| Adenoid removal (adenoidectomy), child under 12
code 42830 |
8 |
$386.75 |
$5,459.92 |
| Anterior cervical discectomy and fusion (ACDF), one level
code 22551 |
5 |
$5,035.77 |
$18,190.68 |
| Appendectomy for a ruptured appendix with abscess or peritonitis
code 44960 |
3 |
$1,691.30 |
$1,768.00 |
| Appendectomy, open surgery
code 44950 |
8 |
$1,300.50 |
$6,801.63 |
| Arthroscopic ACL reconstruction or repair of the knee
code 29888 |
12 |
$2,176.00 |
$12,261.27 |
| Arthroscopic rotator cuff repair of the shoulder
code 29827 |
12 |
$1,074.00 |
$6,677.78 |
| Balloon dilation of the maxillary sinus opening, one side
code 31295 |
9 |
$3,027.50 |
$4,744.02 |
| Botox injections for chronic migraine
code 64615 |
22 |
$117.65 |
$378.23 |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion
code 19081 |
24 |
$340.60 |
$2,216.58 |
| Broken ankle (outer ankle bone) treatment without surgery or setting
code 27786 |
40 |
$134.40 |
$650.90 |
| Broken foot (metatarsal) treatment without surgery or setting
code 28470 |
37 |
$134.40 |
$573.95 |
| Bunion correction with a bone cut near the head of the first metatarsal
code 28296 |
16 |
$1,593.75 |
$6,133.15 |
| Bunion correction with removal of part of the big toe joint
code 28292 |
6 |
$1,212.25 |
$4,975.35 |
| Cardiac catheterization with coronary angiogram
code 93458 |
30 |
$2,921.88 |
$10,568.58 |
| Cardioversion, elective (restoring heart rhythm)
code 92960 |
56 |
$204.60 |
$1,094.17 |
| Carpal tunnel release, open surgery
code 64721 |
27 |
$900.00 |
$3,347.50 |
| Cataract surgery with lens implant
code 66984 |
9 |
$1,234.69 |
$3,637.30 |
| Catheter ablation for atrial fibrillation
code 93656 |
26 |
$5,369.65 |
$25,753.10 |
| Cervical biopsy
code 57500 |
39 |
$188.50 |
$780.80 |
| Cesarean delivery, including prenatal and postpartum care
code 59510 |
4 |
$3,008.20 |
$4,988.93 |
| Circumcision by surgical excision, older than 28 days (children and adults)
code 54161 |
17 |
$395.25 |
$3,365.49 |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns
code 54150 |
30 |
$87.50 |
$428.10 |
| Circumcision, surgical, older than a newborn
code 54160 |
14 |
$87.50 |
$368.09 |
| Closed treatment of a wrist (distal radius) fracture, no resetting
code 25600 |
43 |
$134.40 |
$616.80 |
| Colonoscopy with endoscopic ultrasound
code 45391 |
5 |
$1,166.50 |
$2,650.40 |
| Colonoscopy with polyp removal
code 45385 |
25 |
$571.35 |
$2,348.34 |
| Colonoscopy with tissue sample
code 45380 |
25 |
$529.90 |
$2,242.95 |
| Colonoscopy, diagnostic
code 45378 |
34 |
$443.10 |
$1,932.48 |
| Colposcopy with LEEP (loop electrosurgical excision)
code 57460 |
14 |
$196.02 |
$3,304.32 |
| Colposcopy with cervical biopsy and scraping of the cervical canal
code 57454 |
22 |
$161.46 |
$441.12 |
| Complex cataract surgery with lens implant
code 66982 |
8 |
$299.20 |
$3,673.13 |
| Coronary stent placement, one artery
code 92928 |
22 |
$10,513.36 |
$21,287.52 |
| Cystoscopy with ureteral stent placement
code 52332 |
12 |
$1,093.65 |
$5,191.78 |
| Cystoscopy, diagnostic look inside the bladder and urethra
code 52000 |
39 |
$214.89 |
$923.82 |
| D&C (dilation and curettage), not related to pregnancy
code 58120 |
32 |
$432.00 |
$2,959.12 |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion
code 17000 |
43 |
$57.20 |
$185.30 |
| Ear tube placement (tympanostomy) under general anesthesia, one ear
code 69436 |
8 |
$234.65 |
$1,571.93 |
| Ear tube placement (tympanostomy) with local anesthesia, one ear
code 69433 |
8 |
$267.75 |
$523.75 |
| Earwax removal by irrigation (rinsing), one ear
code 69209 |
48 |
$20.35 |
$111.36 |
| Earwax removal with instruments, one ear
code 69210 |
48 |
$53.60 |
$170.47 |
| Endometrial biopsy (uterine lining sample) without dilating the cervix
code 58100 |
