| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $112 | $125 | $131 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $2,813 | $2,813 | $2,813 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $2,355 | $2,355 | $2,355 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $3,031 | $3,031 | $3,031 |
| Total shoulder replacement CPT 23472 • Orthopedics | $2,242 | $2,497 | $2,752 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,576 | $1,951 | $2,702 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $412 | $490 | $646 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $368 | $434 | $500 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $285 | $454 | $791 |
| Total hip replacement CPT 27130 • Orthopedics | $2,156 | $2,376 | $2,595 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,632 | $2,076 | $2,521 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $1,776 | $1,967 | $2,063 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $1,827 | $1,827 | $1,827 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,854 | $2,247 | $2,640 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,128 | $1,303 | $1,655 |
| Total knee replacement CPT 27447 • Orthopedics | $2,306 | $2,636 | $2,801 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $837 | $837 | $837 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $284 | $345 | $441 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $1,040 | $1,040 | $1,040 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $986 | $1,175 | $1,270 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $1,607 | $1,920 | $2,077 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $1,015 | $1,116 | $1,217 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $948 | $1,067 | $1,128 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $30 | $576 | $1,025 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $1,471 | $1,732 | $1,863 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $1,405 | $1,405 | $1,405 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,606 | $1,606 | $1,606 |
| Carpal tunnel release CPT 64721 • Orthopedics | $613 | $689 | $727 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $159 | $228 | $265 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $180 | $232 | $258 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $252 | $252 | $252 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $97 | $172 | $255 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $531 | $1,148 | $2,288 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $74 | $102 | $126 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $33 | $56 | $78 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $243 | $320 | $397 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $51 | $121 | $203 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $88 | $172 | $256 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $83 | $87 | $89 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $233 | $233 | $233 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $188 | $337 | $437 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $58 | $134 | $240 |
| Cytopathology concentration technique CPT 88108 • Pathology | $26 | $26 | $26 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $34 | $34 | $34 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $16 | $16 | $16 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $9 | $9 | $9 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $22 | $22 | $22 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $12 | $12 | $12 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $17 | $17 | $17 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $28 | $28 | $28 |