| Adenoid removal (adenoidectomy), child under 12
code 42830 |
11 |
$965.67 |
$6,111.09 |
| Anterior cervical discectomy and fusion (ACDF), one level
code 22551 |
9 |
$3,436.65 |
$24,245.50 |
| Appendectomy for a ruptured appendix with abscess or peritonitis
code 44960 |
5 |
$1,991.47 |
$2,416.61 |
| Appendectomy, open surgery
code 44950 |
11 |
$375.60 |
$11,757.76 |
| Arthroscopic ACL reconstruction or repair of the knee
code 29888 |
11 |
$6,243.50 |
$12,932.50 |
| Arthroscopic rotator cuff repair of the shoulder
code 29827 |
13 |
$3,194.67 |
$13,461.22 |
| Balloon dilation of the maxillary sinus opening, one side
code 31295 |
9 |
$6,942.00 |
$12,532.10 |
| Botox injections for chronic migraine
code 64615 |
21 |
$67.80 |
$495.00 |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion
code 19081 |
78 |
$1,493.60 |
$3,912.00 |
| Broken ankle (outer ankle bone) treatment without surgery or setting
code 27786 |
57 |
$150.60 |
$662.95 |
| Broken foot (metatarsal) treatment without surgery or setting
code 28470 |
61 |
$110.40 |
$520.80 |
| Bunion correction with a bone cut near the head of the first metatarsal
code 28296 |
13 |
$1,637.50 |
$5,873.00 |
| Bunion correction with removal of part of the big toe joint
code 28292 |
12 |
$3,218.00 |
$5,993.50 |
| Cardiac catheterization with coronary angiogram
code 93458 |
77 |
$2,421.86 |
$8,818.60 |
| Cardioversion, elective (restoring heart rhythm)
code 92960 |
99 |
$151.80 |
$1,464.80 |
| Carpal tunnel release, open surgery
code 64721 |
31 |
$1,322.50 |
$4,205.19 |
| Cataract surgery with lens implant
code 66984 |
10 |
$1,263.50 |
$3,698.84 |
| Catheter ablation for atrial fibrillation
code 93656 |
55 |
$11,199.60 |
$30,975.00 |
| Cervical biopsy
code 57500 |
37 |
$95.40 |
$2,542.59 |
| Cesarean delivery, including prenatal and postpartum care
code 59510 |
18 |
$3,815.00 |
$5,683.43 |
| Circumcision by surgical excision, older than 28 days (children and adults)
code 54161 |
15 |
$2,056.00 |
$4,411.26 |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns
code 54150 |
60 |
$144.00 |
$1,219.20 |
| Circumcision, surgical, older than a newborn
code 54160 |
17 |
$278.00 |
$1,128.57 |
| Closed treatment of a wrist (distal radius) fracture, no resetting
code 25600 |
75 |
$138.60 |
$662.95 |
| Colonoscopy with endoscopic ultrasound
code 45391 |
18 |
$992.80 |
$2,316.83 |
| Colonoscopy with polyp removal
code 45385 |
43 |
$419.40 |
$2,539.08 |
| Colonoscopy with tissue sample
code 45380 |
45 |
$246.60 |
$2,214.00 |
| Colonoscopy, diagnostic
code 45378 |
47 |
$181.50 |
$1,500.00 |
| Colposcopy with LEEP (loop electrosurgical excision)
code 57460 |
14 |
$463.00 |
$5,617.25 |
| Colposcopy with cervical biopsy and scraping of the cervical canal
code 57454 |
32 |
$192.00 |
$486.66 |
| Complex cataract surgery with lens implant
code 66982 |
10 |
$1,658.50 |
$3,698.84 |
| Coronary stent placement, one artery
code 92928 |
60 |
$6,061.60 |
$20,271.35 |
| Cystoscopy with ureteral stent placement
code 52332 |
31 |
$902.67 |
$4,764.60 |
| Cystoscopy, diagnostic look inside the bladder and urethra
code 52000 |
58 |
$216.80 |
$1,688.00 |
| D&C (dilation and curettage), not related to pregnancy
code 58120 |
21 |
$766.75 |
$5,896.80 |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion
code 17000 |
45 |
$35.40 |
$428.04 |
| Ear tube placement (tympanostomy) under general anesthesia, one ear
code 69436 |
13 |
$390.00 |
$3,189.76 |
| Ear tube placement (tympanostomy) with local anesthesia, one ear
code 69433 |
11 |
$147.60 |
$1,096.60 |
| Earwax removal by irrigation (rinsing), one ear
code 69209 |
91 |
$14.40 |
$139.80 |
| Earwax removal with instruments, one ear
code 69210 |
98 |
$21.00 |
$134.10 |
| Endometrial biopsy (uterine lining sample) without dilating the cervix
code 58100 |
50 |
$70.70 |
$395.72 |
