| Adenoid removal (adenoidectomy), child under 12
code 42830 |
29 |
$631.00 |
$3,837.72 |
| Anterior cervical discectomy and fusion (ACDF), one level
code 22551 |
26 |
$1,414.80 |
$15,226.08 |
| Appendectomy for a ruptured appendix with abscess or peritonitis
code 44960 |
8 |
$777.01 |
$4,321.00 |
| Appendectomy, open surgery
code 44950 |
23 |
$516.00 |
$7,383.87 |
| Arthroscopic ACL reconstruction or repair of the knee
code 29888 |
33 |
$822.00 |
$8,453.60 |
| Arthroscopic rotator cuff repair of the shoulder
code 29827 |
35 |
$679.35 |
$8,453.60 |
| Balloon dilation of the maxillary sinus opening, one side
code 31295 |
28 |
$4,083.00 |
$8,191.77 |
| Botox injections for chronic migraine
code 64615 |
57 |
$144.14 |
$436.00 |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion
code 19081 |
77 |
$486.00 |
$3,080.00 |
| Broken ankle (outer ankle bone) treatment without surgery or setting
code 27786 |
82 |
$94.93 |
$526.88 |
| Broken foot (metatarsal) treatment without surgery or setting
code 28470 |
79 |
$57.02 |
$456.00 |
| Bunion correction with a bone cut near the head of the first metatarsal
code 28296 |
30 |
$1,013.88 |
$3,839.54 |
| Bunion correction with removal of part of the big toe joint
code 28292 |
27 |
$917.71 |
$3,839.54 |
| Cardiac catheterization with coronary angiogram
code 93458 |
66 |
$1,592.24 |
$6,104.08 |
| Cardioversion, elective (restoring heart rhythm)
code 92960 |
108 |
$196.00 |
$1,034.13 |
| Carpal tunnel release, open surgery
code 64721 |
38 |
$342.00 |
$2,310.83 |
| Cataract surgery with lens implant
code 66984 |
35 |
$1,506.64 |
$2,698.92 |
| Catheter ablation for atrial fibrillation
code 93656 |
53 |
$3,391.67 |
$29,030.54 |
| Cervical biopsy
code 57500 |
80 |
$130.65 |
$1,496.94 |
| Cesarean delivery, including prenatal and postpartum care
code 59510 |
5 |
$1,922.40 |
$6,220.28 |
| Circumcision by surgical excision, older than 28 days (children and adults)
code 54161 |
47 |
$569.00 |
$3,649.00 |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns
code 54150 |
71 |
$82.80 |
$2,424.12 |
| Circumcision, surgical, older than a newborn
code 54160 |
42 |
$126.00 |
$1,284.04 |
| Closed treatment of a wrist (distal radius) fracture, no resetting
code 25600 |
91 |
$57.51 |
$561.60 |
| Colonoscopy with endoscopic ultrasound
code 45391 |
28 |
$205.80 |
$1,456.58 |
| Colonoscopy with polyp removal
code 45385 |
57 |
$202.80 |
$1,918.00 |
| Colonoscopy with tissue sample
code 45380 |
60 |
$160.80 |
$1,395.28 |
| Colonoscopy, diagnostic
code 45378 |
66 |
$245.10 |
$1,945.66 |
| Colposcopy with LEEP (loop electrosurgical excision)
code 57460 |
59 |
$233.20 |
$3,780.00 |
| Colposcopy with cervical biopsy and scraping of the cervical canal
code 57454 |
75 |
$98.05 |
$668.14 |
| Complex cataract surgery with lens implant
code 66982 |
35 |
$1,506.64 |
$2,698.92 |
| Coronary stent placement, one artery
code 92928 |
63 |
$1,712.00 |
$13,950.00 |
| Cystoscopy with ureteral stent placement
code 52332 |
62 |
$440.00 |
$4,382.09 |
| Cystoscopy, diagnostic look inside the bladder and urethra
code 52000 |
78 |
$180.56 |
$1,444.00 |
| D&C (dilation and curettage), not related to pregnancy
code 58120 |
61 |
$689.00 |
$3,762.53 |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion
code 17000 |
84 |
$21.08 |
$290.00 |
| Ear tube placement (tympanostomy) under general anesthesia, one ear
code 69436 |
34 |
$471.00 |
$1,752.89 |
| Ear tube placement (tympanostomy) with local anesthesia, one ear
code 69433 |
46 |
$391.00 |
$1,089.00 |
| Earwax removal by irrigation (rinsing), one ear
code 69209 |
103 |
$16.00 |
$121.00 |
| Earwax removal with instruments, one ear
code 69210 |
106 |
$22.96 |
$130.00 |
| Endometrial biopsy (uterine lining sample) without dilating the cervix
code 58100 |
87 |
$49.20 |
