| Adenoid removal (adenoidectomy), child under 12
code 42830 |
13 |
$1,038.40 |
$1,393.78 |
| Anterior cervical discectomy and fusion (ACDF), one level
code 22551 |
12 |
$5,088.00 |
$6,937.95 |
| Appendectomy for a ruptured appendix with abscess or peritonitis
code 44960 |
13 |
$1,492.50 |
$4,862.31 |
| Appendectomy, open surgery
code 44950 |
14 |
$1,107.00 |
$2,439.70 |
| Arthroscopic ACL reconstruction or repair of the knee
code 29888 |
13 |
$1,671.24 |
$11,779.38 |
| Arthroscopic rotator cuff repair of the shoulder
code 29827 |
14 |
$1,818.30 |
$5,268.87 |
| Balloon dilation of the maxillary sinus opening, one side
code 31295 |
30 |
$654.55 |
$1,917.59 |
| Botox injections for chronic migraine
code 64615 |
39 |
$228.28 |
$732.98 |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion
code 19081 |
71 |
$805.00 |
$2,540.00 |
| Broken ankle (outer ankle bone) treatment without surgery or setting
code 27786 |
57 |
$47.45 |
$550.68 |
| Broken foot (metatarsal) treatment without surgery or setting
code 28470 |
46 |
$41.71 |
$598.50 |
| Bunion correction with a bone cut near the head of the first metatarsal
code 28296 |
16 |
$742.71 |
$4,489.69 |
| Bunion correction with removal of part of the big toe joint
code 28292 |
29 |
$942.78 |
$5,654.24 |
| Cardiac catheterization with coronary angiogram
code 93458 |
52 |
$1,881.50 |
$9,795.48 |
| Cardioversion, elective (restoring heart rhythm)
code 92960 |
95 |
$155.70 |
$984.75 |
| Carpal tunnel release, open surgery
code 64721 |
30 |
$540.93 |
$2,228.86 |
| Cataract surgery with lens implant
code 66984 |
17 |
$837.28 |
$4,048.18 |
| Catheter ablation for atrial fibrillation
code 93656 |
41 |
$4,641.00 |
$17,708.60 |
| Cervical biopsy
code 57500 |
56 |
$112.10 |
$592.65 |
| Cesarean delivery, including prenatal and postpartum care
code 59510 |
12 |
$5,089.60 |
$5,437.94 |
| Circumcision by surgical excision, older than 28 days (children and adults)
code 54161 |
20 |
$403.56 |
$929.04 |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns
code 54150 |
77 |
$92.34 |
$203.87 |
| Circumcision, surgical, older than a newborn
code 54160 |
18 |
$185.50 |
$742.28 |
| Closed treatment of a wrist (distal radius) fracture, no resetting
code 25600 |
60 |
$153.42 |
$615.55 |
| Colonoscopy with endoscopic ultrasound
code 45391 |
25 |
$679.08 |
$2,501.85 |
| Colonoscopy with polyp removal
code 45385 |
46 |
$599.64 |
$2,456.41 |
| Colonoscopy with tissue sample
code 45380 |
55 |
$430.35 |
$2,043.51 |
| Colonoscopy, diagnostic
code 45378 |
55 |
$372.78 |
$1,741.38 |
| Colposcopy with LEEP (loop electrosurgical excision)
code 57460 |
46 |
$259.14 |
$859.95 |
| Colposcopy with cervical biopsy and scraping of the cervical canal
code 57454 |
52 |
$36.50 |
$453.05 |
| Complex cataract surgery with lens implant
code 66982 |
16 |
$601.50 |
$4,048.18 |
| Coronary stent placement, one artery
code 92928 |
42 |
$2,570.70 |
$7,832.50 |
| Cystoscopy with ureteral stent placement
code 52332 |
42 |
$775.39 |
$4,356.95 |
| Cystoscopy, diagnostic look inside the bladder and urethra
code 52000 |
61 |
$141.36 |
$992.55 |
| D&C (dilation and curettage), not related to pregnancy
code 58120 |
18 |
$1,133.83 |
$1,133.83 |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion
code 17000 |
60 |
$35.46 |
$180.43 |
| Ear tube placement (tympanostomy) under general anesthesia, one ear
code 69436 |
25 |
$284.05 |
$610.62 |
| Ear tube placement (tympanostomy) with local anesthesia, one ear
code 69433 |
57 |
$92.29 |
$522.60 |
| Earwax removal by irrigation (rinsing), one ear
code 69209 |
88 |
$12.10 |
$92.61 |
| Earwax removal with instruments, one ear
code 69210 |
90 |
$25.50 |
$83.85 |
| Endometrial biopsy (uterine lining sample) without dilating the cervix
code 58100 |
70 |
$44.32 |
$271.70 |
