| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $57 | $80 | $99 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,883 | $2,547 | $3,360 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,754 | $2,297 | $3,125 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $261 | $2,122 | $3,648 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,608 | $2,341 | $2,904 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $228 | $1,461 | $2,253 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $412 | $528 | $638 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $188 | $437 | $679 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $174 | $719 | $1,200 |
| Total hip replacement CPT 27130 • Orthopedics | $1,358 | $1,774 | $2,513 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,079 | $1,725 | $2,330 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $221 | $1,390 | $2,339 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $720 | $1,252 | $1,714 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $203 | $1,423 | $2,404 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,129 | $1,390 | $1,611 |
| Total knee replacement CPT 27447 • Orthopedics | $1,428 | $1,942 | $2,510 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $90 | $536 | $809 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $254 | $425 | $629 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $499 | $955 | $1,279 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $188 | $240 | $336 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $1,097 | $1,471 | $2,097 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $381 | $729 | $1,108 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $338 | $696 | $1,068 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $438 | $885 | $1,355 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $992 | $1,438 | $1,917 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $598 | $1,196 | $1,890 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,238 | $1,625 | $2,139 |
| Carpal tunnel release CPT 64721 • Orthopedics | $411 | $600 | $859 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $92 | $185 | $322 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $119 | $327 | $516 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $86 | $129 | $203 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $66 | $262 | $509 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $459 | $2,229 | $4,642 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $29 | $92 | $147 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $47 | $55 | $68 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $114 | $306 | $484 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $45 | $119 | $219 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $74 | $189 | $339 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $44 | $110 | $175 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $169 | $217 | $300 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $227 | $546 | $871 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $61 | $214 | $485 |
| Unlisted nervous system procedure CPT 64999 • Pain Management | $0 | $0 | $0 |
| Cytopathology concentration technique CPT 88108 • Pathology | $10 | $61 | $112 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $38 | $71 | $116 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $9 | $24 | $38 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $12 | $18 | $21 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $21 | $28 | $37 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $12 | $20 | $29 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $14 | $31 | $46 |