| Total hip replacement CPT 27130 • Orthopedics | $1,193 | $1,193 | $1,193 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,396 | $1,396 | $1,396 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $981 | $1,074 | $1,166 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $900 | $900 | $900 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $914 | $1,021 | $1,128 |
| Total knee replacement CPT 27447 • Orthopedics | $1,253 | $1,265 | $1,276 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $458 | $513 | $568 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $309 | $309 | $309 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $545 | $705 | $865 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $169 | $169 | $169 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $886 | $966 | $1,046 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $557 | $557 | $557 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $520 | $525 | $530 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $674 | $674 | $674 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $956 | $956 | $956 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $803 | $876 | $949 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $917 | $917 | $917 |
| Carpal tunnel release CPT 64721 • Orthopedics | $333 | $383 | $433 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $159 | $159 | $159 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $104 | $181 | $258 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $206 | $230 | $255 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $2,288 | $2,288 | $2,288 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $40 | $57 | $74 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $40 | $44 | $49 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $205 | $205 | $205 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $110 | $110 | $110 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $134 | $134 | $134 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $69 | $79 | $89 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $130 | $140 | $150 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $374 | $405 | $437 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $240 | $240 | $240 |
| Cytopathology concentration technique CPT 88108 • Pathology | $44 | $47 | $49 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $62 | $62 | $62 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $17 | $17 | $17 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $9 | $11 | $13 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $21 | $22 | $23 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $13 | $13 | $13 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $18 | $18 | $18 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $29 | $29 | $29 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $37 | $37 | $37 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $129 | $174 | $219 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $197 | $197 | $197 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $60 | $60 | $60 |
| Special stain group II CPT 88313 • Pathology | $44 | $53 | $62 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $79 | $79 | $79 |
| Frozen section pathology each additional CPT 88332 • Pathology | $24 | $24 | $24 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $42 | $55 | $68 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $61 | $69 | $77 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $92 | $92 | $93 |
| Microdissection manual CPT 88381 • Pathology | $119 | $119 | $119 |