| Adenoid removal (adenoidectomy), child under 12
code 42830 |
8 |
$2,012.24 |
$4,764.20 |
| Anterior cervical discectomy and fusion (ACDF), one level
code 22551 |
2 |
$4,350.65 |
$5,390.43 |
| Appendectomy, open surgery
code 44950 |
2 |
$4,314.60 |
$14,913.97 |
| Arthroscopic ACL reconstruction or repair of the knee
code 29888 |
7 |
$5,307.60 |
$8,245.80 |
| Arthroscopic rotator cuff repair of the shoulder
code 29827 |
7 |
$4,962.60 |
$7,942.80 |
| Balloon dilation of the maxillary sinus opening, one side
code 31295 |
3 |
$12,244.00 |
$12,244.00 |
| Botox injections for chronic migraine
code 64615 |
15 |
$339.20 |
$375.03 |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion
code 19081 |
44 |
$614.71 |
$2,913.65 |
| Broken ankle (outer ankle bone) treatment without surgery or setting
code 27786 |
33 |
$92.61 |
$361.20 |
| Broken foot (metatarsal) treatment without surgery or setting
code 28470 |
32 |
$97.47 |
$358.50 |
| Bunion correction with a bone cut near the head of the first metatarsal
code 28296 |
8 |
$3,600.00 |
$5,688.00 |
| Bunion correction with removal of part of the big toe joint
code 28292 |
7 |
$2,675.40 |
$5,295.00 |
| Cardiac catheterization with coronary angiogram
code 93458 |
39 |
$3,954.15 |
$11,145.60 |
| Cardioversion, elective (restoring heart rhythm)
code 92960 |
60 |
$175.44 |
$1,006.65 |
| Carpal tunnel release, open surgery
code 64721 |
27 |
$497.88 |
$3,649.50 |
| Cataract surgery with lens implant
code 66984 |
11 |
$783.00 |
$3,380.05 |
| Catheter ablation for atrial fibrillation
code 93656 |
32 |
$10,954.44 |
$47,852.50 |
| Cervical biopsy
code 57500 |
22 |
$360.72 |
$859.50 |
| Circumcision by surgical excision, older than 28 days (children and adults)
code 54161 |
13 |
$1,210.00 |
$2,911.20 |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns
code 54150 |
30 |
$175.50 |
$466.70 |
| Circumcision, surgical, older than a newborn
code 54160 |
13 |
$921.00 |
$1,151.45 |
| Closed treatment of a wrist (distal radius) fracture, no resetting
code 25600 |
39 |
$102.06 |
$411.50 |
| Colonoscopy with endoscopic ultrasound
code 45391 |
14 |
$994.81 |
$1,590.60 |
| Colonoscopy with polyp removal
code 45385 |
22 |
$1,082.97 |
$1,699.17 |
| Colonoscopy with tissue sample
code 45380 |
23 |
$1,082.97 |
$1,605.73 |
| Colonoscopy, diagnostic
code 45378 |
23 |
$838.89 |
$1,431.00 |
| Colposcopy with LEEP (loop electrosurgical excision)
code 57460 |
9 |
$1,139.67 |
$1,470.50 |
| Colposcopy with cervical biopsy and scraping of the cervical canal
code 57454 |
25 |
$87.60 |
$707.50 |
| Complex cataract surgery with lens implant
code 66982 |
9 |
$2,711.40 |
$8,014.80 |
| Coronary stent placement, one artery
code 92928 |
38 |
$5,121.36 |
$11,960.25 |
| Cystoscopy with ureteral stent placement
code 52332 |
20 |
$1,112.40 |
$4,745.00 |
| Cystoscopy, diagnostic look inside the bladder and urethra
code 52000 |
33 |
$134.40 |
$470.01 |
| D&C (dilation and curettage), not related to pregnancy
code 58120 |
19 |
$1,324.00 |
$2,307.50 |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion
code 17000 |
24 |
$40.12 |
$247.80 |
| Ear tube placement (tympanostomy) under general anesthesia, one ear
code 69436 |
11 |
$1,522.50 |
$2,225.80 |
| Ear tube placement (tympanostomy) with local anesthesia, one ear
code 69433 |
15 |
$124.88 |
$651.78 |
| Earwax removal by irrigation (rinsing), one ear
code 69209 |
52 |
$13.60 |
$106.20 |
| Earwax removal with instruments, one ear
code 69210 |
54 |
$39.44 |
$145.85 |
| Endometrial biopsy (uterine lining sample) without dilating the cervix
code 58100 |
35 |
$68.68 |
