| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $2,573 | $3,718 | $4,306 |
| Total shoulder replacement CPT 23472 • Orthopedics | $298 | $1,410 | $2,020 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $331 | $2,114 | $3,757 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $412 | $541 | $623 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $465 | $563 | $748 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $702 | $771 | $832 |
| Total hip replacement CPT 27130 • Orthopedics | $1,192 | $1,561 | $1,794 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $2,205 | $2,383 | $2,615 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $1,666 | $2,066 | $2,769 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $1,581 | $1,703 | $1,813 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $270 | $1,202 | $1,712 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,611 | $2,333 | $2,705 |
| Total knee replacement CPT 27447 • Orthopedics | $1,267 | $1,584 | $1,791 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $580 | $907 | $1,334 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $430 | $438 | $444 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $122 | $857 | $1,279 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $225 | $288 | $399 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $1,059 | $1,324 | $1,494 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $752 | $933 | $1,258 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $724 | $782 | $860 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $919 | $992 | $1,089 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $1,294 | $1,654 | $2,300 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $203 | $922 | $1,358 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,454 | $1,581 | $1,752 |
| Carpal tunnel release CPT 64721 • Orthopedics | $596 | $637 | $697 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $76 | $235 | $397 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $167 | $397 | $646 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $116 | $233 | $379 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $231 | $414 | $636 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $647 | $3,178 | $5,720 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $92 | $132 | $194 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $68 | $89 | $122 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $244 | $400 | $607 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $80 | $139 | $182 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $132 | $270 | $427 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $111 | $154 | $222 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $213 | $287 | $374 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $282 | $655 | $1,092 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $85 | $205 | $284 |
| Cytopathology concentration technique CPT 88108 • Pathology | $25 | $79 | $157 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $54 | $73 | $90 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $22 | $49 | $71 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $7 | $11 | $15 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $19 | $26 | $37 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $15 | $21 | $29 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $17 | $44 | $69 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $34 | $61 | $95 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $16 | $41 | $57 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $52 | $142 | $277 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $100 | $254 | $380 |