$461.00 |
| Endoscopic sinus surgery: full ethmoid sinus opening
code 31255 |
29 |
$931.00 |
$8,191.77 |
| Endoscopic sinus surgery: opening the frontal sinus
code 31276 |
32 |
$1,091.00 |
$8,191.77 |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus
code 31256 |
34 |
$519.00 |
$4,362.99 |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue
code 31267 |
34 |
$767.00 |
$8,191.77 |
| Epidural steroid injection, neck or mid back, with imaging guidance
code 62321 |
71 |
$243.29 |
$1,396.54 |
| Eye injection into the vitreous (intravitreal injection)
code 67028 |
55 |
$202.14 |
$721.00 |
| Facet joint injection, lower back, one level, with imaging guidance
code 64493 |
81 |
$152.65 |
$2,006.79 |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm
code 49593 |
32 |
$457.80 |
$7,383.87 |
| First repair of a front abdominal hernia larger than 10 cm
code 49595 |
30 |
$618.00 |
$7,383.87 |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm
code 49591 |
34 |
$472.56 |
$4,176.15 |
| Flexible sigmoidoscopy, diagnostic (lower colon only)
code 45330 |
71 |
$98.00 |
$1,994.00 |
| Gallbladder removal, laparoscopic
code 47562 |
40 |
$532.80 |
$6,904.15 |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery
code 47563 |
34 |
$579.00 |
$6,904.15 |
| Gallbladder removal, open surgery through a larger incision
code 47600 |
10 |
$861.00 |
$4,202.00 |
| Hammertoe correction surgery
code 28285 |
32 |
$661.30 |
$3,839.54 |
| Hemorrhoid banding (rubber band ligation)
code 46221 |
54 |
$230.40 |
$1,140.93 |
| Hemorrhoidectomy (internal and external), one area
code 46255 |
49 |
$288.60 |
$3,649.00 |
| Hip replacement after an earlier hip surgery (conversion to total hip)
code 27132 |
13 |
$1,401.60 |
$17,098.83 |
| Hysterectomy through an abdominal incision (total)
code 58150 |
12 |
$886.62 |
$6,206.50 |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes
code 58340 |
73 |
$40.54 |
$303.00 |
| Hysteroscopy with endometrial ablation
code 58563 |
31 |
$717.00 |
$5,841.60 |
| Hysteroscopy with uterine lining sampling and/or polyp removal
code 58558 |
52 |
$476.70 |
$4,292.13 |
| IUD insertion (the device itself billed separately)
code 58300 |
72 |
$34.87 |
$408.91 |
| Incision and drainage of a simple or single skin abscess
code 10060 |
113 |
$65.41 |
$404.50 |
| Inguinal (groin) hernia repair, age 5 or older
code 49505 |
41 |
$423.60 |
$4,176.15 |
| Injection into a tendon sheath or ligament (for example trigger finger)
code 20550 |
99 |
$44.45 |
$493.76 |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound
code 20610 |
110 |
$76.50 |
$505.82 |
| Insertion of a drug-delivery implant, such as the arm birth control implant
code 11981 |
80 |
$36.86 |
$281.71 |
| Joint injection or drainage, medium joint (wrist, elbow, ankle)
code 20605 |
104 |
$40.77 |
$457.50 |
| Joint injection or drainage, small joint (fingers, toes)
code 20600 |
107 |
$42.25 |
$449.22 |
| Knee arthroscopy with meniscus repair (one side of the knee)
code 29882 |
33 |
$585.00 |
$3,839.54 |
| Knee arthroscopy with meniscus trim
code 29881 |
36 |
$461.40 |
$3,839.54 |
| Knee arthroscopy with removal of both torn meniscus parts
code 29880 |
34 |
$478.80 |
$3,839.54 |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty)
code 29877 |
28 |
$927.39 |
$3,839.54 |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length
code 43644 |
13 |
$1,389.60 |
$24,876.89 |
| Laparoscopic adjustable gastric band placement (Lap-Band)
code 43770 |
20 |
$2,834.25 |
$12,320.22 |
| Laparoscopic appendectomy (appendix removal through small cuts)
code 44970 |
46 |
$486.00 |
$6,904.15 |
| Laparoscopic fundoplication (anti-reflux surgery)
code 43280 |
26 |
$862.80 |
$12,320.22 |
| Laparoscopic hysterectomy (uterus 250 g or less)
code 58570 |
28 |
$2,129.40 |
