| Adenoid removal (adenoidectomy), child under 12
code 42830 |
10 |
$1,633.57 |
$3,314.26 |
| Anterior cervical discectomy and fusion (ACDF), one level
code 22551 |
7 |
$5,239.80 |
$14,206.76 |
| Appendectomy for a ruptured appendix with abscess or peritonitis
code 44960 |
1 |
$949.65 |
$949.65 |
| Appendectomy, open surgery
code 44950 |
3 |
$897.70 |
$2,236.80 |
| Arthroscopic ACL reconstruction or repair of the knee
code 29888 |
16 |
$1,053.17 |
$11,963.22 |
| Arthroscopic rotator cuff repair of the shoulder
code 29827 |
16 |
$1,758.73 |
$9,037.38 |
| Balloon dilation of the maxillary sinus opening, one side
code 31295 |
10 |
$1,738.80 |
$3,349.54 |
| Botox injections for chronic migraine
code 64615 |
27 |
$56.85 |
$191.00 |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion
code 19081 |
46 |
$432.60 |
$1,502.34 |
| Broken ankle (outer ankle bone) treatment without surgery or setting
code 27786 |
28 |
$60.40 |
$241.50 |
| Broken foot (metatarsal) treatment without surgery or setting
code 28470 |
20 |
$65.55 |
$164.96 |
| Bunion correction with a bone cut near the head of the first metatarsal
code 28296 |
12 |
$870.20 |
$6,826.93 |
| Bunion correction with removal of part of the big toe joint
code 28292 |
9 |
$1,036.75 |
$11,664.26 |
| Cardiac catheterization with coronary angiogram
code 93458 |
51 |
$1,527.14 |
$5,293.51 |
| Cardioversion, elective (restoring heart rhythm)
code 92960 |
83 |
$146.40 |
$695.11 |
| Carpal tunnel release, open surgery
code 64721 |
27 |
$681.11 |
$2,890.23 |
| Cataract surgery with lens implant
code 66984 |
13 |
$1,210.40 |
$2,985.73 |
| Catheter ablation for atrial fibrillation
code 93656 |
43 |
$4,032.60 |
$17,066.10 |
| Cervical biopsy
code 57500 |
35 |
$135.70 |
$456.75 |
| Cesarean delivery, including prenatal and postpartum care
code 59510 |
1 |
$1,554.60 |
$1,554.60 |
| Circumcision by surgical excision, older than 28 days (children and adults)
code 54161 |
13 |
$2,613.61 |
$4,279.06 |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns
code 54150 |
39 |
$135.17 |
$617.40 |
| Circumcision, surgical, older than a newborn
code 54160 |
6 |
$145.45 |
$10,982.36 |
| Closed treatment of a wrist (distal radius) fracture, no resetting
code 25600 |
31 |
$60.40 |
$236.55 |
| Colonoscopy with endoscopic ultrasound
code 45391 |
11 |
$1,074.74 |
$1,101.10 |
| Colonoscopy with polyp removal
code 45385 |
28 |
$548.08 |
$1,261.31 |
| Colonoscopy with tissue sample
code 45380 |
38 |
$474.95 |
$1,261.31 |
| Colonoscopy, diagnostic
code 45378 |
31 |
$452.20 |
$1,261.31 |
| Colposcopy with LEEP (loop electrosurgical excision)
code 57460 |
16 |
$1,118.95 |
$2,161.38 |
| Colposcopy with cervical biopsy and scraping of the cervical canal
code 57454 |
14 |
$60.49 |
$370.50 |
| Complex cataract surgery with lens implant
code 66982 |
12 |
$1,399.20 |
$3,461.51 |
| Coronary stent placement, one artery
code 92928 |
41 |
$3,339.75 |
$7,881.00 |
| Cystoscopy with ureteral stent placement
code 52332 |
20 |
$2,269.73 |
$3,986.79 |
| Cystoscopy, diagnostic look inside the bladder and urethra
code 52000 |
39 |
$173.00 |
$694.76 |
| D&C (dilation and curettage), not related to pregnancy
code 58120 |
33 |
$1,247.98 |
$2,722.80 |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion
code 17000 |
30 |
$60.26 |
$99.60 |
| Ear tube placement (tympanostomy) under general anesthesia, one ear
code 69436 |
12 |
$915.60 |
$2,177.67 |
| Ear tube placement (tympanostomy) with local anesthesia, one ear
code 69433 |
9 |
$318.78 |
$380.60 |
| Earwax removal by irrigation (rinsing), one ear
code 69209 |
51 |
$11.08 |
$45.30 |
| Earwax removal with instruments, one ear
code 69210 |
52 |
$16.20 |
$73.92 |
| Endometrial biopsy (uterine lining sample) without dilating the cervix