$323.00 |
| Endoscopic sinus surgery: full ethmoid sinus opening
code 31255 |
4 |
$5,176.20 |
$6,076.00 |
| Endoscopic sinus surgery: opening the frontal sinus
code 31276 |
7 |
$1,145.93 |
$4,857.00 |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus
code 31256 |
6 |
$2,658.88 |
$4,158.25 |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue
code 31267 |
8 |
$676.89 |
$3,916.03 |
| Epidural steroid injection, neck or mid back, with imaging guidance
code 62321 |
42 |
$477.00 |
$1,346.57 |
| Eye injection into the vitreous (intravitreal injection)
code 67028 |
34 |
$244.35 |
$510.72 |
| Facet joint injection, lower back, one level, with imaging guidance
code 64493 |
45 |
$271.89 |
$1,294.20 |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm
code 49593 |
18 |
$2,347.20 |
$4,688.00 |
| First repair of a front abdominal hernia larger than 10 cm
code 49595 |
13 |
$4,688.00 |
$4,688.00 |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm
code 49591 |
17 |
$2,536.20 |
$4,688.00 |
| Flexible sigmoidoscopy, diagnostic (lower colon only)
code 45330 |
39 |
$659.85 |
$1,217.40 |
| Gallbladder removal, laparoscopic
code 47562 |
11 |
$4,401.00 |
$13,055.00 |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery
code 47563 |
7 |
$843.20 |
$9,401.84 |
| Hammertoe correction surgery
code 28285 |
12 |
$1,633.77 |
$4,072.98 |
| Hemorrhoid banding (rubber band ligation)
code 46221 |
29 |
$409.05 |
$734.16 |
| Hemorrhoidectomy (internal and external), one area
code 46255 |
8 |
$1,592.00 |
$3,641.10 |
| Hip replacement after an earlier hip surgery (conversion to total hip)
code 27132 |
4 |
$5,222.40 |
$13,132.78 |
| Hysterectomy through an abdominal incision (total)
code 58150 |
2 |
$4,388.40 |
$11,453.38 |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes
code 58340 |
47 |
$55.12 |
$220.80 |
| Hysteroscopy with endometrial ablation
code 58563 |
7 |
$1,902.00 |
$5,106.50 |
| Hysteroscopy with uterine lining sampling and/or polyp removal
code 58558 |
25 |
$1,438.29 |
$3,171.00 |
| IUD insertion (the device itself billed separately)
code 58300 |
37 |
$57.80 |
$266.56 |
| Incision and drainage of a simple or single skin abscess
code 10060 |
56 |
$72.76 |
$368.17 |
| Inguinal (groin) hernia repair, age 5 or older
code 49505 |
11 |
$1,530.36 |
$3,405.60 |
| Injection into a tendon sheath or ligament (for example trigger finger)
code 20550 |
46 |
$50.32 |
$371.40 |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound
code 20610 |
56 |
$55.76 |
$418.80 |
| Insertion of a drug-delivery implant, such as the arm birth control implant
code 11981 |
38 |
$59.92 |
$129.32 |
| Joint injection or drainage, medium joint (wrist, elbow, ankle)
code 20605 |
53 |
$44.20 |
$346.50 |
| Joint injection or drainage, small joint (fingers, toes)
code 20600 |
50 |
$42.84 |
$305.44 |
| Knee arthroscopy with meniscus repair (one side of the knee)
code 29882 |
6 |
$3,238.20 |
$6,437.87 |
| Knee arthroscopy with meniscus trim
code 29881 |
7 |
$2,845.80 |
$5,083.80 |
| Knee arthroscopy with removal of both torn meniscus parts
code 29880 |
8 |
$2,543.40 |
$7,589.06 |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty)
code 29877 |
5 |
$743.92 |
$3,364.20 |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length
code 43644 |
2 |
$11,349.00 |
$13,011.29 |
| Laparoscopic appendectomy (appendix removal through small cuts)
code 44970 |
9 |
$1,108.35 |
$6,395.20 |
| Laparoscopic fundoplication (anti-reflux surgery)
code 43280 |
2 |
$8,673.96 |
$14,183.38 |
| Laparoscopic hysterectomy (uterus 250 g or less)
code 58570 |
5 |
$5,567.40 |
