| Adenoid removal (adenoidectomy), child under 12
code 42830 |
9 |
$2,885.34 |
$3,967.00 |
| Anterior cervical discectomy and fusion (ACDF), one level
code 22551 |
9 |
$1,869.65 |
$11,832.26 |
| Appendectomy for a ruptured appendix with abscess or peritonitis
code 44960 |
4 |
$954.37 |
$1,442.81 |
| Appendectomy, open surgery
code 44950 |
8 |
$698.72 |
$3,139.03 |
| Arthroscopic ACL reconstruction or repair of the knee
code 29888 |
13 |
$1,034.32 |
$7,744.00 |
| Arthroscopic rotator cuff repair of the shoulder
code 29827 |
14 |
$1,134.27 |
$4,964.67 |
| Botox injections for chronic migraine
code 64615 |
17 |
$56.25 |
$353.00 |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion
code 19081 |
18 |
$604.25 |
$2,636.63 |
| Broken ankle (outer ankle bone) treatment without surgery or setting
code 27786 |
24 |
$76.00 |
$304.55 |
| Broken foot (metatarsal) treatment without surgery or setting
code 28470 |
23 |
$52.25 |
$236.50 |
| Bunion correction with a bone cut near the head of the first metatarsal
code 28296 |
11 |
$537.72 |
$5,144.25 |
| Bunion correction with removal of part of the big toe joint
code 28292 |
10 |
$507.95 |
$3,763.55 |
| Cardiac catheterization with coronary angiogram
code 93458 |
14 |
$5,341.00 |
$7,285.25 |
| Cardioversion, elective (restoring heart rhythm)
code 92960 |
30 |
$273.60 |
$1,063.50 |
| Carpal tunnel release, open surgery
code 64721 |
19 |
$458.20 |
$2,722.00 |
| Cataract surgery with lens implant
code 66984 |
13 |
$1,205.50 |
$2,755.00 |
| Catheter ablation for atrial fibrillation
code 93656 |
6 |
$10,917.00 |
$13,551.00 |
| Cervical biopsy
code 57500 |
18 |
$134.50 |
$1,092.50 |
| Circumcision by surgical excision, older than 28 days (children and adults)
code 54161 |
15 |
$343.35 |
$2,617.00 |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns
code 54150 |
18 |
$147.00 |
$2,403.00 |
| Circumcision, surgical, older than a newborn
code 54160 |
17 |
$251.50 |
$801.50 |
| Closed treatment of a wrist (distal radius) fracture, no resetting
code 25600 |
25 |
$68.38 |
$317.50 |
| Colonoscopy with endoscopic ultrasound
code 45391 |
3 |
$303.19 |
$527.00 |
| Colonoscopy with polyp removal
code 45385 |
21 |
$265.49 |
$1,455.50 |
| Colonoscopy with tissue sample
code 45380 |
22 |
$234.99 |
$1,608.50 |
| Colonoscopy, diagnostic
code 45378 |
21 |
$135.00 |
$1,266.50 |
| Colposcopy with LEEP (loop electrosurgical excision)
code 57460 |
8 |
$1,054.00 |
$3,353.50 |
| Colposcopy with cervical biopsy and scraping of the cervical canal
code 57454 |
19 |
$134.50 |
$331.00 |
| Complex cataract surgery with lens implant
code 66982 |
9 |
$1,175.33 |
$3,090.00 |
| Coronary stent placement, one artery
code 92928 |
12 |
$6,770.50 |
$15,951.22 |
| Cystoscopy with ureteral stent placement
code 52332 |
15 |
$924.88 |
$3,287.67 |
| Cystoscopy, diagnostic look inside the bladder and urethra
code 52000 |
26 |
$154.50 |
$822.75 |
| D&C (dilation and curettage), not related to pregnancy
code 58120 |
17 |
$400.58 |
$3,780.00 |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion
code 17000 |
24 |
$28.38 |
$207.25 |
| Ear tube placement (tympanostomy) under general anesthesia, one ear
code 69436 |
12 |
$181.00 |
$1,755.75 |
| Ear tube placement (tympanostomy) with local anesthesia, one ear
code 69433 |
12 |
$110.40 |
$620.00 |
| Earwax removal by irrigation (rinsing), one ear
code 69209 |
32 |
$15.38 |
$84.25 |
| Earwax removal with instruments, one ear
code 69210 |
32 |
$19.63 |
$70.75 |
| Endometrial biopsy (uterine lining sample) without dilating the cervix
code 58100 |
21 |
$40.88 |
$201.50 |
| Endoscopic sinus surgery: full ethmoid sinus opening
code 31255 |
5 |
$848.69 |
$4,836.26 |
| Endoscopic sinus surgery: opening the frontal sinus