39 |
$149.80 |
$292.80 |
| Endoscopic sinus surgery: full ethmoid sinus opening
code 31255 |
5 |
$600.60 |
$8,776.08 |
| Endoscopic sinus surgery: opening the frontal sinus
code 31276 |
6 |
$705.50 |
$3,318.61 |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus
code 31256 |
5 |
$295.10 |
$5,128.56 |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue
code 31267 |
7 |
$475.80 |
$6,547.89 |
| Epidural steroid injection, neck or mid back, with imaging guidance
code 62321 |
38 |
$526.50 |
$1,525.15 |
| Eye injection into the vitreous (intravitreal injection)
code 67028 |
19 |
$372.60 |
$795.60 |
| Facet joint injection, lower back, one level, with imaging guidance
code 64493 |
31 |
$174.68 |
$2,299.70 |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm
code 49593 |
9 |
$5,063.50 |
$11,638.04 |
| First repair of a front abdominal hernia larger than 10 cm
code 49595 |
7 |
$5,477.91 |
$11,787.10 |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm
code 49591 |
12 |
$2,878.30 |
$7,184.13 |
| Flexible sigmoidoscopy, diagnostic (lower colon only)
code 45330 |
32 |
$129.50 |
$1,571.88 |
| Gallbladder removal, laparoscopic
code 47562 |
15 |
$1,453.50 |
$13,360.00 |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery
code 47563 |
24 |
$1,470.50 |
$11,124.02 |
| Gallbladder removal, open surgery through a larger incision
code 47600 |
3 |
$2,055.95 |
$2,184.50 |
| Hammertoe correction surgery
code 28285 |
13 |
$668.95 |
$3,933.90 |
| Hemorrhoid banding (rubber band ligation)
code 46221 |
26 |
$232.05 |
$1,260.75 |
| Hemorrhoidectomy (internal and external), one area
code 46255 |
34 |
$752.70 |
$4,023.75 |
| Hip replacement after an earlier hip surgery (conversion to total hip)
code 27132 |
4 |
$3,211.30 |
$21,631.35 |
| Hysterectomy through an abdominal incision (total)
code 58150 |
5 |
$2,044.25 |
$4,379.04 |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes
code 58340 |
34 |
$125.28 |
$253.45 |
| Hysteroscopy with endometrial ablation
code 58563 |
14 |
$484.50 |
$4,677.25 |
| Hysteroscopy with uterine lining sampling and/or polyp removal
code 58558 |
11 |
$512.20 |
$3,453.67 |
| IUD insertion (the device itself billed separately)
code 58300 |
40 |
$91.30 |
$286.65 |
| Incision and drainage of a simple or single skin abscess
code 10060 |
59 |
$75.36 |
$374.81 |
| Inguinal (groin) hernia repair, age 5 or older
code 49505 |
25 |
$1,071.00 |
$7,976.15 |
| Injection into a tendon sheath or ligament (for example trigger finger)
code 20550 |
54 |
$70.70 |
$302.40 |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound
code 20610 |
52 |
$68.90 |
$484.86 |
| Insertion of a drug-delivery implant, such as the arm birth control implant
code 11981 |
31 |
$92.25 |
$276.13 |
| Joint injection or drainage, medium joint (wrist, elbow, ankle)
code 20605 |
51 |
$57.85 |
$457.47 |
| Joint injection or drainage, small joint (fingers, toes)
code 20600 |
50 |
$55.25 |
$379.08 |
| Knee arthroscopy with meniscus repair (one side of the knee)
code 29882 |
12 |
$1,464.23 |
$8,030.83 |
| Knee arthroscopy with meniscus trim
code 29881 |
16 |
$1,453.50 |
$7,035.28 |
| Knee arthroscopy with removal of both torn meniscus parts
code 29880 |
12 |
$1,547.00 |
$7,137.53 |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty)
code 29877 |
9 |
$1,313.25 |
$4,906.40 |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length
code 43644 |
2 |
$10,208.97 |
$23,339.37 |
| Laparoscopic adjustable gastric band placement (Lap-Band)
code 43770 |
1 |
$12,668.91 |
$12,668.91 |
| Laparoscopic appendectomy (appendix removal through small cuts)
code 44970 |
13 |
$962.54 |
$7,777.50 |
| Laparoscopic fundoplication (anti-reflux surgery)
code 43280 |
6 |
$2,867.15 |
$51,555.96 |
| Laparoscopic hysterectomy (uterus 250 g or less)
