| Adenoid removal (adenoidectomy), child under 12
code 42830 |
6 |
$3,614.13 |
$9,147.24 |
| Anterior cervical discectomy and fusion (ACDF), one level
code 22551 |
7 |
$7,526.38 |
$42,346.10 |
| Appendectomy, open surgery
code 44950 |
3 |
$4,298.18 |
$9,864.00 |
| Arthroscopic ACL reconstruction or repair of the knee
code 29888 |
13 |
$5,155.21 |
$32,249.32 |
| Arthroscopic rotator cuff repair of the shoulder
code 29827 |
13 |
$4,142.10 |
$27,745.20 |
| Balloon dilation of the maxillary sinus opening, one side
code 31295 |
2 |
$4,072.04 |
$8,084.12 |
| Botox injections for chronic migraine
code 64615 |
31 |
$56.85 |
$489.00 |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion
code 19081 |
38 |
$432.60 |
$2,714.90 |
| Broken ankle (outer ankle bone) treatment without surgery or setting
code 27786 |
19 |
$203.00 |
$241.50 |
| Broken foot (metatarsal) treatment without surgery or setting
code 28470 |
29 |
$65.55 |
$290.50 |
| Bunion correction with a bone cut near the head of the first metatarsal
code 28296 |
6 |
$13,389.08 |
$18,396.38 |
| Bunion correction with removal of part of the big toe joint
code 28292 |
5 |
$3,520.40 |
$12,918.85 |
| Cardiac catheterization with coronary angiogram
code 93458 |
39 |
$2,405.40 |
$9,673.00 |
| Cardioversion, elective (restoring heart rhythm)
code 92960 |
65 |
$245.10 |
$1,200.00 |
| Carpal tunnel release, open surgery
code 64721 |
15 |
$905.25 |
$7,371.80 |
| Cataract surgery with lens implant
code 66984 |
6 |
$4,650.00 |
$6,522.66 |
| Catheter ablation for atrial fibrillation
code 93656 |
44 |
$4,032.60 |
$21,454.07 |
| Cervical biopsy
code 57500 |
30 |
$129.00 |
$1,665.00 |
| Circumcision by surgical excision, older than 28 days (children and adults)
code 54161 |
31 |
$773.10 |
$1,600.00 |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns
code 54150 |
36 |
$92.05 |
$1,510.50 |
| Circumcision, surgical, older than a newborn
code 54160 |
17 |
$350.52 |
$1,510.50 |
| Closed treatment of a wrist (distal radius) fracture, no resetting
code 25600 |
38 |
$86.40 |
$338.00 |
| Colonoscopy with endoscopic ultrasound
code 45391 |
9 |
$1,386.50 |
$1,462.65 |
| Colonoscopy with polyp removal
code 45385 |
27 |
$1,292.50 |
$3,872.44 |
| Colonoscopy with tissue sample
code 45380 |
33 |
$474.95 |
$1,748.19 |
| Colonoscopy, diagnostic
code 45378 |
42 |
$931.50 |
$1,415.00 |
| Colposcopy with LEEP (loop electrosurgical excision)
code 57460 |
10 |
$1,140.00 |
$5,215.50 |
| Colposcopy with cervical biopsy and scraping of the cervical canal
code 57454 |
20 |
$61.65 |
$537.50 |
| Complex cataract surgery with lens implant
code 66982 |
6 |
$4,650.00 |
$8,149.62 |
| Coronary stent placement, one artery
code 92928 |
37 |
$3,339.75 |
$10,457.50 |
| Cystoscopy with ureteral stent placement
code 52332 |
32 |
$2,636.46 |
$4,284.50 |
| Cystoscopy, diagnostic look inside the bladder and urethra
code 52000 |
40 |
$260.70 |
$869.40 |
| D&C (dilation and curettage), not related to pregnancy
code 58120 |
29 |
$1,247.98 |
$2,339.00 |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion
code 17000 |
28 |
$42.60 |
$120.00 |
| Ear tube placement (tympanostomy) under general anesthesia, one ear
code 69436 |
12 |
$742.99 |
$4,338.69 |
| Ear tube placement (tympanostomy) with local anesthesia, one ear
code 69433 |
12 |
$711.50 |
$818.00 |
| Earwax removal by irrigation (rinsing), one ear
code 69209 |
53 |
$26.91 |
$97.50 |
| Earwax removal with instruments, one ear
code 69210 |
46 |
$15.05 |
$172.28 |
| Endometrial biopsy (uterine lining sample) without dilating the cervix
code 58100 |
33 |
$37.20 |
$304.50 |
| Endoscopic sinus surgery: full ethmoid sinus opening
code 31255 |