code 31276 |
5 |
$1,002.92 |
$4,377.50 |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus
code 31256 |
9 |
$538.38 |
$2,406.75 |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue
code 31267 |
9 |
$825.83 |
$2,398.25 |
| Epidural steroid injection, neck or mid back, with imaging guidance
code 62321 |
22 |
$205.25 |
$1,000.25 |
| Eye injection into the vitreous (intravitreal injection)
code 67028 |
8 |
$413.50 |
$472.25 |
| Facet joint injection, lower back, one level, with imaging guidance
code 64493 |
21 |
$394.34 |
$1,017.50 |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm
code 49593 |
15 |
$2,502.50 |
$8,365.50 |
| First repair of a front abdominal hernia larger than 10 cm
code 49595 |
11 |
$3,679.00 |
$19,913.00 |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm
code 49591 |
16 |
$2,047.50 |
$5,811.60 |
| Flexible sigmoidoscopy, diagnostic (lower colon only)
code 45330 |
20 |
$187.60 |
$859.59 |
| Gallbladder removal, laparoscopic
code 47562 |
18 |
$717.26 |
$9,698.50 |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery
code 47563 |
16 |
$780.36 |
$8,027.10 |
| Gallbladder removal, open surgery through a larger incision
code 47600 |
5 |
$1,162.49 |
$1,823.10 |
| Hammertoe correction surgery
code 28285 |
10 |
$403.24 |
$3,384.42 |
| Hemorrhoid banding (rubber band ligation)
code 46221 |
22 |
$94.13 |
$1,181.25 |
| Hemorrhoidectomy (internal and external), one area
code 46255 |
13 |
$626.85 |
$5,183.00 |
| Hip replacement after an earlier hip surgery (conversion to total hip)
code 27132 |
7 |
$1,779.49 |
$10,111.00 |
| Hysterectomy through an abdominal incision (total)
code 58150 |
8 |
$1,089.07 |
$7,164.60 |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes
code 58340 |
18 |
$60.63 |
$276.75 |
| Hysteroscopy with endometrial ablation
code 58563 |
16 |
$1,097.38 |
$4,790.50 |
| Hysteroscopy with uterine lining sampling and/or polyp removal
code 58558 |
19 |
$1,040.00 |
$4,197.50 |
| IUD insertion (the device itself billed separately)
code 58300 |
22 |
$35.75 |
$164.50 |
| Incision and drainage of a simple or single skin abscess
code 10060 |
35 |
$99.40 |
$235.00 |
| Inguinal (groin) hernia repair, age 5 or older
code 49505 |
16 |
$566.39 |
$4,985.75 |
| Injection into a tendon sheath or ligament (for example trigger finger)
code 20550 |
31 |
$45.60 |
$332.00 |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound
code 20610 |
35 |
$52.13 |
$343.50 |
| Insertion of a drug-delivery implant, such as the arm birth control implant
code 11981 |
21 |
$89.75 |
$165.52 |
| Joint injection or drainage, medium joint (wrist, elbow, ankle)
code 20605 |
31 |
$45.79 |
$343.50 |
| Joint injection or drainage, small joint (fingers, toes)
code 20600 |
31 |
$44.11 |
$350.00 |
| Knee arthroscopy with meniscus repair (one side of the knee)
code 29882 |
13 |
$730.16 |
$5,542.00 |
| Knee arthroscopy with meniscus trim
code 29881 |
17 |
$572.55 |
$4,921.50 |
| Knee arthroscopy with removal of both torn meniscus parts
code 29880 |
17 |
$595.01 |
$4,599.00 |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty)
code 29877 |
13 |
$657.71 |
$4,725.50 |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length
code 43644 |
2 |
$20,520.00 |
$33,206.25 |
| Laparoscopic adjustable gastric band placement (Lap-Band)
code 43770 |
5 |
$9,959.00 |
$10,522.00 |
| Laparoscopic appendectomy (appendix removal through small cuts)
code 44970 |
20 |
$652.90 |
$7,294.75 |
| Laparoscopic fundoplication (anti-reflux surgery)
code 43280 |
9 |
$1,173.83 |
$20,699.00 |
| Laparoscopic hysterectomy (uterus 250 g or less)
code 58570 |
9 |
$3,578.69 |
$14,073.00 |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries
code 58571 |
11 |
$7,575.09 |
$15,467.00 |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side
code 49650 |
16 |
$467.55 |
$9,195.25 |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia
code 49651 |
12 |
$753.57 |
$11,230.50 |
| Laparoscopic removal of an adjustable gastric band and its port
code 43774 |
3 |
$5,598.34 |
$11,086.50 |
| Laparoscopic removal of fallopian tubes and/or ovaries
code 58661 |
13 |
$1,886.00 |
$5,237.00 |
| Laparoscopic sleeve gastrectomy for weight loss
code 43775 |
3 |
$20,548.50 |
$29,936.00 |
| Laser treatment of clouding after cataract surgery (YAG)
code 66821 |
18 |
$519.00 |
$738.79 |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs
code 12031 |
29 |
$125.63 |
$425.00 |
| Left heart catheterization, diagnostic
code 93452 |
10 |
$2,889.50 |
$6,218.00 |
| Lower-back epidural injection, with imaging guidance
code 62323 |
22 |
$628.00 |
$1,108.50 |
| Lower-back epidural injection, without imaging guidance
code 62322 |
23 |
$847.00 |
$1,157.50 |
| Lower-back nerve root steroid injection, with imaging guidance
code 64483 |
21 |
$575.50 |
$1,368.00 |
| Lumbar discectomy or laminotomy to free a nerve root, one level
code 63030 |
18 |
$993.20 |
$5,721.75 |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level
code 22633 |
8 |
$1,979.98 |
$20,147.38 |
| Lumbar interbody fusion (PLIF or TLIF), one level
code 22630 |
4 |
$10,516.50 |
$17,171.25 |
| Lumbar laminectomy (spinal decompression), one level
code 63047 |
7 |
$1,206.67 |
$9,566.67 |
| Lumbar spinal fusion (posterior), one level
code 22612 |
8 |
$1,719.77 |
$13,717.25 |
| Lumpectomy (partial mastectomy)
code 19301 |
12 |
$618.19 |
$4,434.69 |
| Mastectomy (total removal of the breast)
code 19303 |
11 |
$1,038.01 |
$3,964.92 |
| Miscarriage treatment with D&C, first trimester
code 59820 |
12 |
$1,378.00 |
$3,732.25 |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals
code 17311 |
8 |
$529.17 |
$932.00 |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm
code 11400 |
27 |
$63.75 |
$660.00 |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm
code 11440 |
26 |
$87.00 |
$685.75 |
| Nail removal (partial or complete), one nail
code 11730 |
32 |
$60.13 |
$268.45 |
| Occipital nerve block (injection for headaches)
code 64405 |
23 |
$57.62 |
$366.75 |
| Pacemaker implant (dual chamber)
code 33208 |
14 |
$4,708.00 |
$5,299.00 |
| Paracentesis with imaging guidance
code 49083 |
31 |
$204.94 |
$1,426.80 |
| Partial knee replacement (one compartment)
code 27446 |
10 |
$1,221.97 |
$8,192.59 |
| Permanent removal of a nail and nail root (partial or complete)
code 11750 |
29 |
$86.25 |
$466.50 |
| Prostate biopsy
code 55700 |
13 |
$840.38 |
$3,001.00 |
| Prostate removal (prostatectomy), laparoscopic
code 55866 |
6 |
$1,778.54 |
$18,743.67 |
| Radiofrequency ablation of facet joint nerves, lower back, one level
code 64635 |
19 |
$1,154.34 |
$2,197.00 |
| Removal of a breast lump, open surgery
code 19120 |
21 |
$448.66 |
$4,308.00 |
| Removal of a foreign object under the skin, simple
code 10120 |
33 |
$68.38 |
$389.50 |
| Removal of one lobe of the thyroid (lobectomy)
code 60220 |
10 |
$755.62 |
$7,858.00 |
| Screening colonoscopy for a person at average risk (Medicare code)
code G0121 |
18 |
$175.83 |
$1,498.00 |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code)
code G0105 |
18 |
$622.00 |
$1,384.00 |
| Septoplasty to straighten the nasal septum
code 30520 |
9 |
$1,179.88 |
$3,500.67 |
| Shock-wave lithotripsy to break up kidney stones (from outside the body)
code 50590 |
11 |
$1,158.75 |
$8,330.00 |
| Short arm cast (elbow to hand)
code 29075 |
29 |
$64.20 |
$288.00 |
| Short arm splint (forearm and hand)
code 29125 |