code 58570 |
7 |
$1,786.85 |
$23,760.00 |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries
code 58571 |
8 |
$2,000.70 |
$30,133.63 |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side
code 49650 |
15 |
$815.75 |
$11,659.11 |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia
code 49651 |
13 |
$1,044.55 |
$5,819.01 |
| Laparoscopic removal of an adjustable gastric band and its port
code 43774 |
4 |
$1,215.50 |
$4,706.36 |
| Laparoscopic removal of fallopian tubes and/or ovaries
code 58661 |
11 |
$1,234.35 |
$7,201.68 |
| Laparoscopic sleeve gastrectomy for weight loss
code 43775 |
3 |
$2,144.35 |
$2,632.25 |
| Laser treatment of clouding after cataract surgery (YAG)
code 66821 |
6 |
$136.00 |
$895.78 |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs
code 12031 |
56 |
$189.20 |
$659.45 |
| Left heart catheterization, diagnostic
code 93452 |
30 |
$2,809.56 |
$8,121.83 |
| Lower-back epidural injection, with imaging guidance
code 62323 |
44 |
$331.17 |
$1,532.05 |
| Lower-back epidural injection, without imaging guidance
code 62322 |
37 |
$176.40 |
$1,141.44 |
| Lower-back nerve root steroid injection, with imaging guidance
code 64483 |
33 |
$191.75 |
$1,718.60 |
| Lumbar discectomy or laminotomy to free a nerve root, one level
code 63030 |
7 |
$4,009.85 |
$10,148.13 |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level
code 22633 |
3 |
$17,644.91 |
$52,713.38 |
| Lumbar interbody fusion (PLIF or TLIF), one level
code 22630 |
4 |
$4,192.50 |
$41,009.23 |
| Lumbar laminectomy (spinal decompression), one level
code 63047 |
6 |
$4,446.74 |
$9,153.74 |
| Lumbar spinal fusion (posterior), one level
code 22612 |
5 |
$4,245.80 |
$18,264.12 |
| Lumpectomy (partial mastectomy)
code 19301 |
14 |
$920.40 |
$7,270.44 |
| Mastectomy (total removal of the breast)
code 19303 |
10 |
$2,041.00 |
$6,447.28 |
| Miscarriage treatment with D&C, first trimester
code 59820 |
24 |
$765.85 |
$4,802.83 |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals
code 17311 |
4 |
$543.20 |
$831.77 |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm
code 11400 |
48 |
$140.70 |
$736.20 |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm
code 11440 |
43 |
$205.92 |
$751.40 |
| Nail removal (partial or complete), one nail
code 11730 |
57 |
$78.40 |
$279.99 |
| Occipital nerve block (injection for headaches)
code 64405 |
43 |
$82.57 |
$663.00 |
| Pacemaker implant (dual chamber)
code 33208 |
30 |
$1,485.90 |
$10,456.32 |
| Paracentesis with imaging guidance
code 49083 |
54 |
$146.30 |
$1,325.46 |
| Partial knee replacement (one compartment)
code 27446 |
7 |
$2,509.00 |
$18,761.43 |
| Permanent removal of a nail and nail root (partial or complete)
code 11750 |
56 |
$143.62 |
$677.27 |
| Prostate biopsy
code 55700 |
25 |
$229.60 |
$1,836.00 |
| Prostate removal (prostatectomy), laparoscopic
code 55866 |
5 |
$12,668.91 |
$52,904.80 |
| Radiofrequency ablation of facet joint nerves, lower back, one level
code 64635 |
16 |
$744.90 |
$3,163.40 |
| Removal of a breast lump, open surgery
code 19120 |
23 |
$1,006.85 |
$4,877.28 |
| Removal of a foreign object under the skin, simple
code 10120 |
59 |
$123.84 |
$518.93 |
| Removal of one lobe of the thyroid (lobectomy)
code 60220 |
8 |
$1,470.50 |
$13,052.00 |
| Screening colonoscopy for a person at average risk (Medicare code)
code G0121 |
17 |
$443.10 |
$1,587.95 |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code)
code G0105 |
17 |
$443.10 |
$1,939.00 |
| Septoplasty to straighten the nasal septum
code 30520 |
19 |
$868.40 |
$4,979.10 |
| Shock-wave lithotripsy to break up kidney stones (from outside the body)
code 50590 |
9 |
$2,800.00 |
$8,546.07 |
| Short arm cast (elbow to hand)
code 29075 |
45 |
$109.20 |