code 58100 |
29 |
$36.57 |
$79.44 |
| Endoscopic sinus surgery: full ethmoid sinus opening
code 31255 |
7 |
$3,236.40 |
$7,252.85 |
| Endoscopic sinus surgery: opening the frontal sinus
code 31276 |
8 |
$2,046.27 |
$9,582.68 |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus
code 31256 |
11 |
$1,814.82 |
$4,661.55 |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue
code 31267 |
8 |
$2,888.40 |
$7,703.36 |
| Epidural steroid injection, neck or mid back, with imaging guidance
code 62321 |
41 |
$152.25 |
$547.02 |
| Eye injection into the vitreous (intravitreal injection)
code 67028 |
11 |
$92.60 |
$123.60 |
| Facet joint injection, lower back, one level, with imaging guidance
code 64493 |
51 |
$276.34 |
$699.82 |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm
code 49593 |
17 |
$2,719.20 |
$5,589.16 |
| First repair of a front abdominal hernia larger than 10 cm
code 49595 |
11 |
$515.70 |
$8,243.81 |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm
code 49591 |
18 |
$1,139.00 |
$4,647.26 |
| Flexible sigmoidoscopy, diagnostic (lower colon only)
code 45330 |
35 |
$273.56 |
$672.75 |
| Gallbladder removal, laparoscopic
code 47562 |
18 |
$1,139.00 |
$7,046.58 |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery
code 47563 |
18 |
$783.10 |
$7,050.28 |
| Gallbladder removal, open surgery through a larger incision
code 47600 |
8 |
$1,054.32 |
$8,645.21 |
| Hammertoe correction surgery
code 28285 |
14 |
$1,949.75 |
$5,671.49 |
| Hemorrhoid banding (rubber band ligation)
code 46221 |
18 |
$313.62 |
$1,017.90 |
| Hemorrhoidectomy (internal and external), one area
code 46255 |
13 |
$530.18 |
$4,424.82 |
| Hip replacement after an earlier hip surgery (conversion to total hip)
code 27132 |
5 |
$16,052.22 |
$18,433.46 |
| Hysterectomy through an abdominal incision (total)
code 58150 |
8 |
$7,467.79 |
$10,810.71 |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes
code 58340 |
48 |
$70.45 |
$153.90 |
| Hysteroscopy with endometrial ablation
code 58563 |
19 |
$2,872.93 |
$4,669.63 |
| Hysteroscopy with uterine lining sampling and/or polyp removal
code 58558 |
19 |
$2,456.00 |
$3,705.39 |
| IUD insertion (the device itself billed separately)
code 58300 |
21 |
$80.36 |
$2,137.35 |
| Incision and drainage of a simple or single skin abscess
code 10060 |
60 |
$45.80 |
$220.14 |
| Inguinal (groin) hernia repair, age 5 or older
code 49505 |
17 |
$764.00 |
$4,673.12 |
| Injection into a tendon sheath or ligament (for example trigger finger)
code 20550 |
48 |
$43.17 |
$235.35 |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound
code 20610 |
66 |
$59.40 |
$325.21 |
| Insertion of a drug-delivery implant, such as the arm birth control implant
code 11981 |
22 |
$44.80 |
$171.39 |
| Joint injection or drainage, medium joint (wrist, elbow, ankle)
code 20605 |
62 |
$59.21 |
$292.60 |
| Joint injection or drainage, small joint (fingers, toes)
code 20600 |
55 |
$50.04 |
$286.09 |
| Knee arthroscopy with meniscus repair (one side of the knee)
code 29882 |
10 |
$4,090.98 |
$9,798.29 |
| Knee arthroscopy with meniscus trim
code 29881 |
16 |
$1,022.23 |
$5,923.19 |
| Knee arthroscopy with removal of both torn meniscus parts
code 29880 |
16 |
$1,051.26 |
$6,856.14 |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty)
code 29877 |
12 |
$2,149.46 |
$6,199.01 |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length
code 43644 |
7 |
$4,465.20 |
$10,278.29 |
| Laparoscopic adjustable gastric band placement (Lap-Band)
code 43770 |
2 |
$6,887.40 |
$10,088.95 |
| Laparoscopic appendectomy (appendix removal through small cuts)
code 44970 |
30 |
$907.20 |
$3,430.24 |
| Laparoscopic fundoplication (anti-reflux surgery)
code 43280 |
13 |
$7,635.99 |
$11,505.20 |
| Laparoscopic hysterectomy (uterus 250 g or less)
