| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $34 | $54 | $74 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $35 | $53 | $77 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $40 | $62 | $81 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,719 | $1,933 | $2,328 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,404 | $1,675 | $2,040 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $358 | $1,537 | $2,050 |
| Total shoulder replacement CPT 23472 • Orthopedics | $282 | $1,160 | $1,540 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,576 | $2,105 | $3,304 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $350 | $424 | $452 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $260 | $292 | $344 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $296 | $408 | $597 |
| Total hip replacement CPT 27130 • Orthopedics | $258 | $1,098 | $1,450 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,436 | $1,588 | $1,774 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $994 | $1,282 | $1,669 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $275 | $972 | $1,302 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $274 | $1,038 | $1,327 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $220 | $893 | $1,227 |
| Total knee replacement CPT 27447 • Orthopedics | $1,344 | $1,530 | $1,790 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $568 | $662 | $816 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $314 | $335 | $379 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $559 | $739 | $969 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $149 | $436 | $734 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $989 | $1,360 | $2,243 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $592 | $781 | $1,130 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $481 | $589 | $653 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $610 | $688 | $736 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $212 | $832 | $1,078 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $208 | $848 | $1,204 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,091 | $1,314 | $1,568 |
| Carpal tunnel release CPT 64721 • Orthopedics | $433 | $504 | $571 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $83 | $141 | $200 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $115 | $164 | $266 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $92 | $112 | $137 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $118 | $194 | $262 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $422 | $806 | $1,679 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $36 | $80 | $108 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $43 | $54 | $72 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $95 | $185 | $262 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $56 | $93 | $114 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $96 | $142 | $189 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $58 | $87 | $105 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $129 | $144 | $168 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $260 | $355 | $460 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $69 | $141 | $195 |
| Cytopathology concentration technique CPT 88108 • Pathology | $18 | $38 | $83 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $26 | $75 | $127 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $13 | $21 | $30 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $14 | $29 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $15 | $35 | $72 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $8 | $24 | $58 |