| Endoscopic sinus surgery: full ethmoid sinus opening
code 31255 |
12 |
$6,942.00 |
$12,788.22 |
| Endoscopic sinus surgery: opening the frontal sinus
code 31276 |
13 |
$306.00 |
$12,532.10 |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus
code 31256 |
13 |
$850.25 |
$6,947.45 |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue
code 31267 |
11 |
$1,560.13 |
$11,703.46 |
| Epidural steroid injection, neck or mid back, with imaging guidance
code 62321 |
72 |
$120.00 |
$2,402.45 |
| Eye injection into the vitreous (intravitreal injection)
code 67028 |
16 |
$225.20 |
$513.32 |
| Facet joint injection, lower back, one level, with imaging guidance
code 64493 |
79 |
$626.40 |
$1,440.80 |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm
code 49593 |
16 |
$1,763.50 |
$10,921.47 |
| First repair of a front abdominal hernia larger than 10 cm
code 49595 |
11 |
$3,752.00 |
$10,549.14 |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm
code 49591 |
22 |
$586.20 |
$6,753.11 |
| Flexible sigmoidoscopy, diagnostic (lower colon only)
code 45330 |
54 |
$138.00 |
$1,158.00 |
| Gallbladder removal, laparoscopic
code 47562 |
16 |
$2,132.50 |
$10,749.91 |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery
code 47563 |
14 |
$3,515.00 |
$11,125.90 |
| Gallbladder removal, open surgery through a larger incision
code 47600 |
7 |
$3,229.93 |
$4,254.74 |
| Hammertoe correction surgery
code 28285 |
31 |
$3,218.00 |
$4,340.90 |
| Hemorrhoid banding (rubber band ligation)
code 46221 |
34 |
$209.50 |
$1,791.43 |
| Hemorrhoidectomy (internal and external), one area
code 46255 |
11 |
$1,889.50 |
$5,328.77 |
| Hip replacement after an earlier hip surgery (conversion to total hip)
code 27132 |
6 |
$8,614.73 |
$10,900.94 |
| Hysterectomy through an abdominal incision (total)
code 58150 |
12 |
$2,319.48 |
$6,563.06 |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes
code 58340 |
83 |
$54.08 |
$382.80 |
| Hysteroscopy with endometrial ablation
code 58563 |
14 |
$1,133.50 |
$9,228.41 |
| Hysteroscopy with uterine lining sampling and/or polyp removal
code 58558 |
24 |
$606.22 |
$5,277.95 |
| IUD insertion (the device itself billed separately)
code 58300 |
40 |
$62.00 |
$308.40 |
| Incision and drainage of a simple or single skin abscess
code 10060 |
107 |
$52.80 |
$510.60 |
| Inguinal (groin) hernia repair, age 5 or older
code 49505 |
20 |
$1,952.50 |
$5,723.28 |
| Injection into a tendon sheath or ligament (for example trigger finger)
code 20550 |
93 |
$51.60 |
$569.80 |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound
code 20610 |
107 |
$85.20 |
$468.12 |
| Insertion of a drug-delivery implant, such as the arm birth control implant
code 11981 |
37 |
$87.60 |
$254.40 |
| Joint injection or drainage, medium joint (wrist, elbow, ankle)
code 20605 |
106 |
$44.40 |
$353.80 |
| Joint injection or drainage, small joint (fingers, toes)
code 20600 |
99 |
$42.00 |
$410.85 |
| Knee arthroscopy with meniscus repair (one side of the knee)
code 29882 |
11 |
$3,121.75 |
$5,485.51 |
| Knee arthroscopy with meniscus trim
code 29881 |
13 |
$2,211.50 |
$5,873.00 |
| Knee arthroscopy with removal of both torn meniscus parts
code 29880 |
13 |
$1,543.00 |
$6,113.99 |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty)
code 29877 |
12 |
$2,551.00 |
$5,993.50 |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length
code 43644 |
8 |
$13,694.46 |
$18,515.33 |
| Laparoscopic adjustable gastric band placement (Lap-Band)
code 43770 |
6 |
$10,522.00 |
$18,610.08 |
| Laparoscopic appendectomy (appendix removal through small cuts)
code 44970 |
14 |
$2,488.00 |
$10,429.29 |
| Laparoscopic fundoplication (anti-reflux surgery)
code 43280 |
9 |
$15,731.76 |
$19,800.72 |
| Laparoscopic hysterectomy (uterus 250 g or less)
code 58570 |
11 |
$6,043.00 |