$10,437.44 |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries
code 58571 |
5 |
$3,493.80 |
$10,543.94 |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side
code 49650 |
9 |
$5,222.40 |
$13,055.00 |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia
code 49651 |
3 |
$3,925.80 |
$9,800.40 |
| Laparoscopic removal of an adjustable gastric band and its port
code 43774 |
2 |
$3,321.00 |
$5,997.48 |
| Laparoscopic removal of fallopian tubes and/or ovaries
code 58661 |
9 |
$1,475.55 |
$4,464.00 |
| Laparoscopic sleeve gastrectomy for weight loss
code 43775 |
2 |
$6,300.60 |
$9,085.09 |
| Laser treatment of clouding after cataract surgery (YAG)
code 66821 |
7 |
$361.26 |
$577.36 |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs
code 12031 |
46 |
$173.61 |
$414.00 |
| Left heart catheterization, diagnostic
code 93452 |
36 |
$1,291.41 |
$8,671.57 |
| Lower-back epidural injection, with imaging guidance
code 62323 |
47 |
$454.00 |
$1,211.91 |
| Lower-back epidural injection, without imaging guidance
code 62322 |
29 |
$410.40 |
$1,226.50 |
| Lower-back nerve root steroid injection, with imaging guidance
code 64483 |
45 |
$151.20 |
$1,533.00 |
| Lumbar discectomy or laminotomy to free a nerve root, one level
code 63030 |
2 |
$6,171.60 |
$8,434.82 |
| Lumbar interbody fusion (PLIF or TLIF), one level
code 22630 |
1 |
$3,198.44 |
$3,198.44 |
| Lumbar laminectomy (spinal decompression), one level
code 63047 |
2 |
$6,214.80 |
$7,849.98 |
| Lumpectomy (partial mastectomy)
code 19301 |
18 |
$2,559.50 |
$6,135.00 |
| Mastectomy (total removal of the breast)
code 19303 |
9 |
$2,821.08 |
$13,237.00 |
| Miscarriage treatment with D&C, first trimester
code 59820 |
25 |
$786.50 |
$1,591.20 |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals
code 17311 |
12 |
$702.50 |
$1,274.00 |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm
code 11400 |
43 |
$67.80 |
$472.00 |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm
code 11440 |
37 |
$71.12 |
$641.00 |
| Nail removal (partial or complete), one nail
code 11730 |
53 |
$82.32 |
$213.00 |
| Occipital nerve block (injection for headaches)
code 64405 |
45 |
$171.36 |
$594.50 |
| Pacemaker implant (dual chamber)
code 33208 |
35 |
$4,949.64 |
$7,889.00 |
| Paracentesis with imaging guidance
code 49083 |
53 |
$212.90 |
$1,288.20 |
| Partial knee replacement (one compartment)
code 27446 |
3 |
$4,822.80 |
$5,799.60 |
| Permanent removal of a nail and nail root (partial or complete)
code 11750 |
51 |
$77.60 |
$576.80 |
| Prostate biopsy
code 55700 |
13 |
$254.32 |
$1,447.42 |
| Prostate removal (prostatectomy), laparoscopic
code 55866 |
2 |
$8,240.40 |
$11,369.38 |
| Radiofrequency ablation of facet joint nerves, lower back, one level
code 64635 |
35 |
$666.74 |
$3,002.66 |
| Removal of a breast lump, open surgery
code 19120 |
30 |
$663.12 |
$4,824.00 |
| Removal of a foreign object under the skin, simple
code 10120 |
53 |
$173.88 |
$447.50 |
| Removal of one lobe of the thyroid (lobectomy)
code 60220 |
4 |
$6,052.20 |
$7,807.76 |
| Screening colonoscopy for a person at average risk (Medicare code)
code G0121 |
21 |
$704.40 |
$1,338.00 |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code)
code G0105 |
19 |
$791.84 |
$1,217.40 |
| Septoplasty to straighten the nasal septum
code 30520 |
8 |
$1,904.00 |
$4,645.36 |
| Shock-wave lithotripsy to break up kidney stones (from outside the body)
code 50590 |
39 |
$2,641.00 |
$4,906.00 |
| Short arm cast (elbow to hand)
code 29075 |
41 |
$74.12 |
$331.50 |
| Short arm splint (forearm and hand)
code 29125 |
55 |
$46.92 |
$254.22 |
