| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $1,482 | $1,715 | $1,948 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,313 | $1,663 | $1,911 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $209 | $956 | $1,702 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $217 | $360 | $452 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $271 | $384 | $465 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $153 | $409 | $778 |
| Total hip replacement CPT 27130 • Orthopedics | $167 | $1,038 | $1,698 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $190 | $1,282 | $2,205 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $975 | $985 | $994 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $140 | $608 | $1,075 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $631 | $1,194 | $1,624 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $937 | $974 | $1,011 |
| Total knee replacement CPT 27447 • Orthopedics | $167 | $1,069 | $1,695 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $67 | $462 | $663 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $243 | $329 | $430 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $59 | $597 | $1,172 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $22 | $327 | $734 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $122 | $843 | $1,419 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $464 | $640 | $752 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $653 | $683 | $724 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $566 | $730 | $919 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $112 | $828 | $1,294 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $475 | $961 | $1,204 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $574 | $1,156 | $1,454 |
| Carpal tunnel release CPT 64721 • Orthopedics | $228 | $461 | $596 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $67 | $123 | $218 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $87 | $187 | $288 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $64 | $203 | $363 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $80 | $182 | $283 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $505 | $527 | $550 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $21 | $58 | $96 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $38 | $41 | $45 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $135 | $202 | $326 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $41 | $148 | $305 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $110 | $179 | $235 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $61 | $92 | $121 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $150 | $171 | $200 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $234 | $437 | $584 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $47 | $216 | $395 |
| Cytopathology concentration technique CPT 88108 • Pathology | $20 | $25 | $30 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $22 | $80 | $127 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $12 | $20 | $28 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $11 | $15 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $15 | $21 | $27 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $12 | $19 | $26 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $14 | $25 | $34 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $30 | $33 | $35 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $11 | $37 | $57 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $55 | $73 | $96 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $169 | $273 | $380 |