$19,618.40 |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries
code 58571 |
12 |
$1,074.40 |
$19,235.75 |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side
code 49650 |
15 |
$2,606.50 |
$10,993.88 |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia
code 49651 |
15 |
$3,965.40 |
$10,562.30 |
| Laparoscopic removal of an adjustable gastric band and its port
code 43774 |
8 |
$5,907.76 |
$7,987.47 |
| Laparoscopic removal of fallopian tubes and/or ovaries
code 58661 |
19 |
$2,409.00 |
$9,863.77 |
| Laparoscopic sleeve gastrectomy for weight loss
code 43775 |
7 |
$8,717.94 |
$11,484.03 |
| Laser treatment of clouding after cataract surgery (YAG)
code 66821 |
19 |
$404.07 |
$927.52 |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs
code 12031 |
101 |
$138.32 |
$586.20 |
| Left heart catheterization, diagnostic
code 93452 |
60 |
$2,421.86 |
$6,516.97 |
| Lower-back epidural injection, with imaging guidance
code 62323 |
82 |
$168.00 |
$2,094.60 |
| Lower-back epidural injection, without imaging guidance
code 62322 |
49 |
$843.00 |
$1,917.23 |
| Lower-back nerve root steroid injection, with imaging guidance
code 64483 |
83 |
$207.00 |
$1,917.23 |
| Lumbar discectomy or laminotomy to free a nerve root, one level
code 63030 |
12 |
$5,332.00 |
$13,891.49 |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level
code 22633 |
7 |
$10,666.47 |
$34,653.20 |
| Lumbar interbody fusion (PLIF or TLIF), one level
code 22630 |
8 |
$3,865.78 |
$32,872.13 |
| Lumbar laminectomy (spinal decompression), one level
code 63047 |
10 |
$4,371.00 |
$14,037.00 |
| Lumbar spinal fusion (posterior), one level
code 22612 |
10 |
$1,687.46 |
$35,336.82 |
| Lumpectomy (partial mastectomy)
code 19301 |
12 |
$1,484.88 |
$7,524.25 |
| Mastectomy (total removal of the breast)
code 19303 |
12 |
$2,551.25 |
$12,814.20 |
| Miscarriage treatment with D&C, first trimester
code 59820 |
41 |
$616.00 |
$5,405.40 |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals
code 17311 |
18 |
$849.50 |
$3,452.80 |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm
code 11400 |
74 |
$219.91 |
$1,333.66 |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm
code 11440 |
55 |
$253.43 |
$1,767.20 |
| Nail removal (partial or complete), one nail
code 11730 |
104 |
$63.63 |
$471.00 |
| Occipital nerve block (injection for headaches)
code 64405 |
84 |
$72.60 |
$564.45 |
| Open Roux-en-Y gastric bypass through an abdominal incision
code 43846 |
6 |
$4,502.07 |
$5,696.85 |
| Pacemaker implant (dual chamber)
code 33208 |
68 |
$2,759.40 |
$12,721.50 |
| Paracentesis with imaging guidance
code 49083 |
102 |
$224.40 |
$1,684.50 |
| Partial knee replacement (one compartment)
code 27446 |
8 |
$9,654.60 |
$22,999.35 |
| Permanent removal of a nail and nail root (partial or complete)
code 11750 |
97 |
$94.80 |
$834.00 |
| Prostate biopsy
code 55700 |
55 |
$377.50 |
$3,832.50 |
| Prostate removal (prostatectomy), laparoscopic
code 55866 |
8 |
$16,167.08 |
$20,457.55 |
| Radiofrequency ablation of facet joint nerves, lower back, one level
code 64635 |
64 |
$252.00 |
$2,982.30 |
| Removal of a breast lump, open surgery
code 19120 |
25 |
$1,039.00 |
$9,042.48 |
| Removal of a foreign object under the skin, simple
code 10120 |
101 |
$54.60 |
$543.60 |
| Removal of one lobe of the thyroid (lobectomy)
code 60220 |
12 |
$417.00 |
$11,464.13 |
| Screening colonoscopy for a person at average risk (Medicare code)
code G0121 |
29 |
$398.40 |
$1,521.60 |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code)
code G0105 |
27 |
$628.50 |
$1,717.95 |
| Septoplasty to straighten the nasal septum
code 30520 |
13 |
$1,595.67 |
$6,111.09 |
| Shock-wave lithotripsy to break up kidney stones (from outside the body)
code 50590 |
23 |
$3,467.00 |
$6,655.20 |
| Short arm cast (elbow to hand)
code 29075 |
