Service Code Service Type cost in Dollar $
900676 Angioplasty 1500
701345 Angiography 450
900670 Baloon Angioplasty 900
301215 CABG 3000
1004461 Blepharoplasty 375
300840 pericardiotomy 525
300465 Tracheostomy 112.5
900680 Primary PCI 1875
900630 Peripheral artery Thrombusuction 525
300095 Septoplasty 225
601960 Keratoplasty 262.5
300065 Rhinoplasty 600
602255 Eye lens replacement 450
301065 Aortic valve replacement 3375
602895 Tempanoplasty 262.5
400400 Tonsilectomy 240
600025 Thyroidectomy 1275
602400 Strabismus surgery 150
602685 DCR 337.5
200645 Nsal fracture reduction 165
300895 Temporary pacemaker 675
602240 Cataract 450
602125 Glaucoma 600
400405 Pharingoplasty 187.5
900765 Cardiac Fluoroscopy 262.5
602020 Keratoplasty 1050
30155 Intra-aortic baloon pump insertion 1275
  ankle fractures 1080
  knee ligament 2610
  shoulder arthroplasty 3780
  femoral neck fractures 2385
  leg tibia & fibula fractures 1260
  total hip arthroplasty 3780
  total knee arthroplasty 3060
  femoral fractures 1980
  lombar disc herniation 2565
  cerrvical disc herniation 2520
  scoliosis 3780
  spondylolisthesis 2610
  cranioplasty 2250
  subdural hematoma 2565
  brain shunt 684