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