$439.45 |
| Short arm splint (forearm and hand)
code 29125 |
52 |
$69.30 |
$277.58 |
| Short leg cast (below the knee)
code 29405 |
42 |
$104.30 |
$347.40 |
| Short leg splint (calf to foot)
code 29515 |
51 |
$84.12 |
$354.20 |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle)
code 29824 |
10 |
$1,030.90 |
$3,975.60 |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery)
code 29826 |
12 |
$1,496.00 |
$2,844.59 |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs
code 12001 |
57 |
$68.73 |
$338.61 |
| Skin biopsy, punch, one lesion
code 11104 |
52 |
$82.85 |
$336.96 |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm
code 11600 |
16 |
$220.35 |
$667.17 |
| Skin tag removal, up to 15 tags
code 11200 |
51 |
$78.40 |
$217.60 |
| Spinal tap (lumbar puncture), diagnostic
code 62270 |
57 |
$98.70 |
$992.00 |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs
code 12002 |
58 |
$128.10 |
$414.15 |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair
code 12011 |
58 |
$106.40 |
$405.01 |
| TURP (transurethral resection of the prostate)
code 52601 |
7 |
$3,000.00 |
$8,445.09 |
| Tangential (shave-style) skin biopsy, one lesion
code 11102 |
47 |
$67.07 |
$264.00 |
| Thoracentesis with imaging guidance
code 32555 |
56 |
$151.90 |
$1,321.84 |
| Tonsil and adenoid removal, age 12 or older
code 42821 |
9 |
$443.95 |
$5,931.25 |
| Tonsil and adenoid removal, child under 12
code 42820 |
8 |
$578.00 |
$6,898.46 |
| Tonsil removal (tonsillectomy) only, age 12 or older
code 42826 |
9 |
$368.55 |
$4,725.15 |
| Tonsil removal (tonsillectomy) only, child under 12
code 42825 |
8 |
$382.20 |
$5,543.04 |
| Total hip replacement
code 27130 |
10 |
$3,388.10 |
$28,070.63 |
| Total knee replacement
code 27447 |
10 |
$3,290.30 |
$21,564.61 |
| Total shoulder replacement
code 23472 |
6 |
$3,324.24 |
$27,054.63 |
| Total thyroid removal (thyroidectomy)
code 60240 |
8 |
$1,706.25 |
$17,128.48 |
| Trigger finger release surgery
code 26055 |
24 |
$595.00 |
$2,944.40 |
| Trigger point injections, 1 or 2 muscles
code 20552 |
59 |
$64.35 |
$360.50 |
| Tubal ligation, laparoscopic (tubes sealed by cautery)
code 58670 |
7 |
$765.85 |
$5,103.36 |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion
code 19083 |
37 |
$319.80 |
$2,508.55 |
| Upper endoscopy (EGD) with balloon widening of the esophagus
code 43249 |
36 |
$354.90 |
$2,307.30 |
| Upper endoscopy (EGD) with biopsy
code 43239 |
35 |
$350.70 |
$1,935.05 |
| Upper endoscopy (EGD) with injection into the lining
code 43236 |
14 |
$285.35 |
$1,855.51 |
| Upper endoscopy (EGD) with polyp removal by snare
code 43251 |
21 |
$364.70 |
$2,116.18 |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire
code 43248 |
17 |
$255.06 |
$1,184.51 |
| Upper endoscopy (EGD), diagnostic
code 43235 |
43 |
$253.50 |
$1,631.24 |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall
code 43240 |
6 |
$794.30 |
$5,415.50 |
| Ureteroscopy with laser stone breaking (lithotripsy)
code 52353 |
8 |
$1,954.00 |
$7,257.25 |
| Ureteroscopy with laser stone breaking and stent placement
code 52356 |
8 |
$1,727.05 |
$9,753.68 |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care
code 59610 |
2 |
$3,837.75 |
$4,453.68 |
| Vaginal delivery, including prenatal and postpartum care
code 59400 |
5 |
$2,873.00 |
$4,798.79 |
| Vasectomy, one or both sides, including follow-up semen testing
code 55250 |
13 |
$255.42 |
$2,131.20 |
| Vein ablation, radiofrequency, first vein
code 36475 |
17 |
$1,858.18 |
$4,760.00 |
| Wart removal, up to 14 warts
code 17110 |
50 |
$61.44 |
$237.70 |
| Wound debridement, skin and tissue under it, first 20 sq cm
code 11042 |
56 |
$78.40 |
$643.87 |
| Wrist fracture surgery (plate and screws), distal radius
code 25607 |
25 |
$1,346.15 |
$10,587.84 |