| Endoscopic sinus surgery: full ethmoid sinus opening
code 31255 |
13 |
$2,274.88 |
$5,667.09 |
| Endoscopic sinus surgery: opening the frontal sinus
code 31276 |
12 |
$400.32 |
$4,424.84 |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus
code 31256 |
26 |
$345.80 |
$2,388.36 |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue
code 31267 |
16 |
$1,104.00 |
$4,073.27 |
| Epidural steroid injection, neck or mid back, with imaging guidance
code 62321 |
67 |
$221.60 |
$1,320.57 |
| Eye injection into the vitreous (intravitreal injection)
code 67028 |
45 |
$253.10 |
$404.95 |
| Facet joint injection, lower back, one level, with imaging guidance
code 64493 |
70 |
$314.82 |
$1,617.03 |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm
code 49593 |
14 |
$887.49 |
$6,402.09 |
| First repair of a front abdominal hernia larger than 10 cm
code 49595 |
14 |
$1,205.55 |
$6,402.09 |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm
code 49591 |
14 |
$515.85 |
$2,114.00 |
| Flexible sigmoidoscopy, diagnostic (lower colon only)
code 45330 |
40 |
$416.00 |
$857.36 |
| Gallbladder removal, laparoscopic
code 47562 |
29 |
$1,093.00 |
$9,250.80 |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery
code 47563 |
27 |
$1,379.97 |
$9,354.15 |
| Gallbladder removal, open surgery through a larger incision
code 47600 |
14 |
$2,017.80 |
$2,808.06 |
| Hammertoe correction surgery
code 28285 |
19 |
$548.34 |
$2,716.39 |
| Hemorrhoid banding (rubber band ligation)
code 46221 |
55 |
$193.80 |
$1,283.39 |
| Hemorrhoidectomy (internal and external), one area
code 46255 |
40 |
$348.21 |
$3,398.64 |
| Hip replacement after an earlier hip surgery (conversion to total hip)
code 27132 |
13 |
$1,773.44 |
$8,157.97 |
| Hysterectomy through an abdominal incision (total)
code 58150 |
15 |
$1,626.00 |
$3,793.55 |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes
code 58340 |
83 |
$73.95 |
$336.38 |
| Hysteroscopy with endometrial ablation
code 58563 |
17 |
$2,164.00 |
$8,143.46 |
| Hysteroscopy with uterine lining sampling and/or polyp removal
code 58558 |
28 |
$1,241.45 |
$3,609.45 |
| IUD insertion (the device itself billed separately)
code 58300 |
73 |
$38.58 |
$304.20 |
| Incision and drainage of a simple or single skin abscess
code 10060 |
75 |
$93.00 |
$292.11 |
| Inguinal (groin) hernia repair, age 5 or older
code 49505 |
28 |
$900.60 |
$6,316.03 |
| Injection into a tendon sheath or ligament (for example trigger finger)
code 20550 |
90 |
$46.64 |
$341.22 |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound
code 20610 |
97 |
$49.97 |
$433.55 |
| Insertion of a drug-delivery implant, such as the arm birth control implant
code 11981 |
74 |
$59.10 |
$264.09 |
| Joint injection or drainage, medium joint (wrist, elbow, ankle)
code 20605 |
94 |
$41.34 |
$320.12 |
| Joint injection or drainage, small joint (fingers, toes)
code 20600 |
92 |
$72.74 |
$371.18 |
| Knee arthroscopy with meniscus repair (one side of the knee)
code 29882 |
27 |
$1,254.00 |
$6,950.45 |
| Knee arthroscopy with meniscus trim
code 29881 |
14 |
$1,079.58 |
$4,966.42 |
| Knee arthroscopy with removal of both torn meniscus parts
code 29880 |
15 |
$1,039.11 |
$5,498.58 |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty)
code 29877 |
14 |
$951.90 |
$3,084.87 |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length
code 43644 |
11 |
$7,401.46 |
$7,401.46 |
| Laparoscopic adjustable gastric band placement (Lap-Band)
code 43770 |
1 |
$4,173.44 |
$4,173.44 |
| Laparoscopic appendectomy (appendix removal through small cuts)
code 44970 |
29 |
$1,072.74 |
$4,516.33 |
| Laparoscopic fundoplication (anti-reflux surgery)
code 43280 |
26 |
$2,101.02 |
$2,742.35 |
| Laparoscopic hysterectomy (uterus 250 g or less)
code 58570 |
14 |
$1,591.50 |
