| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $32 | $41 | $54 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $35 | $52 | $78 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $39 | $54 | $71 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,012 | $1,680 | $1,966 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,491 | $1,647 | $2,040 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $1,800 | $2,061 | $2,560 |
| Total shoulder replacement CPT 23472 • Orthopedics | $854 | $1,324 | $1,497 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,576 | $1,813 | $2,260 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $397 | $422 | $452 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $200 | $293 | $365 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $272 | $418 | $635 |
| Total hip replacement CPT 27130 • Orthopedics | $169 | $1,107 | $1,375 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $219 | $1,395 | $1,732 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $180 | $991 | $1,246 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $1,075 | $1,278 | $1,732 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,198 | $1,360 | $1,729 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,011 | $1,194 | $1,619 |
| Total knee replacement CPT 27447 • Orthopedics | $168 | $1,139 | $1,476 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $88 | $509 | $655 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $250 | $298 | $332 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $305 | $590 | $925 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $159 | $342 | $734 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $161 | $901 | $1,109 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $534 | $598 | $704 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $529 | $612 | $772 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $411 | $641 | $716 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $147 | $851 | $1,078 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $869 | $978 | $1,204 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $168 | $987 | $1,441 |
| Carpal tunnel release CPT 64721 • Orthopedics | $393 | $485 | $626 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $49 | $121 | $187 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $100 | $190 | $276 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $78 | $124 | $174 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $92 | $184 | $271 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $388 | $1,268 | $2,455 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $41 | $74 | $99 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $19 | $41 | $54 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $65 | $187 | $299 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $50 | $98 | $146 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $78 | $124 | $179 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $47 | $68 | $92 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $124 | $151 | $173 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $178 | $353 | $513 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $54 | $148 | $256 |
| Cytopathology concentration technique CPT 88108 • Pathology | $28 | $46 | $59 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $32 | $48 | $61 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $12 | $17 | $22 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $11 | $15 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $15 | $29 | $72 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $12 | $22 | $58 |