$12,320.22 |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries
code 58571 |
36 |
$712.20 |
$10,159.44 |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side
code 49650 |
34 |
$351.00 |
$6,904.15 |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia
code 49651 |
33 |
$457.80 |
$6,904.15 |
| Laparoscopic removal of an adjustable gastric band and its port
code 43774 |
23 |
$772.20 |
$4,502.13 |
| Laparoscopic removal of fallopian tubes and/or ovaries
code 58661 |
41 |
$511.20 |
$6,904.15 |
| Laparoscopic sleeve gastrectomy for weight loss
code 43775 |
16 |
$939.81 |
$22,545.75 |
| Laser treatment of clouding after cataract surgery (YAG)
code 66821 |
48 |
$404.07 |
$1,255.00 |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs
code 12031 |
105 |
$47.56 |
$591.27 |
| Left heart catheterization, diagnostic
code 93452 |
62 |
$677.00 |
$6,853.00 |
| Lower-back epidural injection, with imaging guidance
code 62323 |
85 |
$282.00 |
$1,491.75 |
| Lower-back epidural injection, without imaging guidance
code 62322 |
64 |
$110.40 |
$1,455.10 |
| Lower-back nerve root steroid injection, with imaging guidance
code 64483 |
85 |
$276.68 |
$1,545.00 |
| Lumbar discectomy or laminotomy to free a nerve root, one level
code 63030 |
27 |
$702.60 |
$8,453.60 |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level
code 22633 |
21 |
$9,882.00 |
$21,762.05 |
| Lumbar interbody fusion (PLIF or TLIF), one level
code 22630 |
20 |
$9,882.00 |
$21,762.05 |
| Lumbar laminectomy (spinal decompression), one level
code 63047 |
28 |
$847.80 |
$8,453.60 |
| Lumbar spinal fusion (posterior), one level
code 22612 |
24 |
$9,882.00 |
$21,762.05 |
| Lumpectomy (partial mastectomy)
code 19301 |
36 |
$460.20 |
$4,531.42 |
| Mastectomy (total removal of the breast)
code 19303 |
36 |
$668.40 |
$7,699.90 |
| Miscarriage treatment with D&C, first trimester
code 59820 |
62 |
$460.81 |
$4,081.43 |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals
code 17311 |
32 |
$724.37 |
$1,229.33 |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm
code 11400 |
90 |
$56.43 |
$1,080.00 |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm
code 11440 |
90 |
$80.00 |
$1,053.00 |
| Nail removal (partial or complete), one nail
code 11730 |
107 |
$53.44 |
$333.20 |
| Occipital nerve block (injection for headaches)
code 64405 |
87 |
$53.28 |
$473.55 |
| Open Roux-en-Y gastric bypass through an abdominal incision
code 43846 |
9 |
$1,455.64 |
$30,279.00 |
| Pacemaker implant (dual chamber)
code 33208 |
62 |
$1,517.00 |
$12,384.25 |
| Paracentesis with imaging guidance
code 49083 |
103 |
$139.40 |
$1,424.47 |
| Partial knee replacement (one compartment)
code 27446 |
26 |
$966.60 |
$15,226.08 |
| Permanent removal of a nail and nail root (partial or complete)
code 11750 |
108 |
$81.51 |
$733.51 |
| Prostate biopsy
code 55700 |
62 |
$307.80 |
$2,424.12 |
| Prostate removal (prostatectomy), laparoscopic
code 55866 |
27 |
$3,402.00 |
$12,320.22 |
| Radiofrequency ablation of facet joint nerves, lower back, one level
code 64635 |
65 |
$272.87 |
$3,409.80 |
| Removal of a breast lump, open surgery
code 19120 |
58 |
$512.25 |
$4,531.42 |
| Removal of a foreign object under the skin, simple
code 10120 |
110 |
$74.40 |
$644.15 |
| Removal of one lobe of the thyroid (lobectomy)
code 60220 |
27 |
$498.60 |
$6,904.15 |
| Screening colonoscopy for a person at average risk (Medicare code)
code G0121 |
54 |
$245.00 |
$1,543.69 |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code)
code G0105 |
49 |
$147.60 |
$1,078.88 |
| Septoplasty to straighten the nasal septum
code 30520 |
35 |
$1,990.00 |
$3,871.68 |
| Shock-wave lithotripsy to break up kidney stones (from outside the body)
code 50590 |
57 |
$1,541.40 |
$5,423.00 |
| Short arm cast (elbow to hand)
code 29075 |
