| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $4,724 | $5,326 | $5,929 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $5,503 | $6,209 | $6,915 |
| Total shoulder replacement CPT 23472 • Orthopedics | $4,344 | $4,887 | $5,431 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $4,847 | $5,457 | $6,066 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $1,242 | $1,415 | $1,587 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $975 | $1,085 | $1,195 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $855 | $1,438 | $2,020 |
| Total hip replacement CPT 27130 • Orthopedics | $4,055 | $4,556 | $5,058 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $5,011 | $5,629 | $6,247 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $3,569 | $4,012 | $4,454 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $3,674 | $4,129 | $4,585 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $3,670 | $4,127 | $4,584 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $3,463 | $3,892 | $4,321 |
| Total knee replacement CPT 27447 • Orthopedics | $4,050 | $4,553 | $5,056 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $1,710 | $1,915 | $2,120 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $849 | $1,003 | $1,157 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $1,550 | $2,107 | $2,665 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $524 | $592 | $660 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $3,196 | $3,567 | $3,939 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $1,671 | $1,878 | $2,086 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $1,609 | $1,809 | $2,009 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $2,064 | $2,333 | $2,601 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $2,928 | $3,299 | $3,670 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $2,876 | $3,239 | $3,603 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $3,266 | $3,686 | $4,107 |
| Carpal tunnel release CPT 64721 • Orthopedics | $1,291 | $1,437 | $1,582 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $476 | $534 | $592 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $258 | $291 | $325 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $137 | $196 | $255 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $254 | $502 | $749 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $4,846 | $5,189 | $5,532 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $225 | $259 | $293 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $144 | $161 | $178 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $693 | $750 | $807 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $306 | $315 | $324 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $509 | $572 | $635 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $157 | $239 | $320 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $441 | $484 | $528 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $668 | $1,103 | $1,538 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $500 | $567 | $633 |
| Cytopathology concentration technique CPT 88108 • Pathology | $18 | $55 | $98 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $18 | $51 | $83 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $13 | $22 | $35 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $12 | $29 | $38 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $21 | $44 | $55 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $11 | $24 | $44 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $17 | $30 | $48 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $3 | $21 | $54 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $20 | $38 | $64 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $54 | $66 | $72 |