| Short leg cast (below the knee)
code 29405 |
45 |
$71.40 |
$379.80 |
| Short leg splint (calf to foot)
code 29515 |
51 |
$66.42 |
$220.50 |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle)
code 29824 |
5 |
$4,847.87 |
$6,426.92 |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery)
code 29826 |
4 |
$2,557.67 |
$5,070.43 |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs
code 12001 |
47 |
$78.49 |
$332.00 |
| Skin biopsy, punch, one lesion
code 11104 |
48 |
$51.00 |
$292.50 |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm
code 11600 |
21 |
$473.31 |
$622.50 |
| Skin tag removal, up to 15 tags
code 11200 |
46 |
$52.65 |
$283.80 |
| Spinal tap (lumbar puncture), diagnostic
code 62270 |
54 |
$267.92 |
$813.75 |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs
code 12002 |
46 |
$133.03 |
$378.89 |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair
code 12011 |
42 |
$104.00 |
$323.92 |
| TURP (transurethral resection of the prostate)
code 52601 |
8 |
$3,342.00 |
$6,975.00 |
| Tangential (shave-style) skin biopsy, one lesion
code 11102 |
40 |
$80.19 |
$249.00 |
| Thoracentesis with imaging guidance
code 32555 |
53 |
$120.96 |
$1,029.60 |
| Tonsil and adenoid removal, age 12 or older
code 42821 |
8 |
$1,527.60 |
$6,041.00 |
| Tonsil and adenoid removal, child under 12
code 42820 |
8 |
$1,902.00 |
$5,060.00 |
| Tonsil removal (tonsillectomy) only, age 12 or older
code 42826 |
9 |
$1,729.20 |
$4,620.46 |
| Tonsil removal (tonsillectomy) only, child under 12
code 42825 |
6 |
$1,671.60 |
$5,085.83 |
| Total hip replacement
code 27130 |
8 |
$4,876.20 |
$17,844.16 |
| Total knee replacement
code 27447 |
8 |
$3,846.00 |
$16,885.10 |
| Total shoulder replacement
code 23472 |
7 |
$5,610.00 |
$11,674.90 |
| Total thyroid removal (thyroidectomy)
code 60240 |
5 |
$7,378.20 |
$22,029.33 |
| Trigger finger release surgery
code 26055 |
24 |
$885.06 |
$3,843.00 |
| Trigger point injections, 1 or 2 muscles
code 20552 |
51 |
$46.24 |
$460.20 |
| Tubal ligation, laparoscopic (tubes sealed by cautery)
code 58670 |
1 |
$3,882.60 |
$3,882.60 |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion
code 19083 |
50 |
$636.39 |
$2,025.00 |
| Upper endoscopy (EGD) with balloon widening of the esophagus
code 43249 |
22 |
$1,383.00 |
$2,433.60 |
| Upper endoscopy (EGD) with biopsy
code 43239 |
24 |
$466.48 |
$1,584.76 |
| Upper endoscopy (EGD) with injection into the lining
code 43236 |
17 |
$812.70 |
$1,322.35 |
| Upper endoscopy (EGD) with polyp removal by snare
code 43251 |
22 |
$1,382.40 |
$2,362.07 |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire
code 43248 |
18 |
$755.78 |
$1,183.20 |
| Upper endoscopy (EGD), diagnostic
code 43235 |
23 |
$812.70 |
$1,510.34 |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall
code 43240 |
13 |
$1,523.75 |
$3,814.20 |
| Ureteroscopy with laser stone breaking (lithotripsy)
code 52353 |
5 |
$2,197.80 |
$3,640.20 |
| Ureteroscopy with laser stone breaking and stent placement
code 52356 |
7 |
$2,845.80 |
$7,951.91 |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care
code 59610 |
1 |
$3,300.00 |
$3,300.00 |
| Vasectomy, one or both sides, including follow-up semen testing
code 55250 |
11 |
$269.40 |
$272.00 |
| Vein ablation, radiofrequency, first vein
code 36475 |
27 |
$1,602.84 |
$3,632.50 |
| Wart removal, up to 14 warts
code 17110 |
41 |
$51.68 |
$163.00 |
| Wound debridement, skin and tissue under it, first 20 sq cm
code 11042 |
54 |
$163.89 |
$433.50 |
| Wrist fracture surgery (plate and screws), distal radius
code 25607 |
10 |
$1,426.06 |
$10,267.05 |