| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $40 | $55 | $63 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,793 | $2,004 | $2,328 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,404 | $1,706 | $2,040 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $358 | $1,453 | $2,050 |
| Total shoulder replacement CPT 23472 • Orthopedics | $282 | $1,045 | $1,540 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,718 | $2,281 | $3,304 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $350 | $414 | $452 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $260 | $292 | $344 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $296 | $346 | $414 |
| Total hip replacement CPT 27130 • Orthopedics | $258 | $981 | $1,435 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,436 | $1,554 | $1,774 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $994 | $1,309 | $1,669 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $275 | $884 | $1,302 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $274 | $968 | $1,327 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $220 | $819 | $1,227 |
| Total knee replacement CPT 27447 • Orthopedics | $1,344 | $1,523 | $1,790 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $609 | $694 | $816 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $314 | $341 | $379 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $559 | $741 | $969 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $149 | $357 | $734 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $989 | $1,450 | $2,243 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $592 | $809 | $1,130 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $481 | $568 | $653 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $610 | $683 | $736 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $212 | $777 | $1,078 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $208 | $811 | $1,204 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,157 | $1,389 | $1,568 |
| Carpal tunnel release CPT 64721 • Orthopedics | $451 | $527 | $571 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $83 | $122 | $168 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $115 | $130 | $146 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $92 | $103 | $115 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $118 | $172 | $261 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $550 | $934 | $1,679 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $36 | $71 | $96 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $43 | $55 | $72 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $95 | $159 | $237 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $56 | $86 | $106 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $96 | $126 | $182 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $58 | $85 | $105 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $129 | $146 | $168 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $260 | $319 | $434 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $69 | $123 | $178 |
| Cytopathology concentration technique CPT 88108 • Pathology | $18 | $23 | $30 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $26 | $64 | $127 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $13 | $16 | $19 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $15 | $29 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $15 | $35 | $72 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $8 | $27 | $58 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $9 | $14 | $20 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $2 | $18 | $34 |