3 |
$3,669.52 |
$10,232.00 |
| Endoscopic sinus surgery: opening the frontal sinus
code 31276 |
5 |
$3,491.23 |
$16,362.33 |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus
code 31256 |
6 |
$3,732.35 |
$19,765.04 |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue
code 31267 |
7 |
$2,642.74 |
$16,362.33 |
| Epidural steroid injection, neck or mid back, with imaging guidance
code 62321 |
40 |
$152.25 |
$1,344.00 |
| Eye injection into the vitreous (intravitreal injection)
code 67028 |
12 |
$640.09 |
$644.50 |
| Facet joint injection, lower back, one level, with imaging guidance
code 64493 |
40 |
$552.30 |
$1,405.25 |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm
code 49593 |
13 |
$5,100.00 |
$15,200.45 |
| First repair of a front abdominal hernia larger than 10 cm
code 49595 |
6 |
$5,288.25 |
$27,809.47 |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm
code 49591 |
13 |
$4,913.77 |
$13,448.16 |
| Flexible sigmoidoscopy, diagnostic (lower colon only)
code 45330 |
44 |
$393.75 |
$1,130.85 |
| Gallbladder removal, laparoscopic
code 47562 |
14 |
$9,518.58 |
$17,006.46 |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery
code 47563 |
12 |
$6,867.63 |
$20,470.42 |
| Gallbladder removal, open surgery through a larger incision
code 47600 |
1 |
$27,710.19 |
$27,710.19 |
| Hammertoe correction surgery
code 28285 |
20 |
$1,523.50 |
$5,445.00 |
| Hemorrhoid banding (rubber band ligation)
code 46221 |
30 |
$489.50 |
$1,452.00 |
| Hemorrhoidectomy (internal and external), one area
code 46255 |
27 |
$2,067.00 |
$3,401.65 |
| Hip replacement after an earlier hip surgery (conversion to total hip)
code 27132 |
6 |
$6,896.46 |
$41,936.11 |
| Hysterectomy through an abdominal incision (total)
code 58150 |
6 |
$4,708.00 |
$24,230.66 |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes
code 58340 |
35 |
$74.55 |
$524.00 |
| Hysteroscopy with endometrial ablation
code 58563 |
11 |
$3,935.93 |
$14,566.02 |
| Hysteroscopy with uterine lining sampling and/or polyp removal
code 58558 |
20 |
$3,935.93 |
$6,831.04 |
| IUD insertion (the device itself billed separately)
code 58300 |
33 |
$41.73 |
$230.50 |
| Incision and drainage of a simple or single skin abscess
code 10060 |
51 |
$60.91 |
$387.00 |
| Inguinal (groin) hernia repair, age 5 or older
code 49505 |
16 |
$4,913.77 |
$13,458.16 |
| Injection into a tendon sheath or ligament (for example trigger finger)
code 20550 |
42 |
$63.60 |
$367.50 |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound
code 20610 |
53 |
$131.10 |
$387.46 |
| Insertion of a drug-delivery implant, such as the arm birth control implant
code 11981 |
28 |
$41.36 |
$564.50 |
| Joint injection or drainage, medium joint (wrist, elbow, ankle)
code 20605 |
51 |
$131.10 |
$421.50 |
| Joint injection or drainage, small joint (fingers, toes)
code 20600 |
47 |
$87.86 |
$366.45 |
| Knee arthroscopy with meniscus repair (one side of the knee)
code 29882 |
11 |
$3,287.57 |
$25,747.40 |
| Knee arthroscopy with meniscus trim
code 29881 |
16 |
$3,287.57 |
$11,539.12 |
| Knee arthroscopy with removal of both torn meniscus parts
code 29880 |
12 |
$5,593.67 |
$13,821.38 |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty)
code 29877 |
9 |
$5,593.67 |
$14,256.20 |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length
code 43644 |
5 |
$39,177.12 |
$47,690.63 |
| Laparoscopic adjustable gastric band placement (Lap-Band)
code 43770 |
1 |
$43,111.63 |
$43,111.63 |
| Laparoscopic appendectomy (appendix removal through small cuts)
code 44970 |
20 |
$2,357.04 |
$17,536.05 |
| Laparoscopic fundoplication (anti-reflux surgery)
code 43280 |
2 |
$25,259.80 |
$37,113.51 |