code 58570 |
11 |
$8,953.95 |
$11,189.78 |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries
code 58571 |
15 |
$8,084.00 |
$10,447.47 |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side
code 49650 |
16 |
$496.60 |
$7,400.77 |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia
code 49651 |
12 |
$6,564.28 |
$8,135.50 |
| Laparoscopic removal of an adjustable gastric band and its port
code 43774 |
7 |
$4,820.50 |
$5,456.00 |
| Laparoscopic removal of fallopian tubes and/or ovaries
code 58661 |
17 |
$931.70 |
$5,649.61 |
| Laparoscopic sleeve gastrectomy for weight loss
code 43775 |
7 |
$6,403.69 |
$6,403.69 |
| Laser treatment of clouding after cataract surgery (YAG)
code 66821 |
22 |
$251.55 |
$887.41 |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs
code 12031 |
48 |
$82.80 |
$322.74 |
| Left heart catheterization, diagnostic
code 93452 |
47 |
$1,155.94 |
$3,234.30 |
| Lower-back epidural injection, with imaging guidance
code 62323 |
53 |
$359.60 |
$491.92 |
| Lower-back epidural injection, without imaging guidance
code 62322 |
34 |
$112.50 |
$691.58 |
| Lower-back nerve root steroid injection, with imaging guidance
code 64483 |
49 |
$179.40 |
$708.80 |
| Lumbar discectomy or laminotomy to free a nerve root, one level
code 63030 |
9 |
$8,996.40 |
$10,321.42 |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level
code 22633 |
7 |
$5,109.60 |
$27,152.95 |
| Lumbar interbody fusion (PLIF or TLIF), one level
code 22630 |
9 |
$3,755.30 |
$25,333.53 |
| Lumbar laminectomy (spinal decompression), one level
code 63047 |
8 |
$8,479.80 |
$12,237.97 |
| Lumbar spinal fusion (posterior), one level
code 22612 |
8 |
$5,010.60 |
$28,727.87 |
| Lumpectomy (partial mastectomy)
code 19301 |
14 |
$1,304.76 |
$6,377.39 |
| Mastectomy (total removal of the breast)
code 19303 |
13 |
$3,077.00 |
$11,959.09 |
| Miscarriage treatment with D&C, first trimester
code 59820 |
17 |
$1,870.22 |
$3,087.38 |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals
code 17311 |
4 |
$665.26 |
$665.26 |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm
code 11400 |
34 |
$158.40 |
$355.40 |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm
code 11440 |
36 |
$133.17 |
$597.60 |
| Nail removal (partial or complete), one nail
code 11730 |
58 |
$41.00 |
$132.40 |
| Occipital nerve block (injection for headaches)
code 64405 |
46 |
$56.85 |
$288.45 |
| Open Roux-en-Y gastric bypass through an abdominal incision
code 43846 |
1 |
$5,920.80 |
$5,920.80 |
| Pacemaker implant (dual chamber)
code 33208 |
45 |
$3,415.91 |
$5,181.58 |
| Paracentesis with imaging guidance
code 49083 |
63 |
$181.24 |
$586.74 |
| Partial knee replacement (one compartment)
code 27446 |
4 |
$10,663.80 |
$14,327.66 |
| Permanent removal of a nail and nail root (partial or complete)
code 11750 |
49 |
$61.60 |
$380.37 |
| Prostate biopsy
code 55700 |
29 |
$259.19 |
$630.08 |
| Prostate removal (prostatectomy), laparoscopic
code 55866 |
10 |
$8,238.76 |
$9,352.58 |
| Radiofrequency ablation of facet joint nerves, lower back, one level
code 64635 |
33 |
$382.95 |
$1,541.40 |
| Removal of a breast lump, open surgery
code 19120 |
26 |
$664.68 |
$4,150.42 |
| Removal of a foreign object under the skin, simple
code 10120 |
60 |
$79.80 |
$301.95 |
| Removal of one lobe of the thyroid (lobectomy)
code 60220 |
12 |
$6,746.86 |
$8,261.72 |
| Screening colonoscopy for a person at average risk (Medicare code)
code G0121 |
33 |
$314.16 |
$1,253.13 |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code)
code G0105 |
29 |
$263.96 |
$1,225.25 |
| Septoplasty to straighten the nasal septum
code 30520 |
9 |
$2,687.40 |
$5,038.03 |
| Shock-wave lithotripsy to break up kidney stones (from outside the body)