95 |
$32.35 |
$427.00 |
| Short arm splint (forearm and hand)
code 29125 |
102 |
$23.00 |
$210.57 |
| Short leg cast (below the knee)
code 29405 |
94 |
$33.57 |
$491.00 |
| Short leg splint (calf to foot)
code 29515 |
107 |
$38.00 |
$285.64 |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle)
code 29824 |
33 |
$576.00 |
$3,839.54 |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery)
code 29826 |
20 |
$242.64 |
$4,271.50 |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs
code 12001 |
109 |
$47.04 |
$378.00 |
| Skin biopsy, punch, one lesion
code 11104 |
100 |
$46.07 |
$689.75 |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm
code 11600 |
54 |
$149.25 |
$859.28 |
| Skin tag removal, up to 15 tags
code 11200 |
100 |
$50.00 |
$363.75 |
| Spinal tap (lumbar puncture), diagnostic
code 62270 |
107 |
$87.80 |
$1,185.00 |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs
code 12002 |
108 |
$40.80 |
$397.00 |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair
code 12011 |
106 |
$38.40 |
$378.00 |
| TURP (transurethral resection of the prostate)
code 52601 |
35 |
$696.00 |
$6,015.75 |
| Tangential (shave-style) skin biopsy, one lesion
code 11102 |
91 |
$59.04 |
$497.06 |
| Thoracentesis with imaging guidance
code 32555 |
103 |
$142.51 |
$1,282.00 |
| Tonsil and adenoid removal, age 12 or older
code 42821 |
30 |
$897.00 |
$3,837.72 |
| Tonsil and adenoid removal, child under 12
code 42820 |
30 |
$859.00 |
$7,000.36 |
| Tonsil removal (tonsillectomy) only, age 12 or older
code 42826 |
31 |
$756.00 |
$3,837.72 |
| Tonsil removal (tonsillectomy) only, child under 12
code 42825 |
25 |
$793.00 |
$7,000.36 |
| Total hip replacement
code 27130 |
33 |
$1,079.40 |
$15,226.08 |
| Total knee replacement
code 27447 |
38 |
$1,078.20 |
$15,226.08 |
| Total shoulder replacement
code 23472 |
33 |
$1,213.80 |
$21,762.05 |
| Total thyroid removal (thyroidectomy)
code 60240 |
27 |
$645.00 |
$6,904.15 |
| Trigger finger release surgery
code 26055 |
51 |
$217.82 |
$2,610.00 |
| Trigger point injections, 1 or 2 muscles
code 20552 |
104 |
$37.35 |
$419.19 |
| Tubal ligation, laparoscopic (tubes sealed by cautery)
code 58670 |
28 |
$1,099.00 |
$6,904.15 |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion
code 19083 |
90 |
$232.00 |
$2,900.13 |
| Upper endoscopy (EGD) with balloon widening of the esophagus
code 43249 |
60 |
$220.00 |
$2,443.53 |
| Upper endoscopy (EGD) with biopsy
code 43239 |
80 |
$185.86 |
$1,669.31 |
| Upper endoscopy (EGD) with injection into the lining
code 43236 |
47 |
$178.40 |
$1,340.00 |
| Upper endoscopy (EGD) with polyp removal by snare
code 43251 |
52 |
$260.29 |
$2,320.08 |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire
code 43248 |
53 |
$132.60 |
$1,240.49 |
| Upper endoscopy (EGD), diagnostic
code 43235 |
79 |
$164.74 |
$1,645.00 |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall
code 43240 |
23 |
$3,103.23 |
$7,044.32 |
| Ureteroscopy with laser stone breaking (lithotripsy)
code 52353 |
36 |
$369.60 |
$6,015.75 |
| Ureteroscopy with laser stone breaking and stent placement
code 52356 |
32 |
$1,171.00 |
$6,015.75 |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care
code 59610 |
7 |
$1,812.00 |
$6,661.94 |
| Vaginal delivery, including prenatal and postpartum care
code 59400 |
8 |
$1,736.40 |
$3,150.00 |
| Vasectomy, one or both sides, including follow-up semen testing
code 55250 |
24 |
$342.00 |
$4,056.00 |
| Vein ablation, radiofrequency, first vein
code 36475 |
66 |
$505.37 |
$4,529.15 |
| Wart removal, up to 14 warts
code 17110 |
90 |
$25.93 |
$347.00 |
| Wound debridement, skin and tissue under it, first 20 sq cm
code 11042 |
107 |
$58.14 |
$842.52 |
| Wrist fracture surgery (plate and screws), distal radius
code 25607 |
33 |
$634.20 |
$8,453.60 |