| Laparoscopic hysterectomy (uterus 250 g or less)
code 58570 |
7 |
$9,139.44 |
$24,036.71 |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries
code 58571 |
9 |
$22,275.79 |
$25,446.20 |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side
code 49650 |
13 |
$7,532.15 |
$14,902.57 |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia
code 49651 |
12 |
$5,157.03 |
$14,677.28 |
| Laparoscopic removal of an adjustable gastric band and its port
code 43774 |
2 |
$17,965.67 |
$18,249.61 |
| Laparoscopic removal of fallopian tubes and/or ovaries
code 58661 |
11 |
$9,219.11 |
$17,458.20 |
| Laparoscopic sleeve gastrectomy for weight loss
code 43775 |
4 |
$33,766.61 |
$42,830.53 |
| Laser treatment of clouding after cataract surgery (YAG)
code 66821 |
18 |
$251.55 |
$1,077.50 |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs
code 12031 |
44 |
$97.98 |
$516.90 |
| Left heart catheterization, diagnostic
code 93452 |
35 |
$2,405.40 |
$6,582.50 |
| Lower-back epidural injection, with imaging guidance
code 62323 |
43 |
$447.90 |
$1,685.00 |
| Lower-back epidural injection, without imaging guidance
code 62322 |
26 |
$323.40 |
$1,503.35 |
| Lower-back nerve root steroid injection, with imaging guidance
code 64483 |
36 |
$179.40 |
$1,508.50 |
| Lumbar discectomy or laminotomy to free a nerve root, one level
code 63030 |
7 |
$10,966.17 |
$26,354.77 |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level
code 22633 |
6 |
$6,316.04 |
$103,775.45 |
| Lumbar interbody fusion (PLIF or TLIF), one level
code 22630 |
4 |
$7,131.26 |
$97,373.04 |
| Lumbar laminectomy (spinal decompression), one level
code 63047 |
5 |
$20,492.86 |
$34,040.02 |
| Lumbar spinal fusion (posterior), one level
code 22612 |
6 |
$11,797.47 |
$77,959.84 |
| Lumpectomy (partial mastectomy)
code 19301 |
18 |
$4,188.20 |
$10,987.79 |
| Mastectomy (total removal of the breast)
code 19303 |
11 |
$5,207.10 |
$20,618.60 |
| Miscarriage treatment with D&C, first trimester
code 59820 |
33 |
$1,178.40 |
$2,356.80 |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm
code 11400 |
43 |
$173.19 |
$561.50 |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm
code 11440 |
35 |
$135.60 |
$1,191.50 |
| Nail removal (partial or complete), one nail
code 11730 |
50 |
$59.02 |
$213.00 |
| Occipital nerve block (injection for headaches)
code 64405 |
43 |
$56.85 |
$549.60 |
| Pacemaker implant (dual chamber)
code 33208 |
37 |
$4,345.65 |
$11,684.50 |
| Paracentesis with imaging guidance
code 49083 |
50 |
$324.60 |
$1,163.05 |
| Partial knee replacement (one compartment)
code 27446 |
6 |
$14,252.58 |
$42,680.28 |
| Permanent removal of a nail and nail root (partial or complete)
code 11750 |
48 |
$57.91 |
$602.50 |
| Prostate biopsy
code 55700 |
34 |
$390.30 |
$2,541.00 |
| Prostate removal (prostatectomy), laparoscopic
code 55866 |
5 |
$7,630.97 |
$33,343.98 |
| Radiofrequency ablation of facet joint nerves, lower back, one level
code 64635 |
31 |
$382.95 |
$2,747.50 |
| Removal of a breast lump, open surgery
code 19120 |
26 |
$1,637.00 |
$5,849.28 |
| Removal of a foreign object under the skin, simple
code 10120 |
48 |
$51.52 |
$561.50 |
| Removal of one lobe of the thyroid (lobectomy)
code 60220 |
9 |
$6,039.04 |
$24,421.60 |
| Screening colonoscopy for a person at average risk (Medicare code)
code G0121 |
25 |
$1,130.85 |
$3,148.25 |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code)
code G0105 |
25 |
$1,130.85 |
$2,898.20 |
| Septoplasty to straighten the nasal septum
code 30520 |
8 |
$3,170.88 |
$15,867.74 |
| Shock-wave lithotripsy to break up kidney stones (from outside the body)
code 50590 |
19 |
$4,934.60 |
