Went to the ENT several days back for sinus problems. The usual checkup, RX for some drugs, and he took one small scrape in my ear to remove a small portion of ear wax. I just got the insurance summary from Blue Cross, and there is a charge for "SURGERY" on the bill for $53. I usually remove the same with a Q-tip for free. And, the insurance does not pay anything towards the "SURGERY". I guess the the Gov't health care plan is in effect.