 |
25 |
$744.50 |
$9,149.53 |
| Knee arthroscopy with meniscus trim
code 29881 |
26 |
$877.60 |
$6,909.19 |
| Knee arthroscopy with removal of both torn meniscus parts
code 29880 |
24 |
$1,180.00 |
$6,914.88 |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty)
code 29877 |
22 |
$649.50 |
$6,939.09 |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length
code 43644 |
11 |
$1,656.50 |
$25,495.50 |
| Laparoscopic appendectomy (appendix removal through small cuts)
code 44970 |
17 |
$654.00 |
$6,736.51 |
| Laparoscopic fundoplication (anti-reflux surgery)
code 43280 |
7 |
$1,027.00 |
$2,975.00 |
| Laparoscopic hysterectomy (uterus 250 g or less)
code 58570 |
11 |
$843.00 |
$15,647.82 |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries
code 58571 |
17 |
$971.50 |
$16,209.79 |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side
code 49650 |
15 |
$410.50 |
$4,662.05 |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia
code 49651 |
19 |
$525.00 |
$10,837.63 |
| Laparoscopic removal of an adjustable gastric band and its port
code 43774 |
8 |
$3,204.50 |
$12,006.87 |
| Laparoscopic removal of fallopian tubes and/or ovaries
code 58661 |
22 |
$700.00 |
$10,560.41 |
| Laparoscopic sleeve gastrectomy for weight loss
code 43775 |
12 |
$760.80 |
$21,149.34 |
| Laser treatment of clouding after cataract surgery (YAG)
code 66821 |
16 |
$452.80 |
$761.40 |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs
code 12031 |
49 |
$135.00 |
$434.20 |
| Left heart catheterization, diagnostic
code 93452 |
31 |
$3,231.00 |
$6,603.44 |
| Lower-back epidural injection, with imaging guidance
code 62323 |
45 |
$175.20 |
$1,430.40 |
| Lower-back epidural injection, without imaging guidance
code 62322 |
33 |
$183.75 |
$1,114.20 |
| Lower-back nerve root steroid injection, with imaging guidance
code 64483 |
48 |
$217.50 |
$1,507.05 |
| Lumbar discectomy or laminotomy to free a nerve root, one level
code 63030 |
13 |
$1,754.00 |
$13,367.05 |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level
code 22633 |
1 |
$112,978.28 |
$112,978.28 |
| Lumbar interbody fusion (PLIF or TLIF), one level
code 22630 |
1 |
$40,641.33 |
$40,641.33 |
| Lumbar laminectomy (spinal decompression), one level
code 63047 |
10 |
$7,232.00 |
$17,449.56 |
| Lumbar spinal fusion (posterior), one level
code 22612 |
6 |
$3,613.79 |
$15,923.05 |
| Lumpectomy (partial mastectomy)
code 19301 |
19 |
$707.50 |
$3,639.30 |
| Mastectomy (total removal of the breast)
code 19303 |
14 |
$1,040.00 |
$5,865.60 |
| Miscarriage treatment with D&C, first trimester
code 59820 |
27 |
$414.00 |
$4,691.70 |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals
code 17311 |
1 |
$506.40 |
$506.40 |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm
code 11400 |
40 |
$54.60 |
$552.22 |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm
code 11440 |
37 |
$112.50 |
$633.10 |
| Nail removal (partial or complete), one nail
code 11730 |
60 |
$54.23 |
$247.42 |
| Occipital nerve block (injection for headaches)
code 64405 |
51 |
$81.50 |
$380.10 |
| Open Roux-en-Y gastric bypass through an abdominal incision
code 43846 |
1 |
$1,094.40 |
$1,094.40 |
| Pacemaker implant (dual chamber)
code 33208 |
32 |
$4,385.79 |
$16,526.06 |
| Paracentesis with imaging guidance
code 49083 |
57 |
$243.75 |
$1,008.80 |
| Partial knee replacement (one compartment)
code 27446 |
7 |
$1,225.50 |
$12,796.00 |
| Permanent removal of a nail and nail root (partial or complete)
code 11750 |
54 |
$105.00 |
$587.79 |
| Prostate biopsy
code 55700 |
23 |
$237.30 |
$2,748.75 |
| Prostate removal (prostatectomy), laparoscopic
code 55866 |
8 |
$11,806.79 |
$26,842.93 |
| Radiofrequency ablation of facet joint nerves, lower back, one level
code 64635 |
41 |
$502.50 |
$1,806.35 |
| Removal of a breast lump, open surgery
code 19120 |
26 |
$599.00 |
$2,462.91 |
| Removal of a foreign object under the skin, simple
code 10120 |
59 |
$98.50 |
$491.06 |
| Removal of one lobe of the thyroid (lobectomy)
code 60220 |
16 |
$753.00 |
$12,018.89 |
| Screening colonoscopy for a person at average risk (Medicare code)
code G0121 |
23 |
$398.40 |