64 |
$52.80 |
$415.87 |
| Short arm splint (forearm and hand)
code 29125 |
99 |
$28.20 |
$315.00 |
| Short leg cast (below the knee)
code 29405 |
79 |
$54.60 |
$520.80 |
| Short leg splint (calf to foot)
code 29515 |
101 |
$35.40 |
$461.23 |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle)
code 29824 |
9 |
$1,356.00 |
$6,637.02 |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery)
code 29826 |
11 |
$922.87 |
$1,473.67 |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs
code 12001 |
102 |
$61.20 |
$514.60 |
| Skin biopsy, punch, one lesion
code 11104 |
95 |
$93.50 |
$658.20 |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm
code 11600 |
46 |
$61.20 |
$1,050.49 |
| Skin tag removal, up to 15 tags
code 11200 |
89 |
$30.00 |
$604.20 |
| Spinal tap (lumbar puncture), diagnostic
code 62270 |
100 |
$214.20 |
$1,222.50 |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs
code 12002 |
101 |
$132.00 |
$528.30 |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair
code 12011 |
85 |
$61.80 |
$509.60 |
| TURP (transurethral resection of the prostate)
code 52601 |
15 |
$1,910.67 |
$9,579.46 |
| Tangential (shave-style) skin biopsy, one lesion
code 11102 |
79 |
$98.40 |
$566.06 |
| Thoracentesis with imaging guidance
code 32555 |
102 |
$139.20 |
$1,474.38 |
| Tonsil and adenoid removal, age 12 or older
code 42821 |
11 |
$1,417.00 |
$6,633.88 |
| Tonsil and adenoid removal, child under 12
code 42820 |
11 |
$1,385.67 |
$10,001.37 |
| Tonsil removal (tonsillectomy) only, age 12 or older
code 42826 |
10 |
$1,921.00 |
$6,713.14 |
| Tonsil removal (tonsillectomy) only, child under 12
code 42825 |
10 |
$1,889.50 |
$9,593.78 |
| Total hip replacement
code 27130 |
14 |
$8,234.50 |
$23,769.00 |
| Total knee replacement
code 27447 |
13 |
$7,970.19 |
$24,245.50 |
| Total shoulder replacement
code 23472 |
14 |
$5,549.50 |
$32,300.37 |
| Total thyroid removal (thyroidectomy)
code 60240 |
12 |
$539.40 |
$11,399.02 |
| Trigger finger release surgery
code 26055 |
25 |
$1,848.50 |
$4,866.00 |
| Trigger point injections, 1 or 2 muscles
code 20552 |
98 |
$48.00 |
$540.80 |
| Tubal ligation, laparoscopic (tubes sealed by cautery)
code 58670 |
9 |
$5,947.00 |
$10,993.88 |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion
code 19083 |
86 |
$929.40 |
$3,588.70 |
| Upper endoscopy (EGD) with balloon widening of the esophagus
code 43249 |
51 |
$328.20 |
$3,414.00 |
| Upper endoscopy (EGD) with biopsy
code 43239 |
58 |
$183.60 |
$2,173.20 |
| Upper endoscopy (EGD) with injection into the lining
code 43236 |
47 |
$360.00 |
$2,611.80 |
| Upper endoscopy (EGD) with polyp removal by snare
code 43251 |
38 |
$420.60 |
$3,165.92 |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire
code 43248 |
49 |
$225.67 |
$2,476.20 |
| Upper endoscopy (EGD), diagnostic
code 43235 |
59 |
$162.60 |
$1,895.40 |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall
code 43240 |
15 |
$5,972.00 |
$8,454.00 |
| Ureteroscopy with laser stone breaking (lithotripsy)
code 52353 |
12 |
$4,305.00 |
$9,989.21 |
| Ureteroscopy with laser stone breaking and stent placement
code 52356 |
13 |
$4,574.50 |
$9,579.46 |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care
code 59610 |
6 |
$3,970.40 |
$7,542.15 |
| Vaginal delivery, including prenatal and postpartum care
code 59400 |
12 |
$3,758.40 |
$3,815.00 |
| Vasectomy, one or both sides, including follow-up semen testing
code 55250 |
15 |
$870.24 |
$3,810.00 |
| Vein ablation, radiofrequency, first vein
code 36475 |
52 |
$2,669.50 |
$9,354.27 |
| Wart removal, up to 14 warts
code 17110 |
73 |
$50.40 |
$558.48 |
| Wound debridement, skin and tissue under it, first 20 sq cm
code 11042 |
101 |
$54.60 |
$1,077.60 |
| Wrist fracture surgery (plate and screws), distal radius
code 25607 |
16 |
$2,804.00 |
$12,504.99 |