| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,654 | $1,926 | $2,348 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,660 | $1,925 | $2,189 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $1,935 | $2,245 | $2,555 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,520 | $1,761 | $2,003 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,796 | $2,016 | $2,236 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $482 | $524 | $567 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $352 | $387 | $421 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $389 | $502 | $614 |
| Total hip replacement CPT 27130 • Orthopedics | $1,254 | $1,491 | $1,871 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,853 | $2,083 | $2,312 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $1,252 | $1,448 | $1,644 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $1,349 | $1,521 | $1,692 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,287 | $1,489 | $1,691 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,123 | $1,311 | $1,597 |
| Total knee replacement CPT 27447 • Orthopedics | $1,347 | $1,552 | $1,869 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $623 | $703 | $783 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $329 | $358 | $386 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $919 | $1,069 | $1,219 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $182 | $213 | $243 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $1,123 | $1,297 | $1,471 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $589 | $678 | $766 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $309 | $538 | $738 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $317 | $663 | $948 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $1,026 | $1,157 | $1,348 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $860 | $1,030 | $1,331 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $975 | $1,191 | $1,512 |
| Carpal tunnel release CPT 64721 • Orthopedics | $210 | $396 | $589 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $81 | $122 | $169 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $104 | $225 | $341 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $74 | $105 | $124 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $228 | $282 | $337 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $575 | $1,303 | $2,032 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $60 | $76 | $102 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $44 | $50 | $56 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $108 | $213 | $312 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $49 | $95 | $138 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $153 | $237 | $327 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $72 | $102 | $152 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $135 | $162 | $204 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $307 | $392 | $477 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $214 | $232 | $258 |
| Cytopathology concentration technique CPT 88108 • Pathology | $11 | $24 | $39 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $18 | $47 | $76 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $12 | $17 | $25 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $7 | $7 | $8 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $13 | $20 | $27 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $11 | $13 | $16 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $15 | $22 | $33 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $3 | $14 | $22 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $11 | $18 | $29 |