$1,366.40 |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code)
code G0105 |
24 |
$303.44 |
$1,344.70 |
| Septoplasty to straighten the nasal septum
code 30520 |
20 |
$623.50 |
$7,293.94 |
| Shock-wave lithotripsy to break up kidney stones (from outside the body)
code 50590 |
24 |
$725.00 |
$7,982.72 |
| Short arm cast (elbow to hand)
code 29075 |
42 |
$72.00 |
$267.93 |
| Short arm splint (forearm and hand)
code 29125 |
51 |
$60.00 |
$185.69 |
| Short leg cast (below the knee)
code 29405 |
36 |
$51.80 |
$283.60 |
| Short leg splint (calf to foot)
code 29515 |
46 |
$75.50 |
$198.63 |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle)
code 29824 |
21 |
$695.00 |
$12,268.66 |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery)
code 29826 |
21 |
$188.50 |
$13,632.30 |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs
code 12001 |
52 |
$77.00 |
$258.00 |
| Skin biopsy, punch, one lesion
code 11104 |
54 |
$80.55 |
$332.52 |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm
code 11600 |
28 |
$200.00 |
$633.10 |
| Skin tag removal, up to 15 tags
code 11200 |
48 |
$72.77 |
$168.35 |
| Spinal tap (lumbar puncture), diagnostic
code 62270 |
60 |
$84.00 |
$667.93 |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs
code 12002 |
48 |
$72.00 |
$321.67 |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair
code 12011 |
43 |
$95.85 |
$255.00 |
| TURP (transurethral resection of the prostate)
code 52601 |
14 |
$1,638.75 |
$9,309.08 |
| Tangential (shave-style) skin biopsy, one lesion
code 11102 |
45 |
$47.70 |
$250.90 |
| Thoracentesis with imaging guidance
code 32555 |
58 |
$126.44 |
$1,022.79 |
| Tonsil and adenoid removal, age 12 or older
code 42821 |
19 |
$581.25 |
$5,799.79 |
| Tonsil and adenoid removal, child under 12
code 42820 |
18 |
$558.75 |
$5,327.34 |
| Tonsil removal (tonsillectomy) only, age 12 or older
code 42826 |
17 |
$562.50 |
$4,745.03 |
| Tonsil removal (tonsillectomy) only, child under 12
code 42825 |
11 |
$506.25 |
$5,442.77 |
| Total hip replacement
code 27130 |
13 |
$954.90 |
$3,639.30 |
| Total knee replacement
code 27447 |
14 |
$1,436.00 |
$14,288.34 |
| Total shoulder replacement
code 23472 |
12 |
$1,541.00 |
$13,391.87 |
| Total thyroid removal (thyroidectomy)
code 60240 |
13 |
$983.00 |
$14,153.54 |
| Trigger finger release surgery
code 26055 |
20 |
$316.00 |
$1,982.17 |
| Trigger point injections, 1 or 2 muscles
code 20552 |
58 |
$49.00 |
$308.50 |
| Tubal ligation, laparoscopic (tubes sealed by cautery)
code 58670 |
10 |
$935.20 |
$2,278.83 |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion
code 19083 |
42 |
$560.00 |
$1,755.99 |
| Upper endoscopy (EGD) with balloon widening of the esophagus
code 43249 |
22 |
$386.25 |
$1,812.50 |
| Upper endoscopy (EGD) with biopsy
code 43239 |
27 |
$169.00 |
$1,376.25 |
| Upper endoscopy (EGD) with injection into the lining
code 43236 |
24 |
$137.50 |
$2,040.00 |
| Upper endoscopy (EGD) with polyp removal by snare
code 43251 |
21 |
$405.00 |
$1,750.13 |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire
code 43248 |
27 |
$167.70 |
$1,757.16 |
| Upper endoscopy (EGD), diagnostic
code 43235 |
46 |
$172.00 |
$1,504.18 |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall
code 43240 |
8 |
$4,453.80 |
$11,543.40 |
| Ureteroscopy with laser stone breaking (lithotripsy)
code 52353 |
14 |
$429.50 |
$4,878.54 |
| Ureteroscopy with laser stone breaking and stent placement
code 52356 |
19 |
$457.00 |
$9,984.88 |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care
code 59610 |
2 |
$1,979.00 |
$2,734.30 |
| Vaginal delivery, including prenatal and postpartum care
code 59400 |
4 |
$2,083.50 |
$2,808.80 |
| Vasectomy, one or both sides, including follow-up semen testing
code 55250 |
18 |
$225.00 |
$1,307.99 |
| Vein ablation, radiofrequency, first vein
code 36475 |
19 |
$1,484.07 |
$4,220.55 |
| Wart removal, up to 14 warts
code 17110 |
43 |
$78.30 |
$180.05 |
| Wound debridement, skin and tissue under it, first 20 sq cm
code 11042 |
56 |
$86.25 |
$562.50 |
| Wrist fracture surgery (plate and screws), distal radius
code 25607 |
12 |
$736.80 |
$4,150.34 |