| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $412 | $613 | $813 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $332 | $389 | $446 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $574 | $925 | $1,277 |
| Total hip replacement CPT 27130 • Orthopedics | $2,842 | $3,120 | $3,399 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,631 | $2,257 | $2,884 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $1,930 | $2,288 | $2,646 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $1,199 | $1,548 | $1,897 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,198 | $1,753 | $2,308 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,127 | $2,002 | $2,876 |
| Total knee replacement CPT 27447 • Orthopedics | $2,839 | $3,122 | $3,406 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $568 | $765 | $962 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $309 | $385 | $461 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $864 | $884 | $903 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $377 | $731 | $1,085 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $1,888 | $2,130 | $2,372 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $550 | $781 | $1,012 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $529 | $733 | $936 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $674 | $789 | $904 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $956 | $1,361 | $1,766 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $948 | $1,312 | $1,675 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,075 | $1,397 | $1,719 |
| Carpal tunnel release CPT 64721 • Orthopedics | $635 | $817 | $999 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $158 | $237 | $316 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $520 | $544 | $568 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $137 | $192 | $247 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $533 | $545 | $558 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $1,174 | $1,730 | $2,287 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $74 | $100 | $125 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $54 | $83 | $111 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $470 | $502 | $535 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $110 | $176 | $242 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $263 | $326 | $390 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $178 | $189 | $200 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $149 | $203 | $258 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $745 | $849 | $952 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $366 | $438 | $510 |
| Cytopathology concentration technique CPT 88108 • Pathology | $11 | $31 | $49 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $24 | $95 | $149 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $15 | $37 | $55 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $7 | $10 | $12 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $17 | $25 | $38 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $14 | $18 | $24 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $15 | $29 | $48 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $3 | $30 | $73 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $5 | $44 | $93 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $18 | $72 | $159 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $100 | $294 | $629 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $211 | $465 | $941 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $33 | $108 | $244 |
| Special stain group II CPT 88313 • Pathology | $6 | $67 | $179 |