code 50590 |
24 |
$2,641.36 |
$5,246.15 |
| Short arm cast (elbow to hand)
code 29075 |
35 |
$63.00 |
$160.16 |
| Short arm splint (forearm and hand)
code 29125 |
62 |
$37.20 |
$145.93 |
| Short leg cast (below the knee)
code 29405 |
38 |
$59.25 |
$150.87 |
| Short leg splint (calf to foot)
code 29515 |
51 |
$36.00 |
$160.20 |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle)
code 29824 |
15 |
$639.47 |
$4,799.23 |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery)
code 29826 |
15 |
$194.44 |
$5,067.38 |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs
code 12001 |
58 |
$46.20 |
$215.73 |
| Skin biopsy, punch, one lesion
code 11104 |
55 |
$73.60 |
$186.90 |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm
code 11600 |
21 |
$247.52 |
$885.38 |
| Skin tag removal, up to 15 tags
code 11200 |
44 |
$37.49 |
$153.78 |
| Spinal tap (lumbar puncture), diagnostic
code 62270 |
59 |
$160.80 |
$402.00 |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs
code 12002 |
56 |
$46.20 |
$231.90 |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair
code 12011 |
50 |
$46.20 |
$234.00 |
| TURP (transurethral resection of the prostate)
code 52601 |
12 |
$3,585.88 |
$6,453.55 |
| Tangential (shave-style) skin biopsy, one lesion
code 11102 |
37 |
$38.64 |
$172.04 |
| Thoracentesis with imaging guidance
code 32555 |
63 |
$167.95 |
$633.65 |
| Tonsil and adenoid removal, age 12 or older
code 42821 |
9 |
$3,860.40 |
$4,861.06 |
| Tonsil and adenoid removal, child under 12
code 42820 |
8 |
$3,913.80 |
$4,333.59 |
| Tonsil removal (tonsillectomy) only, age 12 or older
code 42826 |
9 |
$3,608.40 |
$4,363.22 |
| Tonsil removal (tonsillectomy) only, child under 12
code 42825 |
6 |
$3,526.13 |
$3,526.13 |
| Total hip replacement
code 27130 |
15 |
$890.82 |
$14,830.18 |
| Total knee replacement
code 27447 |
15 |
$1,833.60 |
$14,946.90 |
| Total shoulder replacement
code 23472 |
13 |
$4,845.19 |
$15,655.31 |
| Total thyroid removal (thyroidectomy)
code 60240 |
12 |
$3,516.04 |
$9,402.73 |
| Trigger finger release surgery
code 26055 |
21 |
$850.71 |
$3,074.76 |
| Trigger point injections, 1 or 2 muscles
code 20552 |
52 |
$59.06 |
$248.99 |
| Tubal ligation, laparoscopic (tubes sealed by cautery)
code 58670 |
9 |
$3,465.88 |
$3,779.97 |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion
code 19083 |
58 |
$432.60 |
$1,008.90 |
| Upper endoscopy (EGD) with balloon widening of the esophagus
code 43249 |
29 |
$581.40 |
$1,093.16 |
| Upper endoscopy (EGD) with biopsy
code 43239 |
41 |
$263.34 |
$987.80 |
| Upper endoscopy (EGD) with injection into the lining
code 43236 |
20 |
$940.50 |
$1,093.16 |
| Upper endoscopy (EGD) with polyp removal by snare
code 43251 |
25 |
$476.00 |
$1,343.62 |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire
code 43248 |
28 |
$174.09 |
$1,093.16 |
| Upper endoscopy (EGD), diagnostic
code 43235 |
38 |
$393.46 |
$964.15 |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall
code 43240 |
12 |
$1,086.02 |
$1,195.92 |
| Ureteroscopy with laser stone breaking (lithotripsy)
code 52353 |
16 |
$1,437.38 |
$4,049.38 |
| Ureteroscopy with laser stone breaking and stent placement
code 52356 |
17 |
$3,040.28 |
$5,395.65 |
| Vaginal delivery, including prenatal and postpartum care
code 59400 |
5 |
$490.82 |
$490.82 |
| Vasectomy, one or both sides, including follow-up semen testing
code 55250 |
16 |
$898.95 |
$1,169.26 |
| Vein ablation, radiofrequency, first vein
code 36475 |
24 |
$1,290.30 |
$2,204.29 |
| Wart removal, up to 14 warts
code 17110 |
34 |
$38.64 |
$120.34 |
| Wound debridement, skin and tissue under it, first 20 sq cm
code 11042 |
58 |
$79.80 |
$430.95 |
| Wrist fracture surgery (plate and screws), distal radius
code 25607 |
17 |
$687.60 |
$8,487.65 |