$5,080.60 |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries
code 58571 |
13 |
$3,403.23 |
$3,403.23 |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side
code 49650 |
14 |
$713.07 |
$2,722.61 |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia
code 49651 |
13 |
$935.37 |
$7,273.95 |
| Laparoscopic removal of an adjustable gastric band and its port
code 43774 |
12 |
$3,826.88 |
$5,384.79 |
| Laparoscopic removal of fallopian tubes and/or ovaries
code 58661 |
14 |
$988.00 |
$2,440.42 |
| Laparoscopic sleeve gastrectomy for weight loss
code 43775 |
13 |
$5,250.30 |
$8,532.10 |
| Laser treatment of clouding after cataract surgery (YAG)
code 66821 |
33 |
$331.49 |
$1,175.20 |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs
code 12031 |
67 |
$129.30 |
$527.20 |
| Left heart catheterization, diagnostic
code 93452 |
42 |
$795.70 |
$6,824.35 |
| Lower-back epidural injection, with imaging guidance
code 62323 |
71 |
$274.55 |
$1,147.44 |
| Lower-back epidural injection, without imaging guidance
code 62322 |
59 |
$139.92 |
$824.85 |
| Lower-back nerve root steroid injection, with imaging guidance
code 64483 |
68 |
$230.40 |
$1,069.25 |
| Lumbar discectomy or laminotomy to free a nerve root, one level
code 63030 |
25 |
$2,987.20 |
$15,678.65 |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level
code 22633 |
12 |
$4,425.18 |
$4,425.18 |
| Lumbar interbody fusion (PLIF or TLIF), one level
code 22630 |
11 |
$7,334.99 |
$7,334.99 |
| Lumbar laminectomy (spinal decompression), one level
code 63047 |
26 |
$3,290.24 |
$12,173.85 |
| Lumbar spinal fusion (posterior), one level
code 22612 |
12 |
$4,918.40 |
$7,572.66 |
| Lumpectomy (partial mastectomy)
code 19301 |
16 |
$218.56 |
$3,164.50 |
| Mastectomy (total removal of the breast)
code 19303 |
28 |
$1,557.24 |
$7,181.06 |
| Miscarriage treatment with D&C, first trimester
code 59820 |
24 |
$775.00 |
$1,163.12 |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals
code 17311 |
30 |
$566.31 |
$1,339.39 |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm
code 11400 |
61 |
$67.26 |
$348.40 |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm
code 11440 |
56 |
$90.06 |
$514.98 |
| Nail removal (partial or complete), one nail
code 11730 |
92 |
$29.10 |
$235.00 |
| Occipital nerve block (injection for headaches)
code 64405 |
85 |
$76.85 |
$462.15 |
| Open Roux-en-Y gastric bypass through an abdominal incision
code 43846 |
11 |
$5,115.52 |
$13,689.82 |
| Pacemaker implant (dual chamber)
code 33208 |
44 |
$1,424.09 |
$6,340.10 |
| Paracentesis with imaging guidance
code 49083 |
95 |
$175.68 |
$1,287.65 |
| Partial knee replacement (one compartment)
code 27446 |
13 |
$1,950.54 |
$5,626.38 |
| Permanent removal of a nail and nail root (partial or complete)
code 11750 |
72 |
$68.82 |
$326.30 |
| Prostate biopsy
code 55700 |
49 |
$272.95 |
$1,526.85 |
| Prostate removal (prostatectomy), laparoscopic
code 55866 |
11 |
$6,062.39 |
$6,062.39 |
| Radiofrequency ablation of facet joint nerves, lower back, one level
code 64635 |
52 |
$1,240.20 |
$2,474.81 |
| Removal of a breast lump, open surgery
code 19120 |
33 |
$376.62 |
$2,001.28 |
| Removal of a foreign object under the skin, simple
code 10120 |
92 |
$63.80 |
$336.35 |
| Removal of one lobe of the thyroid (lobectomy)
code 60220 |
15 |
$1,412.46 |
$2,634.86 |
| Screening colonoscopy for a person at average risk (Medicare code)
code G0121 |
44 |
$372.21 |
$1,922.70 |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code)
code G0105 |
46 |
$372.78 |
$1,886.95 |
| Septoplasty to straighten the nasal septum
code 30520 |
17 |
$1,235.76 |
$3,593.07 |
| Shock-wave lithotripsy to break up kidney stones (from outside the body)
code 50590 |
29 |
$754.72 |
$9,362.25 |
| Short arm cast (elbow to hand)
code 29075 |