33 |
$57.13 |
$184.00 |
| Short leg cast (below the knee)
code 29405 |
27 |
$99.40 |
$318.50 |
| Short leg splint (calf to foot)
code 29515 |
33 |
$68.60 |
$231.00 |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle)
code 29824 |
12 |
$555.58 |
$1,898.67 |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery)
code 29826 |
15 |
$169.00 |
$1,977.42 |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs
code 12001 |
33 |
$76.50 |
$282.95 |
| Skin biopsy, punch, one lesion
code 11104 |
30 |
$70.25 |
$384.25 |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm
code 11600 |
20 |
$154.20 |
$812.00 |
| Skin tag removal, up to 15 tags
code 11200 |
29 |
$61.20 |
$195.89 |
| Spinal tap (lumbar puncture), diagnostic
code 62270 |
31 |
$110.85 |
$1,005.50 |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs
code 12002 |
32 |
$66.00 |
$258.45 |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair
code 12011 |
33 |
$84.50 |
$288.50 |
| TURP (transurethral resection of the prostate)
code 52601 |
13 |
$675.94 |
$4,931.00 |
| Tangential (shave-style) skin biopsy, one lesion
code 11102 |
29 |
$61.20 |
$346.50 |
| Thoracentesis with imaging guidance
code 32555 |
33 |
$114.69 |
$1,250.40 |
| Tonsil and adenoid removal, age 12 or older
code 42821 |
10 |
$517.50 |
$4,140.09 |
| Tonsil and adenoid removal, child under 12
code 42820 |
11 |
$496.95 |
$5,253.00 |
| Tonsil removal (tonsillectomy) only, age 12 or older
code 42826 |
11 |
$429.30 |
$4,002.00 |
| Tonsil removal (tonsillectomy) only, child under 12
code 42825 |
5 |
$2,141.34 |
$2,807.25 |
| Total hip replacement
code 27130 |
17 |
$1,368.90 |
$10,170.00 |
| Total knee replacement
code 27447 |
17 |
$1,366.70 |
$10,172.50 |
| Total shoulder replacement
code 23472 |
14 |
$1,536.91 |
$9,941.34 |
| Total thyroid removal (thyroidectomy)
code 60240 |
11 |
$985.80 |
$8,624.00 |
| Trigger finger release surgery
code 26055 |
12 |
$1,313.25 |
$1,865.75 |
| Trigger point injections, 1 or 2 muscles
code 20552 |
31 |
$43.80 |
$294.00 |
| Tubal ligation, laparoscopic (tubes sealed by cautery)
code 58670 |
6 |
$3,413.00 |
$13,972.72 |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion
code 19083 |
24 |
$611.13 |
$2,372.75 |
| Upper endoscopy (EGD) with balloon widening of the esophagus
code 43249 |
17 |
$347.24 |
$1,569.00 |
| Upper endoscopy (EGD) with biopsy
code 43239 |
21 |
$283.50 |
$1,084.00 |
| Upper endoscopy (EGD) with injection into the lining
code 43236 |
11 |
$144.67 |
$1,513.67 |
| Upper endoscopy (EGD) with polyp removal by snare
code 43251 |
18 |
$411.63 |
$1,453.60 |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire
code 43248 |
11 |
$162.25 |
$615.00 |
| Upper endoscopy (EGD), diagnostic
code 43235 |
21 |
$127.86 |
$829.00 |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall
code 43240 |
2 |
$1,520.34 |
$3,451.92 |
| Ureteroscopy with laser stone breaking (lithotripsy)
code 52353 |
12 |
$3,880.00 |
$6,286.25 |
| Ureteroscopy with laser stone breaking and stent placement
code 52356 |
14 |
$437.62 |
$6,408.50 |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care
code 59610 |
1 |
$6,086.00 |
$6,086.00 |
| Vaginal delivery, including prenatal and postpartum care
code 59400 |
2 |
$1,840.00 |
$3,770.00 |
| Vasectomy, one or both sides, including follow-up semen testing
code 55250 |
14 |
$386.25 |
$2,544.25 |
| Vein ablation, radiofrequency, first vein
code 36475 |
13 |
$2,599.13 |
$2,865.50 |
| Wart removal, up to 14 warts
code 17110 |
30 |
$25.00 |
$206.25 |
| Wound debridement, skin and tissue under it, first 20 sq cm
code 11042 |
33 |
$58.50 |
$376.94 |
| Wrist fracture surgery (plate and screws), distal radius
code 25607 |
16 |
$783.06 |
$7,201.45 |