$8,793.75 |
| Short arm cast (elbow to hand)
code 29075 |
40 |
$99.90 |
$273.00 |
| Short arm splint (forearm and hand)
code 29125 |
46 |
$25.95 |
$243.00 |
| Short leg cast (below the knee)
code 29405 |
42 |
$97.52 |
$318.00 |
| Short leg splint (calf to foot)
code 29515 |
46 |
$63.48 |
$232.09 |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle)
code 29824 |
13 |
$3,063.57 |
$22,239.21 |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery)
code 29826 |
13 |
$3,606.06 |
$23,684.35 |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs
code 12001 |
49 |
$48.13 |
$363.00 |
| Skin biopsy, punch, one lesion
code 11104 |
50 |
$74.06 |
$311.40 |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm
code 11600 |
21 |
$294.75 |
$1,131.50 |
| Skin tag removal, up to 15 tags
code 11200 |
50 |
$37.49 |
$249.95 |
| Spinal tap (lumbar puncture), diagnostic
code 62270 |
51 |
$205.87 |
$859.25 |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs
code 12002 |
50 |
$53.78 |
$422.00 |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair
code 12011 |
49 |
$56.78 |
$377.00 |
| TURP (transurethral resection of the prostate)
code 52601 |
11 |
$10,422.64 |
$18,184.53 |
| Tangential (shave-style) skin biopsy, one lesion
code 11102 |
47 |
$38.64 |
$251.40 |
| Thoracentesis with imaging guidance
code 32555 |
48 |
$383.85 |
$1,321.80 |
| Tonsil and adenoid removal, age 12 or older
code 42821 |
6 |
$6,606.13 |
$11,386.46 |
| Tonsil and adenoid removal, child under 12
code 42820 |
6 |
$6,885.60 |
$11,042.72 |
| Tonsil removal (tonsillectomy) only, age 12 or older
code 42826 |
8 |
$6,135.53 |
$11,944.47 |
| Tonsil removal (tonsillectomy) only, child under 12
code 42825 |
5 |
$6,472.70 |
$9,090.00 |
| Total hip replacement
code 27130 |
14 |
$4,816.83 |
$32,469.99 |
| Total knee replacement
code 27447 |
15 |
$8,608.10 |
$36,652.20 |
| Total shoulder replacement
code 23472 |
12 |
$5,889.80 |
$55,467.55 |
| Total thyroid removal (thyroidectomy)
code 60240 |
7 |
$10,130.67 |
$30,864.32 |
| Trigger finger release surgery
code 26055 |
35 |
$597.90 |
$3,179.00 |
| Trigger point injections, 1 or 2 muscles
code 20552 |
46 |
$113.40 |
$366.45 |
| Tubal ligation, laparoscopic (tubes sealed by cautery)
code 58670 |
4 |
$8,730.86 |
$11,674.06 |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion
code 19083 |
42 |
$432.60 |
$2,009.70 |
| Upper endoscopy (EGD) with balloon widening of the esophagus
code 43249 |
28 |
$581.40 |
$2,353.05 |
| Upper endoscopy (EGD) with biopsy
code 43239 |
38 |
$377.43 |
$1,484.00 |
| Upper endoscopy (EGD) with injection into the lining
code 43236 |
19 |
$1,068.13 |
$1,665.30 |
| Upper endoscopy (EGD) with polyp removal by snare
code 43251 |
26 |
$1,068.75 |
$3,687.53 |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire
code 43248 |
18 |
$1,163.05 |
$1,397.46 |
| Upper endoscopy (EGD), diagnostic
code 43235 |
35 |
$418.83 |
$1,484.00 |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall
code 43240 |
10 |
$3,069.29 |
$7,383.60 |
| Ureteroscopy with laser stone breaking (lithotripsy)
code 52353 |
11 |
$3,632.44 |
$14,668.26 |
| Ureteroscopy with laser stone breaking and stent placement
code 52356 |
13 |
$5,544.61 |
$16,801.40 |
| Vasectomy, one or both sides, including follow-up semen testing
code 55250 |
6 |
$898.95 |
$898.95 |
| Vein ablation, radiofrequency, first vein
code 36475 |
24 |
$1,290.30 |
$4,035.50 |
| Wart removal, up to 14 warts
code 17110 |
44 |
$38.64 |
$137.00 |
| Wound debridement, skin and tissue under it, first 20 sq cm
code 11042 |
52 |
$68.43 |
$597.95 |
| Wrist fracture surgery (plate and screws), distal radius
code 25607 |
9 |
$9,798.53 |
$21,355.22 |