78 |
$54.59 |
$251.94 |
| Short arm splint (forearm and hand)
code 29125 |
91 |
$45.88 |
$175.75 |
| Short leg cast (below the knee)
code 29405 |
81 |
$36.50 |
$235.00 |
| Short leg splint (calf to foot)
code 29515 |
87 |
$41.03 |
$207.48 |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle)
code 29824 |
13 |
$1,022.58 |
$3,368.74 |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery)
code 29826 |
14 |
$1,190.72 |
$2,186.35 |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs
code 12001 |
72 |
$70.50 |
$325.36 |
| Skin biopsy, punch, one lesion
code 11104 |
92 |
$64.50 |
$240.00 |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm
code 11600 |
53 |
$110.54 |
$367.25 |
| Skin tag removal, up to 15 tags
code 11200 |
63 |
$66.69 |
$141.57 |
| Spinal tap (lumbar puncture), diagnostic
code 62270 |
93 |
$89.60 |
$605.00 |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs
code 12002 |
69 |
$73.80 |
$201.94 |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair
code 12011 |
71 |
$34.65 |
$309.40 |
| TURP (transurethral resection of the prostate)
code 52601 |
13 |
$4,213.44 |
$5,196.97 |
| Tangential (shave-style) skin biopsy, one lesion
code 11102 |
87 |
$58.14 |
$240.00 |
| Thoracentesis with imaging guidance
code 32555 |
95 |
$346.40 |
$1,200.00 |
| Tonsil and adenoid removal, age 12 or older
code 42821 |
14 |
$1,989.51 |
$1,989.51 |
| Tonsil and adenoid removal, child under 12
code 42820 |
15 |
$1,902.26 |
$1,902.26 |
| Tonsil removal (tonsillectomy) only, age 12 or older
code 42826 |
14 |
$1,265.60 |
$1,674.12 |
| Tonsil removal (tonsillectomy) only, child under 12
code 42825 |
15 |
$1,761.14 |
$1,761.14 |
| Total hip replacement
code 27130 |
15 |
$2,561.01 |
$3,621.58 |
| Total knee replacement
code 27447 |
15 |
$2,739.99 |
$6,275.53 |
| Total shoulder replacement
code 23472 |
13 |
$2,660.19 |
$6,045.20 |
| Total thyroid removal (thyroidectomy)
code 60240 |
13 |
$1,849.65 |
$3,392.98 |
| Trigger finger release surgery
code 26055 |
30 |
$325.47 |
$1,505.75 |
| Trigger point injections, 1 or 2 muscles
code 20552 |
95 |
$65.00 |
$355.08 |
| Tubal ligation, laparoscopic (tubes sealed by cautery)
code 58670 |
15 |
$675.00 |
$1,400.95 |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion
code 19083 |
84 |
$726.00 |
$2,020.00 |
| Upper endoscopy (EGD) with balloon widening of the esophagus
code 43249 |
42 |
$357.75 |
$2,656.55 |
| Upper endoscopy (EGD) with biopsy
code 43239 |
50 |
$241.68 |
$1,580.80 |
| Upper endoscopy (EGD) with injection into the lining
code 43236 |
32 |
$242.25 |
$1,522.95 |
| Upper endoscopy (EGD) with polyp removal by snare
code 43251 |
35 |
$259.17 |
$2,211.95 |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire
code 43248 |
33 |
$149.91 |
$1,853.15 |
| Upper endoscopy (EGD), diagnostic
code 43235 |
51 |
$234.27 |
$1,467.98 |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall
code 43240 |
25 |
$3,546.40 |
$3,546.40 |
| Ureteroscopy with laser stone breaking (lithotripsy)
code 52353 |
13 |
$2,660.00 |
$2,907.46 |
| Ureteroscopy with laser stone breaking and stent placement
code 52356 |
17 |
$2,086.11 |
$2,086.11 |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care
code 59610 |
11 |
$4,083.00 |
$5,143.88 |
| Vaginal delivery, including prenatal and postpartum care
code 59400 |
1 |
$4,589.60 |
$4,589.60 |
| Vasectomy, one or both sides, including follow-up semen testing
code 55250 |
35 |
$395.22 |
$1,571.16 |
| Vein ablation, radiofrequency, first vein
code 36475 |
66 |
$750.50 |
$3,905.29 |
| Wart removal, up to 14 warts
code 17110 |
64 |
$38.38 |
$196.65 |
| Wound debridement, skin and tissue under it, first 20 sq cm
code 11042 |
73 |
$52.25 |
$533.28 |
| Wrist fracture surgery (plate and screws), distal radius
code 25607 |
13 |
$1,072.17 |
$9,096.92 |